When asked if it’s inevitable that a manual wheelchair user with an active lifestyle will blow out their shoulders, ADAPT Training Vice President Jerod Warf says absolutely not.

“For starters don’t fear being active,” says Warf, whose organization’s clients span from everyday people who want a gym, to those in need of physical therapy, to NFL players and wheelchair rugby Paralympians. “The human body was designed to be active and move.”

Think of the shoulder as a ball and socket joint. “It should move in many directions, horizontally and vertically, or you’re not giving the shoulders what they need,” he says. “Ask yourself: ‘When I’m out pushing my chair, what am I doing to relengthen those pushing muscles?’ You ca