Subacromial Impingemnet
Subacromial impingement ( swimmers shoulder ) is a
condition that affects the athlete's abililty during the catch phase,
early to mid-pull, and through arm adduction in the recovery phase. It is
an inflammation of the supraspinatus located on the long head of the biceps
tendon. Most often it is a result of incorrect form and overuse.
The medical term derives its name from action that takes place in the shoulder as the affected swimmer performs the stroke. The subacromial space is narrowed and the tendon is impinged or "pinched" creating the trauma.
The discomfort can attain a level that forces the
athlete to halt training. This is only the first step in what can be a
long rehab process. Anti-inflammatories and ice can be administered to
reduce the swelling. A number of stretching exercises can help strengthen
the rotator cuff and increase flexibility of the shoulder joint. Among
them : 1) Taking the elbow across the chest
towards opposite arm 2) bringing the shoulder blades back and down and holding
3) Overhead stretch of arms with hands locked, gently reaching for end of range.
Mechanical flaws need addressing as well to fix the root cause. Emphasis should be placed on high elbow in recovery phase, adequate body roll, and not crossing midline upon hand entry.