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Bar Hanging for Shoulder Health
      – A Consumer Guide to
     Therapeutic Bar Hanging

                    By Roleigh Martin, M.A

                       10/2/2012 7:06 PM

Copyright © 2012 by Roleigh Martin. All rights reserved. No
part of this document may be reproduced or transmitted in any
form or by any means, electronic or mechanical, including
photocopy, recording, or any information storage and retrieval
system, without permission in writing from the copyright owner.



Section 1
Preface to Section 1


       This Section is a straight reprint (but with links and
endnotes added) of the chapter submitted to a book being
published and full bibliographic citation will be made upon its
publication. A few minor edits might be made upon this section
in the printed edition. This Section is current as of the above
indicated date.




                                                             1
Introduction


        Dr. Kirsch i graciously asked me to provide this chapter.
At his institute, Dr. Kirsch gave me his PowerPoint presentation.
It is amazing how little orthopedic medicine appreciates the
benefit of bar hanging but it is understandable because it could
eliminate much surgery, threatening one’s income. I doubt if
surgeons intentionally reject this knowledge. Their interest is in
surgical improvements and likely focus on surgical journals and
not on self-help books.

To see a nationwide change on how to dominantly cure
shoulder problems, it will take the effort of readers who benefit
from his protocol to spread the word.

This could be done by sharing the book and information in it
with your local YMCA or fitness facility. By promoting this
protocol to such facilities, you will find institutions who are or will
be receptive to bar hanging. All you are doing is showing how
much more benefit exists from pull-up stations.

At my YMCA, some trainers said they enjoyed the book and
introduced others to the protocol. Some have helped their own
shoulder problems. I cannot think of a more likely receptive
professional audience who should be open to this book and
might promote its concepts.

This original document has links and more. You can read it by
visiting my Google Profile page at

http://tinyurl.com/3vnolh8

Look for the link “My Shopping Guide to Shoulder Pain? book”. ii




2
Background


       In 2011, I developed a “Frozen Shoulder.”       Wikipedia
explains:

   “Frozen shoulder, medically referred to as adhesive capsulitis,
is a disorder in which the shoulder capsule, the connective
tissue surrounding the glenohumeral joint of the shoulder,
becomes inflamed and stiff, greatly restricting motion and
causing chronic pain.”

Since then, I received non-surgical treatments and physical
therapy (detailed in the above link). Progress was steady but
slow. Then I read Dr. Kirsch’s book and greatly accelerated my
recovery.

Within two months I was able to lift my right arm behind my back
without my left arm assisting and am only about 1-2 inches short
of being able to touch my right shoulder blade. I can remember
when it was painful to lift my wallet out. No more!

I first started bar hanging (partial body weight) on a Monday and
4 days later I did my first full free hang totally off the ground
(only for two seconds). Since June, 2012, I am hanging daily in
4 minute single sessions. I do use comfortable gloves with
steel hooks in them (more later) to hang that long. With
ordinary gloves, I can only hang for 30 seconds straight.


Equipment Choices


        There are many choices of equipment and where you set
it up to do bar hanging. I recommend a setup where you use a
step stool to get up to the hanging bar and are able to do a full
                                                               3
body hang and when done, using the step stool to step safely
back on the floor. (See the step stool behind me in the photo.)
These are your choices:

       A. Obtain a hanging bar from the Kirsch Shoulder
       Institute.

        B. Build your own free-standing hanging bar rigged from
       1” O.D. cheap plumbing steel pipe.

       C. Order a free-standing hanging bar setup.

       D. Order a ceiling attached hanging bar suitable for the
       garage or basement.

       E. Order a portable pair of triangular hanging rings (for
       traveling).

       F. If you have a backyard, weather is moderate year-
       round and you want a setup for children as well as adults,
       then consider outdoor equipment that supports multiple
       concurrent different heights.

I took option “C” and it is described first. I show the accessories
I got as you would also probably want them for whatever option
you choose.



Free Standing Hanging Bar Setup


      Because I live in an apartment, I needed a free standing
hanging bar setup and I did not want to make one out of
plumbing pipe for aesthetic reasons.

I went with the Elite XL Pull-up Hanging Bar system at
www.trapezerigging.com (see picture below). Cost is $350. The

4
hanging bar adjusts to 92”. It is a
                             beautiful and I feel fantastic after
                             doing a full hang using hook gloves
                             and not touching the ground.

                             If you are taller than 5’8”, consider
                             the            “Free-Bar”           at
                             steelfitstrength.com.     Cost $599.
                             For just grip-hanging, the Elite XL
                             bar is fine up to 5’10”, it is hanging
                             with the hook gloves that reduces it
                             to 5’8”. The SteelFitStrength bar
                             adjusts from 2-9’ high.



(Photo by Joanne Hihn)

  There are other free standing Pull Up Bar stations such as
three models sold by Torque Athletic which have adjustable
heights up to 9 feet but the diameter of their bar is 1.5” and the
gloves I recommend work with diameters between 1” and 1.25”
The SteelFitStrength bar is only 1.25” diameter and works. The
Trapeze Rigging Elite XL bar has a 1” diameter and is perfect.



Accessories and Using a Pull Up/Hanging Bar



       Get two pairs of gloves. One can perform two sessions
of bar hanging, alternating the gloves you wear, giving yourself
a break. For one session, I recommend using ordinary work or
sport gloves that will protect you from getting calluses, as you
are using your hands only.

                                                                 5
For the other hang, I recommend the
                          Haulin’ Hooks “Onlys” at
                          lpgmuscle.com. Ask via their
                          “Contact Us” page for the wide
                          hooks, as your four (non-thumb)
                          fingers can fit over them. These
                          comfortable gloves are guaranteed
                          for life. They cost $64. Avoid the
                          optional colored tubes if the diameter
                          of your bar is more than 1”. I tried
                          cheaper gloves but they only lasted 5
weeks before ripping.

The “Onlys” allow you to hang using the strength of your wrists
instead of your hands. Note in the above picture how much
foam cushion (5mm) there is around your wrist. No need to put
on a wrist cushion wrap underneath these! They are rated for
650 pounds.

Avoid their Lady specific gloves, as they have a strap that is
useful for weight lifting but not bar hanging. Get just the
“Onlys”. When you contact and ask LPGMuscle.com for their
wide-hook “Onlys”, also inform them of your wrist circumference
(default is for 7.5” or wider).

When you get your gloves, ensure the hooks are inserted into
the outer sleeve not the middle (left one shows how shipped). A
little soap assists in removing/reinserting.




6
To effectively and comfortably use these gloves, hang as
follows: About 80% of my hang is with 20% of my weight held
by 4 fingers wrapped around the bottom part of the hook (see
above picture). About 20% of my hang is with my fists balled up
and the gloves are holding me up entirely by wrapping around
the outside ball of my wrist (see picture at below left). Those
who like it feel a better stretch. I slightly rock my body and legs
towards the end to get a better stretch. I always am off the
ground by about 3", it's a full body weight hang. Note: the
gloves are wrapped around the wrist 100% of the time for both
methods.

A warning:

One reader dislikes these
hooks. He said a 45 second
hang, using either method,
caused bruising on the hand.
He hangs for a minute at a
time and can do up to 10x1
hanging sessions a day. So
my      recommendation     is
suitable for some but not for
all.

I presume you want to get your
shoulder healthy fast. If you
try these gloves and find them
                                                                 7
comfortable, you will be able to hang longer and shoulder health
should come faster. If you find hanging by grip is better, then
consider selling your Haulin’ Hooks on Ebay or return them to
LpgMuscle.com if you discover you are not satisfied within 30
days per their stated return policy.

Bar hangers are split between using either grip-strength or
Haulin’ Hooks, sort of like the Mac and PC world. Try to build up
your grip strength with the ordinary (no hooks) gloves.

A step is integral to bar-hanging with hook gloves and nice for
grip hanging too. I have my Gold's Gym Multi-Function Step
Deck and Balance Trainer which I acquired at Walmart for $39.
I have it set for maximum height which is 8” off the floor. I have
it centered between the sides of the pull up station and pushed
back against the side-stabilizer bar, so that the front of the step
is six inches back of the Elite vertical bars. If you need more
than 8”, consider a steel Plyometric Box (7 heights) from
adamantbarbell.com. iii

Keep track of your hanging progress. I found the Presto 04213
Electronic Digital Timer at Amazon for about $7.

Below are pictures of the timer taped to the bar (with ordinary
wrapping tape). One pushes the first (left-most) two buttons at
the same time to reset the timer to zero seconds. One pushes




the far right button once to start the timer, and another time to
8
stop the timer. Use it to record the cumulative number of
seconds done daily.



If you have a Garage or Basement with a Tall Ceiling



                           If you have a garage or basement,
                    consider the Stud Bar Pullup Bar at
                    studbarpullup.com. It comes in three sizes,
                    each accommodating two different heights,
                    and accommodates a wider range of
                    ceiling heights (8’, 9’ or 10’). Cost is
                    $139.95. Diameter is 1.25” (OK for Haulin’
                    Hooks).



If your basement’s
ceiling is about 8-
9’ high and you
have an open joist
(or      a  garage
ceiling of similar
height and open
joists),   consider
the Joist Mount
Chin Up Bar Rafter Mounted Pull Up for P90x W/front Handles
listed at Amazon. It does not support multiple heights that Stud
Pullup Bar does but is cheaper, costing $42. Diameter is 1.25”
(OK for Haulin’ Hooks).




                                                              9
A Traveling Solution – The Freestyle Trainer


   I purchased the Freestyle Trainer Rings from
Ringtraining.com so that I could easily bar hang while traveling.
Some of the cited features are:

ü Quickly setup anywhere, including beams, bars, power
  racks, swingsets, doorways and
  even trees
ü High ceilings? No problem with the
  17' range straps
ü Foot straps for challenging new core
  and lower body exercises
ü Fast height adjustments with
  measurements to ensure rings are
  level

The complete set weighs 3.25 pounds.

You could just use this to do your shoulder exercises too.
However, for an apartment renter, a free-standing solution is still
the best permanent solution. But if you travel and have a way to
easily setup this system at home, you could get by with just it.

In the picture I show it hanging from my pull up bar.




10
The Kirsch Institute Hanging Bar (for Travel or Home)




        At.kirschshoulder.com, or at hangingbar.com, two
different length hanging bars can be ordered for $39-$49. They
come with built-in eyebolts for attaching to beams in a garage or
high ceiling basement. One is made for traveling that weighs 1.5
lbs (lightest solution known). Both have a diameter of 1.125”
(OK for Haulin’ Hooks). These bars need rope or chain to be
used and are perfect for the do-it-yourself person. Be certain to
use eyebolts for the rope. Do not pass the rope through holes
drilled in the bar! The holes will cut the rope.



Outdoor Backyard Solutions – A Triple Horizontal Bar


                                                 Sportsplayinc.com
                                          has a Triple Horizontal
                                          Bar that is meant for
                                          outdoors and needs to
                                          be      securely      and
                                          permanently      installed
                                          into the ground. It is
                                          adjustable for each of
                                          the bars up to one (or
all) of the bars to be 8 feet high. If you have children, you could
set them to different heights. However, the horizontal bar has a

                                                                 11
1.375” diameter, too large for the recommended Haulin Hooks.
Cost is $650-$753.

At steelfitstrength.com, they have a “FREE-Grid 12' Pull Up &
Squat Rack System” which is a free-standing version of the
above (but can also be permanently anchored), indoors or
outdoors, and each of the three bars can be adjusted up to 9
feet high. Their diameter is 1.25” (OK for Haulin’ Hooks). Cost
is $1349 (without Squat Rack option).



The Zero-Cost Equipment Solution – Your YMCA


       At the YMCAs I have used, they have many pull-up
stations made by cybexintl.com. The “All in One”, “Dip/Chin
Assist”, “Jungle Gym” or “Big Iron Multi Rack” are the 4 most
common stations. You can use any. All you need are gloves
(either style). You may need a stool and can borrow aerobic
steps but ask a YMCA trainer. Other gyms may work.



Building Your Own Hanging Bar


      Elsewhere in this book, Dr. Kirsch shows a full-size
diagram of a build-it-yourself hanging bar.


Be Safe in Your Choice of Equipment


       Regardless of your choice, double check that your body
weight will not pose a risk. If in doubt, check the manufacturer’s
specifications or if concerned about the load stress on what you

12
are attaching to, consult your local building inspector. They
have knowledge about load stress and rafters, etc. This is
obviously more a concern the heavier you are.

Also pay attention to the minimal health considerations Dr.
Kirsch recommends for following his protocol.



A Set of Dumbbells That Meet Dr. Kirsch’s Requirements


       Elsewhere in this book, Dr. Kirsch recommends a simple
weight lifting program which can be begun when one is able to
raise the arm above the horizon. He recommends starting out
with one pound dumbbells, incrementing with one pound
weights, up to 8 pounds.

The online version of this chapter reviews many barbells but
here I focus on what to do for the weights, 1 through 5 pounds.
Go to Amazon.com and search for “vinyl dumbbell set 10
pieces” – do not include the quotes. Many entries come back,
make sure the one you pick is for a set of 5 pairs of dumbbells:
a pair at 1 pound, 2, 3, 4 and 5 pounds.

Once you are up to 5 pounds per barbell, refer to the online
document for what is available beyond that.



Follow-Up


Dr. Kirsch has a FAQ (Frequently Asked Questions) page at his
web site. For those who have more questions, sign up for the
study program there.


                                                               13
Eventually, if you feel up to doing more on your bar, Al Kavadlo
has written a great heavily illustrated book on all the ways to
exercise while doing a dead hang (plus all the ways to do pull-
ups). Get his book, “Raising the Bar -- The Definitive Guide to
Bar Calisthenics” at DragonDoor.com.




14
Section 2
Expanded Information to a Consumer Guide
to Therapeutic Bar Hanging

[Images     and/or       quotes    from      Trevor     Boswell
(TrapizeRigging.com), Kirsch Foundation, and Stud PullUpBar
are used with written permissions from the owners, Some
photographs are of products and links are provided to the pages
those photographs reside and where the products can be
ordered.   Those photographs are property of either the
manufacturer, seller or Amazon.]



Preface to This Online Section


This section is written under the presumption that the reader
has or will the preceding section which is what has been
submitted as of 10/1/2012 to a publisher for publication in a
forthcoming book (details to be released upon publication).



Background


In October of 2011, I was first diagnosed with what lay people
refer to as “Frozen Shoulder” or medically termed “Adhesive
Capsulitis.” Wikipedia defines this as

      “Frozen shoulder, medically referred to as adhesive
      capsulitis, is a disorder in which the shoulder capsule, the
      connective tissue surrounding the glenohumeral joint of

                                                               15
the shoulder, becomes inflamed and stiff, greatly
        restricting motion and causing chronic pain.”

I believe, and the doctors I’ve seen, seem to think I have
pinpointed the reasons for my Frozen Shoulder, which are the
following reasons acting in conjunction:

     A. Spending about 10 hours a day on the computer and
        doing all the arm movement associated with using a
        computer mouse and keyboard

     B. Neglecting upper body conditioning for decades, only
        focusing on walking and hiking as my dominant forms of
        exercise, thereby not strengthening the Pelvis, Spine,
        Shoulders and Arms to be up to the task of that much
        motion, just as Pete Egoscue describes in his book, “Pain
        Free At Your PC”.

     C. Sleeping on my right shoulder

     D. When I moved to Upstate New York in January 2011 I
        bought a brand new, extra firm mattress (my 35 year old
        mattress was extra firm originally but had softened up
        over the years)

     E. Turning older (I’m 62 now)

Since then I have engaged in non-surgical treatmentsiv of my
shoulder and physical therapy. The physical therapists have
basically given me about 10-15 v of the exercises shown among
the 100 exercises covered in the “Healthy Shoulder Handbook”
by Dr. Karl Knopf. In addition, the weight lifting trainers at the
local YMCA have given me a few similar exercises to do. vi

Doing all of the above, including the non-surgical treatments of
my shoulder, my progress with my shoulder was steady but too
slow for my satisfaction. I decided to start reading up more on
16
Frozen Shoulder and what to do about it when I stumbled the
book: Shoulder Pain? The Solution & Prevention, Third Edition,
Revised & Expanded by John M. Kirsch M.D. (Board Certified
Orthopaedic Surgeon). Amazon currently has the latest edition
(3rd) for sale. It is also available here though.

Dr. Kirsch advocates hanging from a bar and doing three simple
weight lifting exercises to recover from a frozen shoulder (and
other shoulder problems). His book is full of X-rays and CT
scans, and he explains why this method works, as well as who
can use the exercises and who should not (my condition fitted
into those who can benefit from it, thankfully). It is a method he
has used and studied for nearly 24 years. After reading the
book, I put this method to practice and have been doing since
February 27, 2012. Within two months I was able to lift my right
arm behind my back without the assistance of my left arm and
am only about 1-2 inches short of being able to touch my right
shoulder blade. I can remember when it was painful to lift my
wallet out of my back right pocket. No more!

I first started bar hanging (partial body weight) on a Monday and
it was not until Friday that I could do my first full free hang from
a bar with my feet totally off the ground, and then only for two
seconds at a time. In June, 2012, I was able to and continue to
hang for a daily 4 minute single hang.               I do use very
comfortable gloves with steel hooks in them (more later) to hang
that long. With ordinary gloves, I can only hang for 30 seconds
straight.

If you sign up at the KirschShoulder.com website to be a part of
his medical survey of patients using his method to improve their
shoulder(s), he will send you a set of forms that include
illustrations of the three weight lifting exercises described in his
book. Otherwise you need to buy his book to see these
exercises and the full explanation that comes with them.

                                                                 17
Additionally, Dr. Kirsch is willing to further discuss your specific
shoulder problem and answer any questions or concerns you
might have in your rehabilitation program.

 I highly recommend getting this book as it explains why the
procedure works not only for healing a shoulder but keeping it
healthy. I really enjoyed learning of how the bone is a living
tissue and how through bar hanging the shoulder bone will over
time lift itself back up out of the way of the shoulder to the
healthy way it was when you were young (see page 78 in his
book, 2nd edition, entitled “Reshaping the Acromion Part of the
CA Arch: Artist’s Rendering”). As one gets older, if they do not
exercise the shoulder by using a hanging & weight lifting
program, the acromion bone will, over time, become deformed
in a downward mode that pinches the rotator cuff producing pain
and eventual degenerative tears in the rotator cuff tendons and
muscles.

The exercises (including the hanging & weight lifting program)
have four goals, as I understand his medical writing:

       1. Reshaping the bone and ligament enveloping the
       rotator cuff and restoring their flexibility.

       2. Stretching the shoulder joint lining to relieve shoulder
       stiffness.

       3. Stretching the shoulder to enable full rotation and
       elevation.

       4. Restoring the health and strength of the shoulder and
       involved muscles.

Dr. Kirsch, who kindly reviewed this document for errors where I
comment on his book, noted that "the hanging exercise
addresses the subacromial impingement syndrome (SIS) and
rotator cuff tears as well as the frozen shoulder. Some folks
18
don't fall into any diagnosis exactly; they just have shoulder pain
and the hanging exercise and weight lifting helps them as
well." vii

At his web site, he also has links to YouTube videos, a very
informative FAQ (many of the questions came from me) and
blueprints of how to set up your own bar hanging system at
home. Many impressive testimonials are also published on the
website.




Building Your Own Hanging Bar – A Parts List


Dr. Kirsch in his book shows a full-size diagram of a build-it-
yourself hanging bar. I went to Lowe’s Lumber and itemized
what to get. The parts are shown in two tables, the first maps to
Dr. Kirsch’s blueprint. Dr. Kirsch said to me, however, that
when built, it may have some wiggle in it.




                                                                19
20
Part Description      Qty    Purpose
Hex Lag Screw                To Attach Flanges to 4x4 Lumber
1/4 10x2              16     Sides
                             Base of what plumbing pipe
                             attaches to. Cut and discard 2 feet
4"x4"x8' KD
                             of each piece (only need 6' of
Douglas Fir
                             length) -- if used inside, no need to
                      2      paint
3/4" Galv Floor
                             One per side
Flange                2
3/4" Blk Iron 90D
                             Elbows for top bar
Elbow                 2
                             For 2 side pieces (Have pipe cut
                             and threaded for the flange and
                             elbow you buy, so the total length
                             of the pipe is 24" taller than you
3/4" X 10' Blk Iron          are) -- or to handle most people
Pipe                  2      (adult friends), go with 8'.
3/4" X 36" Blk
                            For Top Bar (outer diameter is 1”)
Iron Pipe             1
                      81.75 Total cost of base setup


The second table is what I would get to minimize wiggle, if after
you build and use the design as shown, you notice such. Do
not consider this until you use what you build.




                                                                21
Part
Description    Qty   Purpose
2"x4"x96"
Top Choice           Nail with 3" finishing nails to the back
KD                   of the 4"x4" sides to secure side width
Whitewood            at floor.
Stud S4S           1
Nail    Finish
                     These are 3" finishing nails to secure
Bright     1lb
                     back stabilizer 2"x4"
10D                1
                     Used to wrap around vertical pipes at
Stainless            a 30" height to prevent slippage of the
Steel Clamp          tie-downs. Tie downs wrap around
#12 (2 pack).      1 pipe above the clamp.
                     Screw in 30" front and back of the
                     vertical pipes on top of the 4"x4" so
Screw Eye 3          that the tie-downs can hook into the
& 7/8"             4 eyes.
8 Foot
                     3rd pair can be secured being tied to
Motorcycle
                     front-center back stabilizer 2"x4".
Tie-Down
                     This brand of tie-down has a hook that
(Task Force
                     wraps     around     the     3/4"   pipe
brand-pkg of
                     (confirmed).
2)                 3
3/8 X 4" eye         Put in front-center back stabilizer
bolt ZN            1 2"x4".
                54.58 Total cost of Options
                136.3 Grand Total as of 9/3/2012 at
                    0 Lowe's, Glenmont NY




22
A Set of Dumbbells That Meet Dr. Kirsch’s Requirements


On page 47 of the second edition of his book, Dr. Kirsch
recommends a simple weight lifting program which can be
begun when one is able to raise the arm above the horizon. He
recommends starting out with one pound dumbbells,
incrementing in one pound weights, going up to 8 pound
dumbbells ultimately. He recommends building up to doing
either 30-45 repetitions with these weights ultimately.

Go to Amazon.com and search for “vinyl dumbbell set 10
pieces” – do not include the quotes. Many entries come back,
make sure the one you pick is for a set of 5 pairs of dumbbells:
                         a pair at 1 pound, 2, 3, 4 and 5
                         pounds.

                           See his book or his mailed instructions
                           (if you participate in his study) for the
                           exercises        (instructions       and
                           photographs of them) that you’ll do
                           with the weights.



Option 1: I did not get the above set but found it after I got my
                               dumbbells which only contain a
                               pair of 1, 2, 3, and 5 lb. dumbbells.
                               The above set shown at
                               Amazon.com contains a pair of
                               1,2,3,4,5 lb. dumbbells. viii If you
                               want to go beyond these up to 8
                               lb. dumbbells, you can order either
                               individual       dumbbells      from
Amazon.com or you could order either of these two items. I
have the first option, the 9 Piece Pace Weight Set (4.5 Pounds)
                                                                 23
Without Case which are 9 individual ½ pound magnets which
can magnetically attach to the dumbbells, such as shown to the
left. By itself, you could only go up to 7 pounds using 4
magnets on the 5 lb. dumbbell. You might look at getting a pair
of 7 lb. dumbbells from Amazon for $17.90 (for the pair as of
03/28/2012) and then using the Pace Weight magnets to go up
to 8 lbs. (or 9 lbs. if you so choose).

                               The    advantage       of     the
                               PaceWeights is that you can
                               increment your next (heavier) set
                               of dumbbell weights in ½ pound
                               increments which is easier on
                               your muscles.

                               Option 2: Alternatively, you could
                               order the Jillian Michaels
Ultimate 12.5 Adjustable Speed
Dumbbells, which enable you to
alternate   between      2.5   lb.
dumbbells up to 12.5 lb. dumbbells
in 2.5 lb. increments, available
through Amazon. I do not know if
these dumbbells enable the Pace
Weight ½ pound magnets to fit on
them or not though. You should
also get a pair of 2 lb. dumbbells
through Amazon as they are too big for use on the 1 lb.
dumbbells.

Option 3: Another option is to go with a pair of 1 lb. dumbbells
(through Amazon) plus this set by Altus Atheletic through
Amazon, along with the above shown Paceweights. Going this
route, you’ll have a rack for six of the dumbbells. You should

24
also get a pair of 2 lb. dumbbells through Amazon as they are
too big for use on the 1 lb. dumbbells.

Showing the three mentioned options are the descriptions and
costs. Costs are current as of 3/28/2012.



Dumbell                          3/28/2012
Option   Item                    Price     Description
         Cando Economy
         Vinyl-Colored Solid
         Iron Dumbbell Set                 Pairs of 1,2,3,4,5
       1 (10 pieces)                 56.88 lb. dumbbells
         9 Piece Pace                      9 individual 1/2
       1 Weight Set (4.5 lbs)        36.95 pound magnets
         Body Solid Tools
         BSTVD7 7-Pound
         Vinyl Dumbbell                    Pair of 7 lb.
       1 (Dark Purple)               17.90 dumbbells
       1 Option Total               111.73

          CAP Neoprene                     Pair of 1 lb
        2 Coated Dumbbell            11.34 dumbells
          Valeo HW2 2-
          Pound Neoprene                   Pair of 2 lb
        2 Hand Weights               12.05 dumbells
                                           Adjustable
          Jillian Michaels                 dumbells that
          Ultimate 12.5 lb.                increment in 2.5
          Adjustable Speed                 lbs., from 2.5 to
        2 Dumbbells                  68.00 12.5 lbs.
          9 Piece Pace                     9 individual 1/2
        2 Weight Set (4.5 lbs)       36.95 pound magnets
        2 Option Total              128.34




                                                           25
Dumbell                         3/28/2012
Option   Item                   Price     Description
         Altus Athletic 32-
         Pound Dumbbell                  Pairs of 3,5,8 lbs
       3 Set with Stand            39.99 dumbbells
         9 Piece Pace                    9 individual 1/2
       3 Weight Set (4.5 lbs)      36.95 pound magnets
         CAP Neoprene                    Pair of 1 lb
         Coated Dumbbell           11.34 dumbells
         Valeo HW2 2-
         Pound Neoprene                  Pair of 2 lb
       2 Hand Weights              12.05 dumbells
       3 Option Total             100.33




26
Followup Reading


For those who have read the book and have questions, go
ahead and sign up for the study program at The Kirsch Shoulder
Institute, but before you ask questions consider if they have
already been answered by Dr. Kirsch in some of the various
forums he has participated in.

   ü At Teton Gravity Research he engaged several people
     about shoulder problems. He starts on posting 7 under
     the member name, “stridertg”.
   ü At RehabEdge Physical Therapy Forum, he engaged
     several physical therapists about bar hanging. He starts
     on posting 13 of this thread under the member name,
     “Strider”.
   ü At RehabEdge Physical Therapy Forum, there is a
     search index of all of his postings. The above is a good
     example of a prolonged engagement.

Dr. Kirsch has a FAQ (Frequently Asked Questions) page at his
web site. For those who have more questions, sign up for the
study program there.




                                                           27
Links for Bar Hanging for following
the advice in the book, Shoulder Pain?


Web Document that discusses        http://tinyurl.com/7eomoqh
all of these setup options and
accessories
Kirsch Institute for Shoulder      www.kirschshoulder.com/
Research, LLC
Sign up to be a part of Dr.        http://tinyurl.com/cp5uw9l
Kirsch’s Medical Survey and
Receive Exercises and Forms
Use a local YMCA which             http://tinyurl.com/82279ll
typically has 2-3 Bar Hanging
Systems from Cybex
International
Dr. Kirsch’s Hanging Bar for       http://tinyurl.com/cvhzvyo
sale
Build your own free-standing       http://tinyurl.com/7o3k3dw
hanging bar rigged from 1” O.D.
cheap plumbing steel pipe
Portable, quickly-assembled        http://tinyurl.com/724tv4p
free-standing Elite XL Pull-up /
Hanging Bar system
A ceiling attached (suitable for   http://www.studbarpullup.com/
a garage or basement with a
tall ceiling) hanging bar
A Joist-mounted Pull-Up Bar for    http://tinyurl.com/6rbz57c
open joist ceilings (garage or
basement)
A portable system from             http://tinyurl.com/cqyft8b
RingTraining.com which can be
setup using beams, swing sets
or trees
Haulin’ Hooks “Onlys” gloves       http://tinyurl.com/872xv6x
for men (to enable easier and
long bar hanging)
Gold's Gym Multi Function Step     http://tinyurl.com/d2x5xnr
Deck and Balance
28
Wells Lamont 7648M High              http://tinyurl.com/cu27v4g
Dexterity Work Glove with
Synthetic Leather, Medium
(package label reads Blister
Armor Work Gloves with
Liguicell Blister-free technology)
Presto 04213 Electronic Digital      http://tinyurl.com/bwkl288
Timer
A Set of Dumbbells That Meet         http://tinyurl.com/crj4uph
Dr. Kirsch’s Requirements
Roleigh Martin’s Google Profile      http://tinyurl.com/3vnolh8




Endnotes:



i
  Dr. John M. Kirsch, M.D. See here and here for more
information about Dr. Kirsch.
ii
      Note: You are reading that expanded edition here.
iii
 Another brand of Pylometric Boxes are these from Power
Systems. You can also build your own, such as shown here.
Adjustable Pylometric Boxes exist too such as here or here.
Exercises that you can do on these Pylometric Boxes are shown
here, for example. Large surface Pylometric Boxes are shown
here.
iv
   My non-surgical treatment has been the use of Prolotherapy
and Physical Therapy. See the many links I have on
Prolotherapy at my Google Profile for more information. I am a
firm believer in Prolotherapy, particularly its’ newer form of Stem
Cell Prolotherapy (using one’s own stem cells from one’s own
bone marrow) but this paper is not about Prolotherapy but rather
the use of Bar Hanging and associated weight lifting exercises
per the Kirsch Shoulder Institute Method approach.


                                                                  29
v
  (1) Choker Exercise, page 65; (2) internal rotation stretch,
page 67; (3) internal rotation (side-lying), page 79; (4) external
rotation (side-lying), page 80; (5) finger walking (forward), page
94; (6) finger walking (side), page 95; (7) wall reach, page 103;
(8) external rotation (wall), page 104; internal rotation (door),
page 105; (9) lateral raise, page 126; (10) pull-downs, page
134; (11)
vi
   I’m doing these plus some other exercises to strengthen my
knee and glute as I injured my left knee in July 2012 where in
determining how best to treat the knee, I first discovered
Prolotherapy. [The knee injury happened to me before I focused
on the shoulder problem. I went to a conventional Orthopedic
Surgeon at first and had a MRI for my knee and when I
discovered how poor are the statistics for conventional
orthopedic surgical treatment of a torn meniscus, I started
researching non-surgical alternatives, and shortly discovered
Prolotherapy. I am ecstatic about how well my knee is doing
with Stem Cell Prolotherapy alone (see my posting on the
internet for more on that).]

viii
   I have this set through Amazon of 2,3,5 lb. dumbbells and 2
of the 1 lb., 4lb. and 6 lb. dumbbells, also through Amazon.




30

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Bar hanging for shoulder health – a consumer guide

  • 1. Bar Hanging for Shoulder Health – A Consumer Guide to Therapeutic Bar Hanging By Roleigh Martin, M.A 10/2/2012 7:06 PM Copyright © 2012 by Roleigh Martin. All rights reserved. No part of this document may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopy, recording, or any information storage and retrieval system, without permission in writing from the copyright owner. Section 1 Preface to Section 1 This Section is a straight reprint (but with links and endnotes added) of the chapter submitted to a book being published and full bibliographic citation will be made upon its publication. A few minor edits might be made upon this section in the printed edition. This Section is current as of the above indicated date. 1
  • 2. Introduction Dr. Kirsch i graciously asked me to provide this chapter. At his institute, Dr. Kirsch gave me his PowerPoint presentation. It is amazing how little orthopedic medicine appreciates the benefit of bar hanging but it is understandable because it could eliminate much surgery, threatening one’s income. I doubt if surgeons intentionally reject this knowledge. Their interest is in surgical improvements and likely focus on surgical journals and not on self-help books. To see a nationwide change on how to dominantly cure shoulder problems, it will take the effort of readers who benefit from his protocol to spread the word. This could be done by sharing the book and information in it with your local YMCA or fitness facility. By promoting this protocol to such facilities, you will find institutions who are or will be receptive to bar hanging. All you are doing is showing how much more benefit exists from pull-up stations. At my YMCA, some trainers said they enjoyed the book and introduced others to the protocol. Some have helped their own shoulder problems. I cannot think of a more likely receptive professional audience who should be open to this book and might promote its concepts. This original document has links and more. You can read it by visiting my Google Profile page at http://tinyurl.com/3vnolh8 Look for the link “My Shopping Guide to Shoulder Pain? book”. ii 2
  • 3. Background In 2011, I developed a “Frozen Shoulder.” Wikipedia explains: “Frozen shoulder, medically referred to as adhesive capsulitis, is a disorder in which the shoulder capsule, the connective tissue surrounding the glenohumeral joint of the shoulder, becomes inflamed and stiff, greatly restricting motion and causing chronic pain.” Since then, I received non-surgical treatments and physical therapy (detailed in the above link). Progress was steady but slow. Then I read Dr. Kirsch’s book and greatly accelerated my recovery. Within two months I was able to lift my right arm behind my back without my left arm assisting and am only about 1-2 inches short of being able to touch my right shoulder blade. I can remember when it was painful to lift my wallet out. No more! I first started bar hanging (partial body weight) on a Monday and 4 days later I did my first full free hang totally off the ground (only for two seconds). Since June, 2012, I am hanging daily in 4 minute single sessions. I do use comfortable gloves with steel hooks in them (more later) to hang that long. With ordinary gloves, I can only hang for 30 seconds straight. Equipment Choices There are many choices of equipment and where you set it up to do bar hanging. I recommend a setup where you use a step stool to get up to the hanging bar and are able to do a full 3
  • 4. body hang and when done, using the step stool to step safely back on the floor. (See the step stool behind me in the photo.) These are your choices: A. Obtain a hanging bar from the Kirsch Shoulder Institute. B. Build your own free-standing hanging bar rigged from 1” O.D. cheap plumbing steel pipe. C. Order a free-standing hanging bar setup. D. Order a ceiling attached hanging bar suitable for the garage or basement. E. Order a portable pair of triangular hanging rings (for traveling). F. If you have a backyard, weather is moderate year- round and you want a setup for children as well as adults, then consider outdoor equipment that supports multiple concurrent different heights. I took option “C” and it is described first. I show the accessories I got as you would also probably want them for whatever option you choose. Free Standing Hanging Bar Setup Because I live in an apartment, I needed a free standing hanging bar setup and I did not want to make one out of plumbing pipe for aesthetic reasons. I went with the Elite XL Pull-up Hanging Bar system at www.trapezerigging.com (see picture below). Cost is $350. The 4
  • 5. hanging bar adjusts to 92”. It is a beautiful and I feel fantastic after doing a full hang using hook gloves and not touching the ground. If you are taller than 5’8”, consider the “Free-Bar” at steelfitstrength.com. Cost $599. For just grip-hanging, the Elite XL bar is fine up to 5’10”, it is hanging with the hook gloves that reduces it to 5’8”. The SteelFitStrength bar adjusts from 2-9’ high. (Photo by Joanne Hihn) There are other free standing Pull Up Bar stations such as three models sold by Torque Athletic which have adjustable heights up to 9 feet but the diameter of their bar is 1.5” and the gloves I recommend work with diameters between 1” and 1.25” The SteelFitStrength bar is only 1.25” diameter and works. The Trapeze Rigging Elite XL bar has a 1” diameter and is perfect. Accessories and Using a Pull Up/Hanging Bar Get two pairs of gloves. One can perform two sessions of bar hanging, alternating the gloves you wear, giving yourself a break. For one session, I recommend using ordinary work or sport gloves that will protect you from getting calluses, as you are using your hands only. 5
  • 6. For the other hang, I recommend the Haulin’ Hooks “Onlys” at lpgmuscle.com. Ask via their “Contact Us” page for the wide hooks, as your four (non-thumb) fingers can fit over them. These comfortable gloves are guaranteed for life. They cost $64. Avoid the optional colored tubes if the diameter of your bar is more than 1”. I tried cheaper gloves but they only lasted 5 weeks before ripping. The “Onlys” allow you to hang using the strength of your wrists instead of your hands. Note in the above picture how much foam cushion (5mm) there is around your wrist. No need to put on a wrist cushion wrap underneath these! They are rated for 650 pounds. Avoid their Lady specific gloves, as they have a strap that is useful for weight lifting but not bar hanging. Get just the “Onlys”. When you contact and ask LPGMuscle.com for their wide-hook “Onlys”, also inform them of your wrist circumference (default is for 7.5” or wider). When you get your gloves, ensure the hooks are inserted into the outer sleeve not the middle (left one shows how shipped). A little soap assists in removing/reinserting. 6
  • 7. To effectively and comfortably use these gloves, hang as follows: About 80% of my hang is with 20% of my weight held by 4 fingers wrapped around the bottom part of the hook (see above picture). About 20% of my hang is with my fists balled up and the gloves are holding me up entirely by wrapping around the outside ball of my wrist (see picture at below left). Those who like it feel a better stretch. I slightly rock my body and legs towards the end to get a better stretch. I always am off the ground by about 3", it's a full body weight hang. Note: the gloves are wrapped around the wrist 100% of the time for both methods. A warning: One reader dislikes these hooks. He said a 45 second hang, using either method, caused bruising on the hand. He hangs for a minute at a time and can do up to 10x1 hanging sessions a day. So my recommendation is suitable for some but not for all. I presume you want to get your shoulder healthy fast. If you try these gloves and find them 7
  • 8. comfortable, you will be able to hang longer and shoulder health should come faster. If you find hanging by grip is better, then consider selling your Haulin’ Hooks on Ebay or return them to LpgMuscle.com if you discover you are not satisfied within 30 days per their stated return policy. Bar hangers are split between using either grip-strength or Haulin’ Hooks, sort of like the Mac and PC world. Try to build up your grip strength with the ordinary (no hooks) gloves. A step is integral to bar-hanging with hook gloves and nice for grip hanging too. I have my Gold's Gym Multi-Function Step Deck and Balance Trainer which I acquired at Walmart for $39. I have it set for maximum height which is 8” off the floor. I have it centered between the sides of the pull up station and pushed back against the side-stabilizer bar, so that the front of the step is six inches back of the Elite vertical bars. If you need more than 8”, consider a steel Plyometric Box (7 heights) from adamantbarbell.com. iii Keep track of your hanging progress. I found the Presto 04213 Electronic Digital Timer at Amazon for about $7. Below are pictures of the timer taped to the bar (with ordinary wrapping tape). One pushes the first (left-most) two buttons at the same time to reset the timer to zero seconds. One pushes the far right button once to start the timer, and another time to 8
  • 9. stop the timer. Use it to record the cumulative number of seconds done daily. If you have a Garage or Basement with a Tall Ceiling If you have a garage or basement, consider the Stud Bar Pullup Bar at studbarpullup.com. It comes in three sizes, each accommodating two different heights, and accommodates a wider range of ceiling heights (8’, 9’ or 10’). Cost is $139.95. Diameter is 1.25” (OK for Haulin’ Hooks). If your basement’s ceiling is about 8- 9’ high and you have an open joist (or a garage ceiling of similar height and open joists), consider the Joist Mount Chin Up Bar Rafter Mounted Pull Up for P90x W/front Handles listed at Amazon. It does not support multiple heights that Stud Pullup Bar does but is cheaper, costing $42. Diameter is 1.25” (OK for Haulin’ Hooks). 9
  • 10. A Traveling Solution – The Freestyle Trainer I purchased the Freestyle Trainer Rings from Ringtraining.com so that I could easily bar hang while traveling. Some of the cited features are: ü Quickly setup anywhere, including beams, bars, power racks, swingsets, doorways and even trees ü High ceilings? No problem with the 17' range straps ü Foot straps for challenging new core and lower body exercises ü Fast height adjustments with measurements to ensure rings are level The complete set weighs 3.25 pounds. You could just use this to do your shoulder exercises too. However, for an apartment renter, a free-standing solution is still the best permanent solution. But if you travel and have a way to easily setup this system at home, you could get by with just it. In the picture I show it hanging from my pull up bar. 10
  • 11. The Kirsch Institute Hanging Bar (for Travel or Home) At.kirschshoulder.com, or at hangingbar.com, two different length hanging bars can be ordered for $39-$49. They come with built-in eyebolts for attaching to beams in a garage or high ceiling basement. One is made for traveling that weighs 1.5 lbs (lightest solution known). Both have a diameter of 1.125” (OK for Haulin’ Hooks). These bars need rope or chain to be used and are perfect for the do-it-yourself person. Be certain to use eyebolts for the rope. Do not pass the rope through holes drilled in the bar! The holes will cut the rope. Outdoor Backyard Solutions – A Triple Horizontal Bar Sportsplayinc.com has a Triple Horizontal Bar that is meant for outdoors and needs to be securely and permanently installed into the ground. It is adjustable for each of the bars up to one (or all) of the bars to be 8 feet high. If you have children, you could set them to different heights. However, the horizontal bar has a 11
  • 12. 1.375” diameter, too large for the recommended Haulin Hooks. Cost is $650-$753. At steelfitstrength.com, they have a “FREE-Grid 12' Pull Up & Squat Rack System” which is a free-standing version of the above (but can also be permanently anchored), indoors or outdoors, and each of the three bars can be adjusted up to 9 feet high. Their diameter is 1.25” (OK for Haulin’ Hooks). Cost is $1349 (without Squat Rack option). The Zero-Cost Equipment Solution – Your YMCA At the YMCAs I have used, they have many pull-up stations made by cybexintl.com. The “All in One”, “Dip/Chin Assist”, “Jungle Gym” or “Big Iron Multi Rack” are the 4 most common stations. You can use any. All you need are gloves (either style). You may need a stool and can borrow aerobic steps but ask a YMCA trainer. Other gyms may work. Building Your Own Hanging Bar Elsewhere in this book, Dr. Kirsch shows a full-size diagram of a build-it-yourself hanging bar. Be Safe in Your Choice of Equipment Regardless of your choice, double check that your body weight will not pose a risk. If in doubt, check the manufacturer’s specifications or if concerned about the load stress on what you 12
  • 13. are attaching to, consult your local building inspector. They have knowledge about load stress and rafters, etc. This is obviously more a concern the heavier you are. Also pay attention to the minimal health considerations Dr. Kirsch recommends for following his protocol. A Set of Dumbbells That Meet Dr. Kirsch’s Requirements Elsewhere in this book, Dr. Kirsch recommends a simple weight lifting program which can be begun when one is able to raise the arm above the horizon. He recommends starting out with one pound dumbbells, incrementing with one pound weights, up to 8 pounds. The online version of this chapter reviews many barbells but here I focus on what to do for the weights, 1 through 5 pounds. Go to Amazon.com and search for “vinyl dumbbell set 10 pieces” – do not include the quotes. Many entries come back, make sure the one you pick is for a set of 5 pairs of dumbbells: a pair at 1 pound, 2, 3, 4 and 5 pounds. Once you are up to 5 pounds per barbell, refer to the online document for what is available beyond that. Follow-Up Dr. Kirsch has a FAQ (Frequently Asked Questions) page at his web site. For those who have more questions, sign up for the study program there. 13
  • 14. Eventually, if you feel up to doing more on your bar, Al Kavadlo has written a great heavily illustrated book on all the ways to exercise while doing a dead hang (plus all the ways to do pull- ups). Get his book, “Raising the Bar -- The Definitive Guide to Bar Calisthenics” at DragonDoor.com. 14
  • 15. Section 2 Expanded Information to a Consumer Guide to Therapeutic Bar Hanging [Images and/or quotes from Trevor Boswell (TrapizeRigging.com), Kirsch Foundation, and Stud PullUpBar are used with written permissions from the owners, Some photographs are of products and links are provided to the pages those photographs reside and where the products can be ordered. Those photographs are property of either the manufacturer, seller or Amazon.] Preface to This Online Section This section is written under the presumption that the reader has or will the preceding section which is what has been submitted as of 10/1/2012 to a publisher for publication in a forthcoming book (details to be released upon publication). Background In October of 2011, I was first diagnosed with what lay people refer to as “Frozen Shoulder” or medically termed “Adhesive Capsulitis.” Wikipedia defines this as “Frozen shoulder, medically referred to as adhesive capsulitis, is a disorder in which the shoulder capsule, the connective tissue surrounding the glenohumeral joint of 15
  • 16. the shoulder, becomes inflamed and stiff, greatly restricting motion and causing chronic pain.” I believe, and the doctors I’ve seen, seem to think I have pinpointed the reasons for my Frozen Shoulder, which are the following reasons acting in conjunction: A. Spending about 10 hours a day on the computer and doing all the arm movement associated with using a computer mouse and keyboard B. Neglecting upper body conditioning for decades, only focusing on walking and hiking as my dominant forms of exercise, thereby not strengthening the Pelvis, Spine, Shoulders and Arms to be up to the task of that much motion, just as Pete Egoscue describes in his book, “Pain Free At Your PC”. C. Sleeping on my right shoulder D. When I moved to Upstate New York in January 2011 I bought a brand new, extra firm mattress (my 35 year old mattress was extra firm originally but had softened up over the years) E. Turning older (I’m 62 now) Since then I have engaged in non-surgical treatmentsiv of my shoulder and physical therapy. The physical therapists have basically given me about 10-15 v of the exercises shown among the 100 exercises covered in the “Healthy Shoulder Handbook” by Dr. Karl Knopf. In addition, the weight lifting trainers at the local YMCA have given me a few similar exercises to do. vi Doing all of the above, including the non-surgical treatments of my shoulder, my progress with my shoulder was steady but too slow for my satisfaction. I decided to start reading up more on 16
  • 17. Frozen Shoulder and what to do about it when I stumbled the book: Shoulder Pain? The Solution & Prevention, Third Edition, Revised & Expanded by John M. Kirsch M.D. (Board Certified Orthopaedic Surgeon). Amazon currently has the latest edition (3rd) for sale. It is also available here though. Dr. Kirsch advocates hanging from a bar and doing three simple weight lifting exercises to recover from a frozen shoulder (and other shoulder problems). His book is full of X-rays and CT scans, and he explains why this method works, as well as who can use the exercises and who should not (my condition fitted into those who can benefit from it, thankfully). It is a method he has used and studied for nearly 24 years. After reading the book, I put this method to practice and have been doing since February 27, 2012. Within two months I was able to lift my right arm behind my back without the assistance of my left arm and am only about 1-2 inches short of being able to touch my right shoulder blade. I can remember when it was painful to lift my wallet out of my back right pocket. No more! I first started bar hanging (partial body weight) on a Monday and it was not until Friday that I could do my first full free hang from a bar with my feet totally off the ground, and then only for two seconds at a time. In June, 2012, I was able to and continue to hang for a daily 4 minute single hang. I do use very comfortable gloves with steel hooks in them (more later) to hang that long. With ordinary gloves, I can only hang for 30 seconds straight. If you sign up at the KirschShoulder.com website to be a part of his medical survey of patients using his method to improve their shoulder(s), he will send you a set of forms that include illustrations of the three weight lifting exercises described in his book. Otherwise you need to buy his book to see these exercises and the full explanation that comes with them. 17
  • 18. Additionally, Dr. Kirsch is willing to further discuss your specific shoulder problem and answer any questions or concerns you might have in your rehabilitation program. I highly recommend getting this book as it explains why the procedure works not only for healing a shoulder but keeping it healthy. I really enjoyed learning of how the bone is a living tissue and how through bar hanging the shoulder bone will over time lift itself back up out of the way of the shoulder to the healthy way it was when you were young (see page 78 in his book, 2nd edition, entitled “Reshaping the Acromion Part of the CA Arch: Artist’s Rendering”). As one gets older, if they do not exercise the shoulder by using a hanging & weight lifting program, the acromion bone will, over time, become deformed in a downward mode that pinches the rotator cuff producing pain and eventual degenerative tears in the rotator cuff tendons and muscles. The exercises (including the hanging & weight lifting program) have four goals, as I understand his medical writing: 1. Reshaping the bone and ligament enveloping the rotator cuff and restoring their flexibility. 2. Stretching the shoulder joint lining to relieve shoulder stiffness. 3. Stretching the shoulder to enable full rotation and elevation. 4. Restoring the health and strength of the shoulder and involved muscles. Dr. Kirsch, who kindly reviewed this document for errors where I comment on his book, noted that "the hanging exercise addresses the subacromial impingement syndrome (SIS) and rotator cuff tears as well as the frozen shoulder. Some folks 18
  • 19. don't fall into any diagnosis exactly; they just have shoulder pain and the hanging exercise and weight lifting helps them as well." vii At his web site, he also has links to YouTube videos, a very informative FAQ (many of the questions came from me) and blueprints of how to set up your own bar hanging system at home. Many impressive testimonials are also published on the website. Building Your Own Hanging Bar – A Parts List Dr. Kirsch in his book shows a full-size diagram of a build-it- yourself hanging bar. I went to Lowe’s Lumber and itemized what to get. The parts are shown in two tables, the first maps to Dr. Kirsch’s blueprint. Dr. Kirsch said to me, however, that when built, it may have some wiggle in it. 19
  • 20. 20
  • 21. Part Description Qty Purpose Hex Lag Screw To Attach Flanges to 4x4 Lumber 1/4 10x2 16 Sides Base of what plumbing pipe attaches to. Cut and discard 2 feet 4"x4"x8' KD of each piece (only need 6' of Douglas Fir length) -- if used inside, no need to 2 paint 3/4" Galv Floor One per side Flange 2 3/4" Blk Iron 90D Elbows for top bar Elbow 2 For 2 side pieces (Have pipe cut and threaded for the flange and elbow you buy, so the total length of the pipe is 24" taller than you 3/4" X 10' Blk Iron are) -- or to handle most people Pipe 2 (adult friends), go with 8'. 3/4" X 36" Blk For Top Bar (outer diameter is 1”) Iron Pipe 1 81.75 Total cost of base setup The second table is what I would get to minimize wiggle, if after you build and use the design as shown, you notice such. Do not consider this until you use what you build. 21
  • 22. Part Description Qty Purpose 2"x4"x96" Top Choice Nail with 3" finishing nails to the back KD of the 4"x4" sides to secure side width Whitewood at floor. Stud S4S 1 Nail Finish These are 3" finishing nails to secure Bright 1lb back stabilizer 2"x4" 10D 1 Used to wrap around vertical pipes at Stainless a 30" height to prevent slippage of the Steel Clamp tie-downs. Tie downs wrap around #12 (2 pack). 1 pipe above the clamp. Screw in 30" front and back of the vertical pipes on top of the 4"x4" so Screw Eye 3 that the tie-downs can hook into the & 7/8" 4 eyes. 8 Foot 3rd pair can be secured being tied to Motorcycle front-center back stabilizer 2"x4". Tie-Down This brand of tie-down has a hook that (Task Force wraps around the 3/4" pipe brand-pkg of (confirmed). 2) 3 3/8 X 4" eye Put in front-center back stabilizer bolt ZN 1 2"x4". 54.58 Total cost of Options 136.3 Grand Total as of 9/3/2012 at 0 Lowe's, Glenmont NY 22
  • 23. A Set of Dumbbells That Meet Dr. Kirsch’s Requirements On page 47 of the second edition of his book, Dr. Kirsch recommends a simple weight lifting program which can be begun when one is able to raise the arm above the horizon. He recommends starting out with one pound dumbbells, incrementing in one pound weights, going up to 8 pound dumbbells ultimately. He recommends building up to doing either 30-45 repetitions with these weights ultimately. Go to Amazon.com and search for “vinyl dumbbell set 10 pieces” – do not include the quotes. Many entries come back, make sure the one you pick is for a set of 5 pairs of dumbbells: a pair at 1 pound, 2, 3, 4 and 5 pounds. See his book or his mailed instructions (if you participate in his study) for the exercises (instructions and photographs of them) that you’ll do with the weights. Option 1: I did not get the above set but found it after I got my dumbbells which only contain a pair of 1, 2, 3, and 5 lb. dumbbells. The above set shown at Amazon.com contains a pair of 1,2,3,4,5 lb. dumbbells. viii If you want to go beyond these up to 8 lb. dumbbells, you can order either individual dumbbells from Amazon.com or you could order either of these two items. I have the first option, the 9 Piece Pace Weight Set (4.5 Pounds) 23
  • 24. Without Case which are 9 individual ½ pound magnets which can magnetically attach to the dumbbells, such as shown to the left. By itself, you could only go up to 7 pounds using 4 magnets on the 5 lb. dumbbell. You might look at getting a pair of 7 lb. dumbbells from Amazon for $17.90 (for the pair as of 03/28/2012) and then using the Pace Weight magnets to go up to 8 lbs. (or 9 lbs. if you so choose). The advantage of the PaceWeights is that you can increment your next (heavier) set of dumbbell weights in ½ pound increments which is easier on your muscles. Option 2: Alternatively, you could order the Jillian Michaels Ultimate 12.5 Adjustable Speed Dumbbells, which enable you to alternate between 2.5 lb. dumbbells up to 12.5 lb. dumbbells in 2.5 lb. increments, available through Amazon. I do not know if these dumbbells enable the Pace Weight ½ pound magnets to fit on them or not though. You should also get a pair of 2 lb. dumbbells through Amazon as they are too big for use on the 1 lb. dumbbells. Option 3: Another option is to go with a pair of 1 lb. dumbbells (through Amazon) plus this set by Altus Atheletic through Amazon, along with the above shown Paceweights. Going this route, you’ll have a rack for six of the dumbbells. You should 24
  • 25. also get a pair of 2 lb. dumbbells through Amazon as they are too big for use on the 1 lb. dumbbells. Showing the three mentioned options are the descriptions and costs. Costs are current as of 3/28/2012. Dumbell 3/28/2012 Option Item Price Description Cando Economy Vinyl-Colored Solid Iron Dumbbell Set Pairs of 1,2,3,4,5 1 (10 pieces) 56.88 lb. dumbbells 9 Piece Pace 9 individual 1/2 1 Weight Set (4.5 lbs) 36.95 pound magnets Body Solid Tools BSTVD7 7-Pound Vinyl Dumbbell Pair of 7 lb. 1 (Dark Purple) 17.90 dumbbells 1 Option Total 111.73 CAP Neoprene Pair of 1 lb 2 Coated Dumbbell 11.34 dumbells Valeo HW2 2- Pound Neoprene Pair of 2 lb 2 Hand Weights 12.05 dumbells Adjustable Jillian Michaels dumbells that Ultimate 12.5 lb. increment in 2.5 Adjustable Speed lbs., from 2.5 to 2 Dumbbells 68.00 12.5 lbs. 9 Piece Pace 9 individual 1/2 2 Weight Set (4.5 lbs) 36.95 pound magnets 2 Option Total 128.34 25
  • 26. Dumbell 3/28/2012 Option Item Price Description Altus Athletic 32- Pound Dumbbell Pairs of 3,5,8 lbs 3 Set with Stand 39.99 dumbbells 9 Piece Pace 9 individual 1/2 3 Weight Set (4.5 lbs) 36.95 pound magnets CAP Neoprene Pair of 1 lb Coated Dumbbell 11.34 dumbells Valeo HW2 2- Pound Neoprene Pair of 2 lb 2 Hand Weights 12.05 dumbells 3 Option Total 100.33 26
  • 27. Followup Reading For those who have read the book and have questions, go ahead and sign up for the study program at The Kirsch Shoulder Institute, but before you ask questions consider if they have already been answered by Dr. Kirsch in some of the various forums he has participated in. ü At Teton Gravity Research he engaged several people about shoulder problems. He starts on posting 7 under the member name, “stridertg”. ü At RehabEdge Physical Therapy Forum, he engaged several physical therapists about bar hanging. He starts on posting 13 of this thread under the member name, “Strider”. ü At RehabEdge Physical Therapy Forum, there is a search index of all of his postings. The above is a good example of a prolonged engagement. Dr. Kirsch has a FAQ (Frequently Asked Questions) page at his web site. For those who have more questions, sign up for the study program there. 27
  • 28. Links for Bar Hanging for following the advice in the book, Shoulder Pain? Web Document that discusses http://tinyurl.com/7eomoqh all of these setup options and accessories Kirsch Institute for Shoulder www.kirschshoulder.com/ Research, LLC Sign up to be a part of Dr. http://tinyurl.com/cp5uw9l Kirsch’s Medical Survey and Receive Exercises and Forms Use a local YMCA which http://tinyurl.com/82279ll typically has 2-3 Bar Hanging Systems from Cybex International Dr. Kirsch’s Hanging Bar for http://tinyurl.com/cvhzvyo sale Build your own free-standing http://tinyurl.com/7o3k3dw hanging bar rigged from 1” O.D. cheap plumbing steel pipe Portable, quickly-assembled http://tinyurl.com/724tv4p free-standing Elite XL Pull-up / Hanging Bar system A ceiling attached (suitable for http://www.studbarpullup.com/ a garage or basement with a tall ceiling) hanging bar A Joist-mounted Pull-Up Bar for http://tinyurl.com/6rbz57c open joist ceilings (garage or basement) A portable system from http://tinyurl.com/cqyft8b RingTraining.com which can be setup using beams, swing sets or trees Haulin’ Hooks “Onlys” gloves http://tinyurl.com/872xv6x for men (to enable easier and long bar hanging) Gold's Gym Multi Function Step http://tinyurl.com/d2x5xnr Deck and Balance 28
  • 29. Wells Lamont 7648M High http://tinyurl.com/cu27v4g Dexterity Work Glove with Synthetic Leather, Medium (package label reads Blister Armor Work Gloves with Liguicell Blister-free technology) Presto 04213 Electronic Digital http://tinyurl.com/bwkl288 Timer A Set of Dumbbells That Meet http://tinyurl.com/crj4uph Dr. Kirsch’s Requirements Roleigh Martin’s Google Profile http://tinyurl.com/3vnolh8 Endnotes: i Dr. John M. Kirsch, M.D. See here and here for more information about Dr. Kirsch. ii Note: You are reading that expanded edition here. iii Another brand of Pylometric Boxes are these from Power Systems. You can also build your own, such as shown here. Adjustable Pylometric Boxes exist too such as here or here. Exercises that you can do on these Pylometric Boxes are shown here, for example. Large surface Pylometric Boxes are shown here. iv My non-surgical treatment has been the use of Prolotherapy and Physical Therapy. See the many links I have on Prolotherapy at my Google Profile for more information. I am a firm believer in Prolotherapy, particularly its’ newer form of Stem Cell Prolotherapy (using one’s own stem cells from one’s own bone marrow) but this paper is not about Prolotherapy but rather the use of Bar Hanging and associated weight lifting exercises per the Kirsch Shoulder Institute Method approach. 29
  • 30. v (1) Choker Exercise, page 65; (2) internal rotation stretch, page 67; (3) internal rotation (side-lying), page 79; (4) external rotation (side-lying), page 80; (5) finger walking (forward), page 94; (6) finger walking (side), page 95; (7) wall reach, page 103; (8) external rotation (wall), page 104; internal rotation (door), page 105; (9) lateral raise, page 126; (10) pull-downs, page 134; (11) vi I’m doing these plus some other exercises to strengthen my knee and glute as I injured my left knee in July 2012 where in determining how best to treat the knee, I first discovered Prolotherapy. [The knee injury happened to me before I focused on the shoulder problem. I went to a conventional Orthopedic Surgeon at first and had a MRI for my knee and when I discovered how poor are the statistics for conventional orthopedic surgical treatment of a torn meniscus, I started researching non-surgical alternatives, and shortly discovered Prolotherapy. I am ecstatic about how well my knee is doing with Stem Cell Prolotherapy alone (see my posting on the internet for more on that).] viii I have this set through Amazon of 2,3,5 lb. dumbbells and 2 of the 1 lb., 4lb. and 6 lb. dumbbells, also through Amazon. 30