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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 • Increased pain while sleeping • Arm weakness 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 Shoulder Pain • Often caused by tendonitis, bursitis, or tears • Any type of inflammation will create grinding and painful frictional forces throughout these areas 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 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 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 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 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 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 Supraspinatus • Originates from the Action Supraspinous Fossa, A shallow depression in the • This muscle abducts the arm body of the scapular at the shoulder joint during • Inserted into Superior Facet the first 10°-15° of movement of the Greater Tubercle • Aids in Shoulder Stabilization by pulling Humerus medially against the Glenoid Fossa Strengthening the Supraspinatus • Pendulums • Trap Fly Infraspinatus • Originates from the Action Infraspinous Fossa of the scapula • This muscle is the main external rotator of the • Inserted into Middle Facet shoulder of the Greater Tubercle • In a fixed position it abducts • Reinforces the shoulder the inferior angle of the joint capsule scapula • With the teres minor, rotate the head of the humerus outwards Strengthening The Infraspinatus • Pendulums • Upper Ext Rotation • External Rotation Teres Minor Action • Originates from the lateral • Hold and stabilize the boarder of the scapula humeral head in the glenoid • Inserted into inferior facet cavity of the scapula of the greater tubercle • Externally rotate the • Reinforces the shoulder humerus, transverse joint capsule abduction, extension, and transverse extension Strengthening the Teres Minor • Horizontal Abduction • Laying External Rotation • Sleeper Stretch 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 Strengthening the Subscapularis • Internal Rotation • Int/Ext Rotation Stretch • Passive Int Rotation Enjoy • Best of luck to you • Follow your program closely and take care of yourself • Stick with your program and achieve your Victory!