Exercise and Type 1 Diabetes: Benefits, Recommendations, and Safety Considerations

Type 1 diabetes presents unique challenges when it comes to managing blood sugar levels, but exercise can be a highly effective tool in maintaining overall health and stability. However, for individuals with type 1 diabetes—or for those coaching them—it’s essential to approach exercise with a clear understanding of the condition’s unique demands. This post will explore the benefits of physical activity, the types of exercise most suitable for people with type 1 diabetes, and critical safety tips to ensure a balanced, effective workout routine.

Why Exercise Matters for Managing Type 1 Diabetes

Type 1 diabetes is an autoimmune condition in which the pancreas produces little or no insulin, requiring individuals to use external insulin to regulate blood sugar. Unlike type 2 diabetes, which is often associated with insulin resistance, managing type 1 diabetes involves balancing insulin doses with blood sugar levels, diet, and physical activity. Exercise plays a crucial role in this balance by:

• Improving Insulin Sensitivity: Exercise makes muscle cells more receptive to insulin, allowing them to take in more glucose and helping stabilize blood sugar levels.

• Enhancing Cardiovascular Health: People with type 1 diabetes have an increased risk of heart disease. Cardiovascular exercise strengthens the heart, lowers blood pressure, and improves cholesterol levels.

• Supporting Mental Health: Regular physical activity releases endorphins, which can reduce stress, anxiety, and symptoms of depression that people with chronic conditions may experience.

Benefits of Cardio and Strength Training

Both cardio and strength training are beneficial, but each offers unique advantages for people managing type 1 diabetes.

Cardiovascular Exercise

Engaging in aerobic exercise, such as brisk walking, running, or swimming, is excellent for:

• Improving Heart Health: Cardio exercises strengthen the heart and improve circulation, essential for individuals at risk of cardiovascular issues.

• Enhanced Insulin Efficiency: Cardio improves how cells use glucose, making it easier to keep blood sugar levels within target ranges during and after exercise.

• Mood Enhancement: The endorphin release from cardio exercise can be particularly beneficial in managing the mental health challenges that can accompany type 1 diabetes.

Strength Training

Strength training, including weightlifting and bodyweight exercises, provides specific benefits, such as:

• Increased Muscle Mass: Muscle mass helps with glucose uptake and storage, which contributes to improved blood sugar control.

• Boosted Metabolism: Strength training raises the resting metabolic rate, meaning more calories (and glucose) are burned even at rest.

• Improved Bone and Joint Health: Strength training can enhance bone density and joint function, reducing the risk of fractures and maintaining long-term mobility.

Recommended Exercise Frequency

For optimal health and blood sugar management, a balanced exercise regimen combining both cardio and strength training is ideal:

Cardio (Aerobic Exercise)

• Frequency: Aim for 3-5 days per week.

• Duration: 150 minutes of moderate-intensity cardio (such as brisk walking) or 75 minutes of vigorous-intensity cardio (such as running) each week.

• Intensity: Adjust intensity based on individual fitness levels, aiming for moderate to vigorous effort.

Strength Training (Resistance Exercise)

• Frequency: At least 2-3 days per week, with exercises targeting all major muscle groups (legs, back, chest, shoulders, arms, and core).

• Sets & Reps: Aim for 2-3 sets of 8-12 repetitions per exercise to build muscle strength and endurance.

Combining both types of exercise supports stable blood sugar levels, enhances physical fitness, and reduces diabetes-related health risks.

Safety Considerations for Exercise with Type 1 Diabetes

While exercise is highly beneficial, there are some important safety factors to keep in mind for those with type 1 diabetes:

1. Pre-Exercise Blood Sugar Check:

   • Check blood sugar before exercising. If blood sugar is below 5.5 mmol/L (100 mg/dL), have a small snack to avoid hypoglycemia. If blood sugar is above 13.9 mmol/L (250 mg/dL) with ketones present, avoid exercise until levels stabilize.

2. Managing Hypoglycemia (Low Blood Sugar):

   • Symptoms of low blood sugar include shakiness, sweating, and dizziness. Always have a fast-acting carbohydrate source, such as glucose tablets or juice, available in case of low blood sugar during or after exercise.

3. Adjusting Insulin Doses:

   • Work with a healthcare provider to adjust insulin dosages before physical activity. Intense or prolonged exercise may require insulin adjustments to prevent drops in blood sugar levels.

4. Post-Exercise Monitoring:

   • Blood sugar levels can drop even hours after exercise, especially following high-intensity activities. Encourage frequent monitoring after workouts to identify any delayed hypoglycemia.

5. Hydration:

   • Dehydration can affect blood sugar levels, so drinking water before, during, and after exercise is important.

6. Foot Care:

   • Individuals with diabetes should wear proper footwear to avoid sores and blisters, and inspect feet regularly for any signs of damage or infection.

7. Avoiding Insulin Injection Sites in Active Muscles:

   • Injecting insulin into muscles that will be used in exercise (like the thighs before a run) can lead to faster absorption, which may increase the risk of hypoglycemia. Instead, use non-active sites, such as the abdomen, before working out.

8. Progression and Adaptation:

   • Gradually increase the intensity and duration of workouts to avoid injury and allow the body to adapt, which is especially important for those new to regular exercise.

9. Monitoring for Signs of Cardiovascular Distress:

   • Due to the higher risk of heart complications, individuals should watch for any signs of cardiovascular distress, such as chest pain or shortness of breath, and stop exercising immediately if symptoms arise.

10. Communication with Healthcare Providers:

• Regular check-ins with a healthcare provider are essential to ensure that exercise plans align with overall diabetes management and health goals.

Conclusion

For individuals with type 1 diabetes, exercise can be transformative. By improving insulin sensitivity, enhancing cardiovascular health, and promoting mental well-being, regular exercise provides lasting benefits. However, careful planning and close monitoring of blood sugar levels are crucial to a safe and effective workout routine. With proper precautions and personalized guidance, people with type 1 diabetes can experience the many advantages of a balanced exercise program.

Remember to consult with a healthcare provider before starting or modifying an exercise program, especially when managing a condition like type 1 diabetes.

Train. Play. Repeat.

At Avos Strength, our vision is simple: to help people stay strong, active, and healthy as they age so they can continue doing what they love. Whether it’s playing tennis, hiking, gardening, or keeping up with your grandkids, our mission is to ensure you maintain the strength and mobility needed to live a fulfilling life.

All too often, we see individuals who, as they get older or experience injuries, lose the ability to engage in the activities that bring them joy. It could be something like tennis elbow, an injured knee, or shoulder pain that sidelines you from sports, hobbies, or just staying active. These setbacks can be frustrating and lead to a mindset focused on what you *can’t* do rather than the wide range of options still available.

Our approach is different. We believe that staying active is key to a happy, healthy life. That’s why we work with our clients to build a strong foundation, addressing not just the symptoms but the root cause of limitations, so you can get back to doing what you love. The goal isn’t just to train—it’s to regain the freedom to play, explore, and move without restrictions.

Too often, we hear stories like “I don’t have my Sunday tennis group anymore because half of them are injured” or “My teammate can’t play because of a shoulder issue.” If you have friends or family in this situation, share your success as an Avos Strength client. Let them know how building strength and resilience has allowed you to continue pursuing your passions and staying active, no matter what challenges come your way.

Our mission is clear: train for a lifetime of activity, play with freedom, and repeat the process. As we age, staying strong and active is the key to unlocking all the opportunities that life has to offer. So, whether it’s reclaiming your Sunday tennis match, playing with your grandchildren, or simply being able to move without pain, we’re here to help you train, play, and repeat—today and every day forward.

Exercise and Type 2 Diabetes: Benefits, Recommendations, and Safety Considerations

Exercise is one of the most effective tools for managing type 2 diabetes. Not only does it improve blood sugar control, but it also enhances overall health and well-being. However, if you or someone you coach has type 2 diabetes, it’s essential to understand how to exercise safely and effectively. In this post, we’ll explore the benefits of both cardio and strength training, the recommended frequency of each type of exercise, and important considerations for a safe workout routine.

Why Exercise is Crucial for Managing Type 2 Diabetes

Type 2 diabetes is characterized by insulin resistance, where the body either doesn’t produce enough insulin or can’t use it efficiently. This leads to high blood sugar levels, which can cause long-term health issues if left uncontrolled. Exercise helps by improving insulin sensitivity and allowing muscles to better use glucose, which can lead to more stable blood sugar levels.

Cardio and strength training are the two primary types of exercise that offer unique benefits for managing diabetes:

Benefits of Cardio Exercise

Cardiovascular exercise, such as walking, cycling, or swimming, is excellent for:

• Improving Insulin Sensitivity: Regular aerobic exercise helps your body use insulin more effectively, lowering blood sugar levels.

• Lowering Blood Sugar Levels: Cardio uses glucose as a primary energy source, helping to stabilize levels during and after exercise.

• Enhancing Heart Health: With a higher risk of heart disease, those with diabetes benefit greatly from cardio’s positive effects on heart function, blood pressure, and cholesterol.

• Supporting Weight Loss: Cardio burns calories, which helps in managing body weight and reducing fat, especially around the abdomen, which is closely linked to insulin resistance.

Benefits of Strength Training

Strength training, such as weightlifting, bodyweight exercises, or resistance band workouts, offers these benefits:

• Increased Muscle Mass: Muscle tissue is a major site for glucose storage and use, so building muscle can enhance long-term blood sugar control.

• Better Glucose Uptake: Resistance training increases insulin sensitivity, helping glucose enter muscle cells more effectively.

• Sustained Blood Sugar Control: The more muscle you have, the higher your resting metabolic rate, meaning your body uses more glucose even when you’re not exercising.

• Improved Bone and Joint Health: Strength training is vital for bone density, joint function, and long-term mobility, reducing the risk of falls and fractures.

How Often Should You Exercise?

For optimal diabetes management, a combination of both cardio and strength training is recommended:

Cardio (Aerobic Exercise)

• Frequency: 3-5 days per week.

• Duration: Aim for at least 150 minutes of moderate-intensity cardio (like brisk walking) or 75 minutes of vigorous-intensity cardio (like running) per week. This can be broken down into 30 minutes most days of the week.

• Intensity: Moderate to vigorous, depending on your fitness level and goals.

Strength Training (Resistance Exercise)

• Frequency: At least 2-3 non-consecutive days per week.

• Intensity: Perform 2-3 sets of 8-12 repetitions per exercise, targeting all major muscle groups (legs, back, chest, shoulders, arms, and core).

Combining cardio and strength training not only offers the best results for blood sugar control but also improves overall health and reduces the risk of complications associated with type 2 diabetes.

Safety Considerations: What Coaches and Clients Should Be Aware Of

While exercise is highly beneficial, there are some important considerations to keep in mind to ensure safety and effectiveness:

1. Blood Sugar Management:

• Pre-Exercise Check: Before starting exercise, check blood glucose levels. If levels are below 5.5 mmol/L (100 mg/dL), consider having a small snack to avoid hypoglycemia. If levels are above 13.9 mmol/L (250 mg/dL) and ketones are present, exercise should be avoided until levels stabilize.

2. Hypoglycemia (Low Blood Sugar):

• Symptoms of hypoglycemia include shakiness, dizziness, sweating, and confusion. Always have a fast-acting carbohydrate source (like glucose tablets or juice) available in case of low blood sugar.

3. Hyperglycemia (High Blood Sugar):

• Be cautious if blood sugar levels are very high (above 16.7 mmol/L or 300 mg/dL), as exercise could worsen symptoms. Monitor for signs like excessive thirst, fatigue, or blurred vision.

4. Medication Timing:

• Some diabetes medications can increase the risk of hypoglycemia during exercise. It’s important to time exercise sessions to avoid peaks in medication effects.

5. Hydration:

• Proper hydration is crucial, especially since dehydration can lead to elevated blood sugar levels. Drink water before, during, and after exercise.

6. Foot Care:

• Foot health is critical for people with diabetes. Proper footwear, regular foot inspections, and being mindful of any sores or blisters are essential.

7. Cardiovascular Health:

• People with diabetes have a higher risk of heart disease, so it’s important to monitor for any signs of cardiovascular distress, such as chest pain or shortness of breath.

8. Post-Exercise Monitoring:

• Blood sugar can drop hours after exercise, especially with high-intensity workouts. Encourage clients to monitor their levels for several hours post-exercise.

9. Progressive Intensity and Adaptation:

• Start gradually and adjust exercises based on the individual’s fitness level and health status. Modifications may be needed for those with joint issues or other complications.

10. Open Communication:

• Consistent communication between coach and client is key. Checking in about how the client feels during and after exercise ensures a safe and effective workout plan.

Conclusion

Exercise is a powerful tool for managing type 2 diabetes, and the combination of cardio and strength training provides the best results. With proper planning, monitoring, and awareness of the client’s condition, coaches can help individuals with type 2 diabetes enjoy the benefits of exercise while minimizing risks. Whether you’re focusing on improving insulin sensitivity, stabilizing blood sugar, or enhancing overall health, a balanced exercise routine can make a significant difference.

Remember: Always consult with a healthcare provider before starting a new exercise routine, especially if you’re managing a chronic condition like type 2 diabetes.

The Impact of Group Personal Training

When it comes to reaching your fitness goals, working out with others can make all the difference. Group personal training blends the personalization of one-on-one coaching with the motivation and camaraderie of a group setting. At Avos Strength, we understand that everyone’s journey is unique, which is why our group personal training programs are designed to help you succeed while building a supportive community around you.

What is Group Personal Training?

Group personal training offers a more affordable way to get professional guidance while maintaining a personalized approach. Unlike large fitness classes where the instructor can’t provide individualized attention, group personal training sessions are small, allowing the coach to tailor exercises to your needs. This approach not only helps you get stronger but also keeps you consistent and engaged.

Benefits of Group Personal Training

1. Personalized Coaching, Shared Experience

Group personal training combines the best of both worlds: personalized coaching and the energy of working out with others. Even in a group setting, your unique needs are met. Whether you have specific fitness goals, past injuries, or just want to improve your performance, the program can be adjusted to suit you. At Avos Strength, our expert coaches ensure that each session targets your goals while keeping the vibe encouraging and fun.

2. Accountability and Motivation

When you train alongside others with similar goals, it boosts your commitment. The group dynamic fosters accountability—when you know your peers are counting on you to show up, it’s easier to stick with the program. This community atmosphere is key to staying motivated and consistent over time.

3. Cost-Effective Personal Training

One of the biggest advantages of group personal training is the affordability. By sharing the session with a small group, you get the benefits of personal training at a fraction of the cost. It’s an excellent option for those looking to maximize their results without breaking the bank.

Avos Strength Group Personal Training Options

At Avos Strength, we offer two options for clients interested in group training: small group training sessions and the small group open gym program.

Small Group Training Sessions

Our small group training sessions are designed for those who thrive with structured programs and targeted coaching. These sessions are perfect for clients who want a more personalized experience but enjoy the camaraderie and motivation of working in a group. Each group is limited to a small number of participants, ensuring that everyone receives the attention they need to perform exercises correctly and safely.

Small Group Open Gym Program

The small group open gym is ideal for those who prefer more flexibility in their training schedule but still want access to expert coaching. While the program is currently paused due to low attendance, we’ve created a waitlist for clients interested in joining. Once there’s enough demand, we’ll relaunch the open gym sessions. Clients on the waitlist will be the first to know when it’s available again.

Is Group Personal Training Right for You?

If you’re someone who enjoys working out in a community setting while still getting personalized guidance, group personal training might be just what you need. At Avos Strength, we believe that fitness should be accessible, supportive, and, most importantly, fun. Whether you’re looking to build strength, improve your technique, or just need that extra push, our group training options have something for everyone.

Interested in learning more or joining a group? Reach out today to see how our group personal training can help you achieve your goals while connecting with like-minded individuals who are on the same journey. Remember, strength is always better when shared.

For more fitness tips and updates, be sure to check out our latest blogs and follow us on YouTube for workout videos, tutorials, and more!

Why Your Workouts Aren't Working: The Case for Progressive Overload

Progressive overload is a fundamental principle in strength training and fitness that involves gradually increasing the demands placed on your muscles to stimulate growth and adaptation. Without this essential concept, many individuals find themselves stuck in a plateau, performing the same exercises with the same volume and load, and wondering why they’re not seeing results. In this blog post, we'll delve into the importance of progressive overload, the ideal length of a training block, the concept of rate of perceived exertion (RPE), and why you need to push yourself to make progress.

What is Progressive Overload?

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Progressive overload refers to the gradual increase of stress placed upon the body during exercise training. This can be achieved by:

- Increasing the weight lifted

- Increasing the number of repetitions or sets

- Reducing rest periods between sets

- Enhancing the complexity or difficulty of exercises

By continually challenging your muscles and body systems, you encourage them to adapt and grow stronger.

Why Repeating the Same Exercises Isn’t Effective

Performing the same exercises with the same volume and load over extended periods does not provide the necessary stimulus for muscle growth and strength gains. Here’s why:

- Lack of Stimulus: Muscles adapt to the workload you give them. Without increasing the challenge, muscles have no reason to grow or get stronger.

- Plateau: Repeating the same routine leads to a plateau where progress stalls because the body is no longer challenged.

- Boredom and Motivation: Sticking to the same routine can lead to boredom, decreasing motivation and adherence to your training program.

Ideal Length of a Training Block

A training block typically lasts between 4 to 8 weeks. This timeframe allows sufficient time for adaptation to occur without causing overtraining or staleness. After a training block, a deloading phase or a change in the training program can help reset the body and mind, preparing you for the next cycle of progressive overload.

Understanding Rate of Perceived Exertion (RPE)

RPE is a scale that measures the intensity of your exercise based on how hard you feel you are working. The scale typically ranges from 1 to 10, with 1 being very light activity and 10 being maximum effort. Here’s how to use it effectively:

- 6-7 RPE: Moderate effort, sustainable for longer periods.

- 8-9 RPE: Hard effort, challenging but doable for shorter periods.

- 10 RPE: Maximum effort, only sustainable for brief bursts.

For optimal progress, you should generally aim to train in the 7-9 RPE range. This ensures that you are pushing your limits enough to stimulate growth and adaptation without overreaching and risking injury.

A Common Question: "Can't I Just Do More Reps?"

A common question we get from clients is, "Well, can't I just do more reps?" The issue is that often these clients are using very light weights (5-20 lbs) and doing 20+ reps. Sure, you can do that IF you are working within the correct RPE – it needs to be challenging enough. The other point is that you are likely just wasting time and going through the motions, which is why we recommend using higher loads.

Strength Endurance vs. Max Strength

Understanding the difference between strength endurance and max strength is crucial for setting the right goals and expectations:

- Strength Endurance: This refers to the ability to perform many repetitions of an exercise without fatiguing. Training for endurance typically involves higher reps (15-20+ reps) with lighter weights. This is beneficial for activities that require prolonged muscle activity but is less effective for building significant muscle mass or max strength.

- Max Strength: This is the maximum amount of force that a muscle can generate in a single effort. Training for max strength involves lower reps (1-5 reps) with very heavy weights. This type of training is highly effective for increasing muscle strength and size.

Ideal Rep Range and Intensity for Building Muscle Mass

For building muscle mass (hypertrophy) and increasing strength, the ideal rep range is typically 6-12 reps per set with a weight that is challenging enough to bring you close to failure by the end of each set (RPE 7-9). This rep range strikes a balance between lifting heavy enough weights to stimulate muscle growth and performing enough repetitions to maximize muscle fiber engagement.

Benefits of Progressive Overload

1. Increased Muscle Strength: By progressively increasing the weight or resistance, muscles grow stronger to handle the new demands.

2. Enhanced Muscle Hypertrophy: Progressive overload stimulates muscle growth by causing microtears in muscle fibers, which then repair and grow back stronger and larger.

3. Improved Endurance: Gradually increasing the volume of exercise improves cardiovascular and muscular endurance.

4. Greater Motivation and Adherence: Seeing progress and overcoming new challenges can boost motivation and commitment to your fitness journey.

5. Reduced Risk of Injury: Properly implemented progressive overload helps build resilient muscles and joints, reducing the likelihood of injury.

Conclusion

Sticking to the same exercises with the same load and volume will not bring the results you’re aiming for. Progressive overload is crucial for continued growth, strength, and overall fitness improvement. By understanding and implementing progressive overload, setting appropriate training blocks, and monitoring your RPE, you can break through plateaus and achieve your fitness goals. Challenge yourself, embrace the process, and watch your body transform.

Remember, the key to making progress is consistent, incremental challenges that push your limits and encourage your body to adapt. If you’re unsure how to incorporate progressive overload into your routine, consider consulting a qualified coach who can create a customized program tailored to your needs and goals.

Uncovering the Hidden Cause of Scapular Winging: A Comprehensive Approach

Have you ever noticed your shoulder blade sticking out awkwardly? This is called scapular winging. You might have been told that it’s due to a problem with your serratus anterior and that reaching or punching exercises are the key to fixing it.

However, there’s more to the story. Most advice on scapular winging overlooks a critical element that can make all the difference.

The Overlooked Role of the Scapulothoracic Joint

While much attention is given to the muscles surrounding the scapula, the ribcage, which acts as their stage, is often ignored. The scapula is concave, needing a convex surface to move smoothly. This surface is provided by the ribcage.

But what happens when there are restrictions in the ribcage? The ribcage might position itself forward in relation to the scapula, creating the appearance of scapular winging. This isn’t a problem with the scapula itself; rather, the shoulder blade lacks a stable platform to move upon.

The Rotator Cuff’s Dual Function

Commonly, the rotator cuff is thought to solely influence the shoulder joint. Yet, these muscles also play a significant role in moving the scapula. The posterior rotator cuff muscles, specifically the infraspinatus and teres minor, facilitate internal rotation of the scapula. This movement can make the inner border of the scapula lift away from the ribcage, mimicking scapular winging.

When there is insufficient space between the scapula and the thorax, these muscles are forced to multitask, acting on both the humerus and the scapula.

Understanding Ribcage Expansion

The relationship between the thorax and scapula is well-documented. Poor posture, which often limits ribcage expansion, can greatly reduce shoulder mobility. When the ribcage doesn't expand adequately, it restricts scapular movement and places additional stress on the humerus. Therefore, enhancing ribcage expansion is crucial to improving overall shoulder function including scapular winging.

Step by Step Process to Help Improve Ribcage Expansion

To effectively address scapular winging, we must enhance ribcage dynamics through a specific sequence of exercises:

1. Increase Front-to-Back Thoracic Shape (Anterior and Posterior Expansion)

2. Fill the Gap Between the Ribs and Shoulder Blade (Upper Back Expansion)

3. Retrain Scapular Gliding (Chest Expansion and Glenohumeral Mechanics)

Step 1: Front-to-Back Expansion

Enhancing the front-to-back dimension of the ribcage can be achieved through a side-lying position with a foam roller:

Setup: Position a foam roller at the middle third of your ribcage, approximately at chest height. Use a pillow for comfort if necessary to support your head.

Position: Lie on your side with your knees stacked.

Action: Roll forward and slightly sidebend over the foam roller, you can reach forward as shown in the video or reach your top arm toward the ceiling while looking at your hand. You can even hold a dumbbell or kettlebell in an arm bar position while on the roller.

Breathing: Inhale silently through your nose. On the exhale, relax into the foam roller.

Reps: Perform 2-3 sets of five breaths, twice daily for 2-4 weeks

Step 2: Upper Back Expansion

Next, we aim to create space between the ribs and the shoulder blade by driving upper-back expansion: (Rolling drills are great for achieving this)

Setup: Set up depends on the variation, for the first variation, sit on the floor with both feet in front of you.

Position: Hold onto your legs by grabbing behind your knees, keeping your eyes forward.

Action: Inhale and roll backward, then exhale and roll forward, keep a nice rhythmic tempo.

Reps: Do 3 sets of 8-12 rolls (per side), a few times daily for 2-4 weeks.

Step 3: Chest Expansion

To facilitate proper scapular movement, we need to expand the front of the chest. The "pump handle" action of the ribcage can be stimulated using a downward dog position:

Setup: Begin on your hands and knees with hands below shoulders and knees below hips.

Contact Points: Focus on the pisiform (small wrist bone) and the base of the index finger.

Action: Exhale and lift your hips upward while keeping weight on your hand points and looking toward your feet.

Breathing: Inhale silently through your nose. On the exhale, press more heavily through the hand points.

Note: unlike the video you can also pause and breathe in the top position.

Reps: Perform 2-3 sets of five breaths breathing in the hips up position, then do 6-12 reps of the bear to down dog. Perform twice daily for 2-4 weeks.

Conclusion

Scapular winging is not solely a scapular issue. It's a complex interaction between the scapula and the ribcage. Addressing ribcage expansion can provide a stable base for the scapula to glide efficiently, reducing undue stress on the rotator cuff muscles.

By focusing on improving the dynamics of your ribcage, you can create a better environment for your shoulder blade, leading to enhanced mobility and reduced discomfort. Remember, a well-supported scapula is key to healthy shoulder function.