1. -Welcome Guide for Patients-
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 Humerus medially 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!