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Literally, impingement means contact or collision between the upper arm bone and the softer parts of the shoulder. When does impingement occur? Stretch your right hand out in front of you. When your thumb points up, that is the neutral position. When you twist your arm so that your thumb points to the left, that causes moderate internal rotation of your shoulder. When you twist even farther, so your thumb points down and
your pinky points up, that causes extreme rotation of the shoulder. In plain English, the upper arm bone is rubbing against the soft muscles and tissues harder than it would if your hand and arm weren't turned out. Many swimmers
do swim with extreme or moderate internal rotation without apparent pain or injury, but for many other swimmers, constant extreme internal rotation during swimming will eventually cause impingement, irritation, chronic pain and
injury. Some research indicates that even moderate internal rotation while swimming tends to increase shoulder impingement. |
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These illustrations, from top-selling swimming books by notable swimming gurus, would lead us to believe that maintaining extreme internal rotation of the arm is the best way to swim. So would any video of Alex Popov, Gary
Hall or Ian Thorpe from the 2000 Olympics. |