METHODS: The records of all 965 patients who underwent repair of rotator cuff tears in 2003 were retrieved. The rotator cuff is a group of four muscles that surround the shoulder joint, like a cuff, and work together to move and stabilise the shoulder. Injury and pain to the rotator cuff muscles are caused due to overuse of your hands and shoulders. Warmup: Stretch: After the warm-up, do the stretching exercises shown on Page 1 before moving on to the strengthening exercises. The rotator cuff is important in shoulder movement; initiation of shoulder abduction relies on the function and integrity of the supraspinatus muscle and tendon and other rotator cuff tendons (, 1).Without supraspinatus function, a significant increase in the force exerted by the middle segment of the deltoid muscle is needed to initiate abduction. roll tucked under your arm, holding a resis-tance band. The rotator cuff muscles work together to contain the glenohumeral joint, which is an inherently unstable joint. The two most common problems that develop are tendonitis, where one of the rotator cuff tendons get inflamed, or a rotator cuff tear , where one of the tendons gets torn due to overuse or injury. Because rotator cuff repairs can be extremely complex, rehabilitation is often extensive, lasting three to six months. Begin in a standing upright position with your elbow bent at 90 degrees and a towel . A rotator cuff muscle injury can also occur due to aging. ... Rotator cuff injuries are among the most common causes of shoulder pain. In the end, we’ll put it all together into a rotator cuff workout. Whether you lift weights, rock climb, play sports, surf, swim, or engage in almost any type of physical activity, there’s a good chance you’ve experienced some sort of shoulder pain. Hirano M(1), Ide J, Takagi K. Author information: (1)Department of Orthopaedic Surgery, Kumamoto National Hospital. Shoulder Extension Secure theraband around a stable object, like a pole Patient can either kneel or stand . The rotator cuff muscles act as a force couple with each other and the deltoid. A recent study has shown that posterior rotator cuff (RC) muscles are recruited at significantly higher levels than the anterior RC during shoulder flexion. Rotator Cuff Repair Post-operative Rehabilitation Protocol. Tip Magnetic resonance imaging makes it possible to inspect the status of the rotator cuff and the shape of the acromion. This information, combined with other recent data that demonstrate that muscle atrophy is only partially reversible and fatty infiltration of the muscles appears to be irreversible, would suggest that early repair of a symptomatic rotator cuff tear is the The hypothesis was that 10 years following repair of rotator cuff tear, the clinical and anatomic results depend on the extension of the tear. Rotator cuff repairs are performed to alleviate pain and improve range of motion and strength. With modern technology and advanced techniques, more rotator cuff tears are repaired arthroscopically. The Rotator cuff is the collective term used for the group of four muscles and their tendons, which assist in providing strength and stability to your shoulder during its movement. Hold 3 seconds and repeat 12 -15 times Active assist ROM beginning week 7 after surgery (weeks 7-8) c. Active ROM beginning week 9 after surgery (weeks 9+) Weeks 0-6: a. Precautions: i. No lifting of objects no matter the size or weight. According to a study by Kuhn et al. iii. Bursitis. Talk to your doctor or physical therapist if you have any pain while exercising. Here is a list of rotator cuff injuries: Pain can be the result of: Tendinitis. Phase I: Days 1 to 28 Days 1 to 6 . The purpose of this protocol is to provide a GUIDELINE for the postoperative management of patients that have undergone an arthroscopic rotator cuff repair/mini open rotator cuff repair. That doggone rotator cuff! Starting with the patient having the forearm fully extended at the elbow and the palms supinated, ask the patient to extend both arms at the shoulder by moving the upper extremities posteriorly. Your rotator cuff is a group of muscles that stabilizes your shoulder and moves your upper arm (humerus).. 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