-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 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 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 Humerus medially against the Glenoid Fossa

Strengthening the Supraspinatus Pendulums Trap Fly

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

Strengthening The Infraspinatus Pendulums Upper Ext Rotation External Rotation

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

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!