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-Welcome Guide for Patients-

Rotator Cuff Shoulder Rehabilitation. -Welcome Guide for Patients-. Brandon Togneri. So you injured your Rotator Cuff. What to Expect. Event that caused onset of symptoms Anterior/Lateral Shoulder Pain Possible Frozen Shoulder Deficiency in Range of Motion

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-Welcome Guide for Patients-

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  1. Rotator Cuff Shoulder Rehabilitation -Welcome Guide for Patients- Brandon Togneri

  2. So you injured your Rotator Cuff

  3. What to Expect • Event that caused onset of symptoms • Anterior/Lateral Shoulder Pain • Possible Frozen Shoulder • Deficiency in Range of Motion • Increased pain while sleeping • Arm weakness

  4. Trigger Events • An action that may have lead to onset of symptoms • Using arm to break your fall • Pulling an object that is too heavy • Lifting something above your head improperly • Repetitive Stresses • Manual Labor • Racquet Sports • Throwing Sports • Swimming • Impact Sports • Bone deformations

  5. Shoulder Pain • Often caused by tendonitis, bursitis, or tears • Any type of inflammation will create grinding and painful frictional forces throughout these areas

  6. Frozen Shoulder • Known as Adhesive Capsulitis • Caused when the joint capsule becomes immobile by shrinkage or thickening or of the joint capsule itself • Due to scarring, inflammation, tendonitis, bursitis, or even arthritis

  7. Range of Motion • A decrease in range of motion should be expected • Especially in abduction • Difficulty doing overhead activities is a sign of injured Rotator Cuff • Inability to lift arm above a certain point may mean a torn Rotator Cuff

  8. Rehabilitation • Rehab can improve strength, mobility, and reduce pain • Rehab will most likely last 4-6 weeks, if not longer • Surgery may be an option if damage is too severe • Home exercise program is key to success

  9. Program • Will begin with a 5-10 minute warm up • Your personalized rehabilitation program will most likely contain several of the key stretches and exercises in the following sizes • Can end with ice, heat, and electrical stimulation depending on pain level and discomfort

  10. Exercise Protocol • Overall exercises will be prescribed and advanced by an educated, accredited and licensed physical therapist • Following their cues, advice, and instructions will increase one’s odds of recovery

  11. Anatomy of Rotator Cuff • This can be remembered by SITS • Supraspinatus • Infraspinatus • Teres Minor • Subscapularis • A Rotator Cuff Injury can occur at any one or all of these muscles • You may choose to learn about the muscle you’ve injured

  12. Supraspinatus • Originates from the Supraspinous Fossa, A shallow depression in the body of the scapular • Inserted into Superior Facet of the Greater Tubercle Action • This muscle abducts the arm at the shoulder joint during the first 10°-15° of movement • Aids in Shoulder Stabilization by pulling Humerusmedially against the Glenoid Fossa

  13. Strengthening the Supraspinatus • Pendulums • Trap Fly

  14. Infraspinatus • Originates from the Infraspinous Fossa of the scapula • Inserted into Middle Facet of the Greater Tubercle • Reinforces the shoulder joint capsule Action • This muscle is the main external rotator of the shoulder • In a fixed position it abducts the inferior angle of the scapula • With the teres minor, rotate the head of the humerus outwards

  15. Strengthening The Infraspinatus • Pendulums • Upper Ext Rotation • External Rotation

  16. Teres Minor • Originates from the lateral boarder of the scapula • Inserted into inferior facet of the greater tubercle • Reinforces the shoulder joint capsule Action • Hold and stabilize the humeral head in the glenoid cavity of the scapula • Externally rotate the humerus, transverse abduction, extension, and transverse extension

  17. Strengthening the Teres Minor • Horizontal Abduction • Laying External Rotation • Sleeper Stretch

  18. Subscapularis • Originates from the Subscapular Fossa • Inserted into the lesser tubercle of the humerus Action • This muscle causes internal rotation, rotates head of humerus laterally • When raised, pulls the humerus forward and downward • Helps prevent shoulder displacement

  19. Strengthening the Subscapularis • Internal Rotation • Int/Ext Rotation Stretch • Passive Int Rotation

  20. Enjoy • Best of luck to you • Follow your program closely and take care of yourself • Stick with your program and achieve your Victory!

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