As a strength and conditioning coach who works entirely only with athletes, I’ll often see a case of an athlete being recruited or transferring in with a pre-existing shoulder injury. In the event that they opt for surgical treatment of their injury, I’ll often will receive calls from coaching discussing “how soon” can they return to training. Fortunately, we have a brilliant athletic medicine department here at Wichita State that does a tremendous job through an athlete’s rehabilitation.
Often times, I will work in conjunction with Athletic Medicine in devising an optimal plan for approaching the training of an athlete with a particular injury. In today’s blog, I’ll be discussing a case-study of an athlete 10 weeks out of a reconstructive surgical labrum procedure.
When I program for athletes, I tend to get away from the ideology of training individual parts. I’m more concerned with grooving and training movement patterns; be it a more functional approach to training modern day’s athletes. One could argue that it is all semantics, but I’d be digressing. Nonetheless, I look for developing the following patterns; bilateral knee dominant movements; unilateral dominant movements; bent knee hip dominant movements; straight leg dominant movements; vertical pressing movements; vertical pulling movements; horizontal pressing movements; horizontal pulling movements; anti-rotational core demands; anti-lateral flexion core demands; and anti-extension core demands.
My goodness, what a list. Let’s break it down a bit to see what I’m talking about.
Bilateral knee dominant movements
Cable Bilateral Belt Squat
Unilateral knee dominant movements
Low Pulley Cable Front/Backward Lunges
Bent knee hip dominant movements
Swissball Leg Curls
Straight leg dominant movements
Single-Arm Dumbell Romanian Deadlift
Vertical pressing movements
Tall-Kneeling Single Arm Dumbell Press
Vertical pulling movements
Tall-Kneeling Single Arm High Pulley Cable Pulldown
Horizontal pressing movements
Single Arm Dumbell Press
Horizontal pulling movements
Bilateral Stance Single Arm Cable Row
Anti-rotational core demands
Single Arm Pallof Press
Anti-lateral flexion core demands
Single Arm Waiter/Suitcase Carries
Anti-extension core demands
Deadbugs
These are just a few of the exercises that we’ve been using in this individual case. There is many other flexibility and mobility exercises that we also have this individual do to further enhance their functional and structural being. In this particular case, our Athletic Medicine staff does a tremendous job making sure that this individual is still progressing through strength and ROM in the injured shoulder. As a strength and conditioning coach, my number one responsibility is to ensure that no athlete ever gets injured or further injures themselves while under my supervision. It has taken this athlete a number of progressions to get to where they are currently at. I wouldn’t necessarily advise others to jump right into doing this without proper care of a trained medical athletic trainer supervising and signing off on an athlete’s clearance to do so.
If you have any questions or comments regarding any of this blog post, please don’t hesitate to e-mail or leave a comment below.
Until text time, Train Hard!


