'This 70-year-old patient is rehabbing from a fractured proximal humerus (upper arm). Her range of motion (ROM) and strength have improved, and new exercises need to be introduced to maximize her success. The tall kneeling T is an excellent exercise progression for periscapular strengthening. The pulling motion originates from the shoulder blades (scapulae), and the middle trapezii and rhomboids are the prime movers. There needs to be sufficient lumbopelvic (core) stability to perform this advanced exercise safely, allowing for weight shifting with the moving sled. The keys to performing this exercise are: ✅ Neutral spine ✅ Breathing diaphragmatically ✅ Controlled movement Effective and efficient rehab is criterion-based, not time-based.
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