Rotator Cuff Grupa 1435

Shoulder
Rehabilitation
Presentation For Medical Rehabilitation Course

Abdirashid Hassan Kassim

Shirwa Abdihabib Abdulle
 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
 Normal Programe

• 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
Supraspinous Fossa, A Action
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
of the Greater Tubercle movement
• Aids in Shoulder Stabilization
by pulling Humerus medially
against the Glenoid Fossa
 Strengthening the
Supraspinatus

• Pendulums

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

• Pendulums

• Upper Ext Rotation

• External Rotation
 Teres Minor

• Originates from the lateral Action

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

• Horizontal Abduction

• Laying External Rotation

• Sleeper Stretch
 Subscapularis
• Originates from the
Subscapular Fossa Action
• This muscle causes internal
• Inserted into the lesser rotation, rotates head of
tubercle of the humerus 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

Abdirashid Hassan Kassim
&
Shirwa Abdihabib Abdulle