The available options are:
a) Push-up plus off a wall → shoulder IR/ER → seated DB press
b) Shoulder IR/ER → push-up plus → seated DB press
c) Shoulder IR/ER → seated DB press → push-up plus
d) High-rep bench press → shoulder IR/ER → abdominal crunch
Answer:
A. Push-up plus off a wall -> shoulder IR/ER -> seated DB press
Explanation:
A push-up plus off a wall is an example of a closed chain exercise as the arm is fixated to a stationary surface.
It also make your shoulder blades to move freely, making serratus anterior stronger, a vital muscle that keeps scapula stable and helps it rotate upward. This in turn reduces shoulder impingement when push-ups plus off a wall is done.
Shoulder IR/ER also helps to correct the imbalance in the rotator muscles of the shoulder.
Also, seated DB press strengthens all muscles of the shoulder in a functional way.
Answer:
the appropriate tone to use in this instance would be a stern but kind and understanding tone. you don't want to be too forecul in order to avoid the patient rebelling however, you must be stern since it is a matter of life and death; the best course of action is to be entirely honest about the serious effects his habits have on his health. Based on his past actions of following the regimens prescribed by other doctors, he seems to want to lose weight and do better. The best way is to entirely avoid the point of temptation and try to keep it out of sight and out of mind. being kind is important since people react better to kindness rather than control, showing how much you care could cause the patient to want to do better.
