Sports Performance
  General Fitness
  Cervical/Neck
  Lumbar/SI Joint
  Thoracic and Ribs
  Shoulders/Rotator Cuff
  Knees/Patella
  Hips
  Elbow and Wrist
  Ankle and Foot
 
SHOULDER INTERNAL ROTATION - CABLE

CORRECT FORM

1) Stand with your side to the cable weight machine. Grasp the pulley handle with the arm that is closest to the machine. Your elbow should be bent to 90 degrees.



2) Begin by turning the shoulder inward in a rotational fashion.

3) Continue rotating the shoulder internally until your hand touches your abdomen. Be sure to maintain the elbow at a 90 degree angle. It is a very common error to let the elbow flex/bend. Also, make sure that your arm stays at your side and does not translate forward and come across your body. You should feel the tension and burning almost under the anterior shoulder where the subscapularis muscle resides.



4) Return to the starting position slowly and under control.

5) Inhale as you return, exhale as you pull the cable.



MUSCLES USED
Primary
Anterior rotator cuff - (subscapularis)
Secondary
Anterior deltoid


SAFETY CONSIDERATIONS/PRECAUTIONS
The primary purpose of the cable shoulder internal rotation exercise is to train an area of the body that is naturally very weak and often neglected - the anterior rotator cuff. This area is even more neglected by people because of the myth that this area is already overworked by bench presses, flys, lat pulldowns, etc. This couldn't BE more false.

It takes some knowledge of anatomy and kinesiology, but you will find that those muscles pull from an entirely different area and rotate the arm in an entirely different way. The pec and lat muscles pull the humerus (upper arm) forward translating it anteriorly in the socket, whereas the rotator cuff muscles simply rotate the humerus around an axis. This is because of where they are attached on the bone.(1)

Shoulder Joint - Top View
 
Pec and lats pulling the humerus forward
Subscapularis rotating the humerus on an axis

At high velocities (i.e. throwing), the subscapularis muscle is the ONLY muscle which prevents your humerus bone from popping forward out of the socket during the follow-through. When the arm is wrenched forward, it is the subscapularis which stabilizes the shoulder. As the pecs and lats tighten over time with weight-training, they will pull the shoulder forward, making the shoulder more predisposed to an anterior dislocation.

Training the subscapularis muscle is your defense against this.
Remember to make sure you perform this exercise only at the end of a workout. The purpose of the rotator cuff muscles is to stabilize the shoulder while you perform larger movements with the arm. These are small muscles and the last thing you need is to have them fatigued when you are performing heavy exercises.



EFFECTIVENESS
Performing internal rotation exercises for the shoulder with a cable is a much more effective way of training as compared to using a dumbbell. It allows you to train with more tension at the the end-range of the movement (when your arm is close into the body). This exercise is important in preventing rotator cuff strain during ballistic or weightlifting activities. Too often this area is over-looked and undertrained.


HELPFUL WITH TRAINING FOR
Football, Basketball, Baseball, Hockey, Track and Field, Throwing sports, Tennis/all racquet sports, Boxing, Wrestling, Martial arts.

REFERENCES

1. Harryman DT, Sidles JA, Clark JM et al: Translation of the humeral head on the glenoid with passive glenohumeral motion. J Bone Joint Surg 1990 72(9):1334-43.
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