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You may need seen media articles or health influencers on-line urging folks to do “useless hangs”, the place one hangs loosely from a bar – normally with toes off the ground. The purpose is normally to enhance upper-body power and shoulder stability, or stretch out muscle mass across the shoulder.
But what does the science say? Are useless hangs good for shoulder well being?
As with so many issues well being and health, it’s not a straightforward “sure” or “no”. It actually depends upon your motive for doing it, your particular person biology, and the way you do them. For some, useless hangs could threat musculoskeletal harm.
For some, useless hangs could threat musculoskeletal harm.
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The shoulder: a comparatively unstable joint
Dead hangs could enhance grip power and endurance in rock climbers. This means that for those who’re effectively tailored to this sort of train and have excellent upper-body power, useless hangs could deliver hand and forearm advantages.
But whereas useless hangs could also be OK for folks with good upper-body power and no shoulder issues, they are often dangerous for others. People with shoulder hypermobility (extreme movement of the shoulder) or shoulder instability (equivalent to those that simply dislocate their shoulder) could have to be cautious.
The shoulder, by design, is a comparatively unstable joint. It has a big ball-type bone known as a humerus, which sits in a comparatively small socket known as a glenoid.
The passive (non-muscle) tissue round these bones (the capsule, labrum and ligaments) creates a beneficiant house across the shoulder joint – all so you may transfer your arm although a wide range of movement.
Because there’s not a lot passive assist within the shoulder, it depends closely on energetic muscle coordination and power to maintain it secure.
The coordination of muscle mass across the shoulder blade assist maintain the socket in the fitting place, and the rotator cuff and deltoid muscle mass assist to manage the “ball” within the centre of the socket as you progress.
All this implies useless hangs, if not achieved accurately, may current a threat for folks with hypermobility of their shoulders.
The shoulder, by design, is a comparatively unstable joint.
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Hypermobility and the shoulder
Some folks have extreme movement of their joints on account of elevated elasticity of joint tissue. This is named hypermobility and could also be within the shoulder or all joints.
The overhead arm place of an entire useless dangle places you ready the place, inside your shoulder, the ball is pulled away from the socket. Hanging your total physique weight can, in hypermobile folks, trigger the tissue to stretch much more.
People with shoulder hypermobility usually tend to develop painful shoulder instability, which is when the ball usually pops out of the socket.
Shoulder instability could also be attributable to acute trauma (equivalent to dislocation). Or it could actually develop over time from a lack of muscle management, deriving from micro-trauma (by, for instance, swimming laps within the pool with hand paddles).
Shoulder instability is related to diminished power and coordination within the shoulder muscle mass. In folks beneath 40, it’s usually misdiagnosed as “rotator cuff ache” or “shoulder muscle tightness”.
Some individuals are extra versatile than others within the shoulder.
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What can I do as an alternative of useless hangs?
Dead hangs require good baseline power, can threat popping the ball from the socket for some folks, and may stretch the passive tissue. They are usually not the perfect train for these for shoulder hypermobility and instability.
So what’s the choice? A remedy referred to as the Watson Instability Program has had good outcomes for resolving non-traumatic shoulder instability when in comparison with a common shoulder power program.
This program focuses on gaining shoulder blade management (such because the upward rotation you get if you attain as much as a excessive shelf). It includes recruiting the shoulder blade and shoulder joint muscle mass to enhance the contact between the ball and the socket.
Building shoulder blade management and power will help increase broader shoulder power.
Still eager to strive useless hangs?
If you’re decided to do useless hangs, keep in mind to:
begin with small increments; dangle for simply ten seconds or fewer at first, and construct from there
don’t enable your self to get too fatigued; your shoulder joint can grow to be much less secure when it’s drained
strive stepping off a field beneath the bar somewhat than leaping as much as the bar
maintain some “energetic” tone in your shoulders as you dangle; hanging fully passively can include threat.
Try to maintain some energetic tone in your muscle mass as you dangle.
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Our crew is conducting a trial of the Watson Instability Program. We are investigating mind adjustments in sufferers with multidirectional instability of the shoulder.
If you’re feminine, aged 18-35, have non-traumatic, right-sided shoulder instability and wish to have the prospect to obtain six months of free Watson Instability Program physiotherapy remedy as a part of our research, please contact both of us or learn extra in regards to the research right here.
Charlotte Ganderton receives funding from Arthritis Australia, Physiotherapy Research Foundation, Swinburne University of Technology, National Institute of Circus Arts and La Trobe University. Charlotte Ganderton is a member of the Australian Physiotherapy Association and Sports Medicine Australia.
Sarah Warby consults and receives analysis funds from the Melbourne Shoulder Group.