Nontraumatic shoulder disorders are prevalent among weight-training participants as a result of training patterns as well as adaptive shoulder joint and muscle characteristics. This article presents a progressive approach to exercises designed to mitigate well-known joint and muscle characteristics that have been associated with shoulder disorders. Using a progressive evidence based model, practical applications are presented that will guide sports medicine and strength training professionals in their ability to provide an evidence informed upper extremity weight-training program for both patients and clients.

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Early sport specialization involves physically immature children participating in intensive year-round training and/or competition for a single sport. The lack of sport exposure and diversification during the developmental years may underlie the increased risk of overuse injuries, blunting of motor skill development, psychosocial issues, overtraining syndrome, burnout, and potential dropout from sport. With increasing number of youth choosing, or being encouraged, to specialize at an early age, we aim to provide evidence based recommendations for the integration of strength and conditioning into the development programs of young athletes who participate in sports with a culture of early specialization. In addition to the principles of programming, strategies are provided relative to monitoring of growth, maturation, and training load to illustrate the potential complexities of attempting to optimize long-term athletic development in early specializing athletes.