Article

Atraumatic rotator cuff (RC)
disease, is one of the most common cause of shoulder pain, which encompasses a
continuum from tendinopathy to full thickness cuff tears.
Extrinsic, intrinsic
and environmental factors have been implicated in the pathophysiology of this
disorder, affecting the clinical presentation of symptoms including pain and
irritability. Successful rehabilitation of symptomatic atraumatic degenerative
rotator cuff (SADRC) tears must address the underlying mechanisms causing
dysfunction and correct modifiable factors. PURPOSE OF THE STUDY: The purpose of
this paper is to review the shoulder complex anatomy, introduce atraumatic
degenerative RC pathology, differentiate between symptomatic and asymptomatic
degenerative RC tears, propose an assessment and introduce the Rotator Cuff
Protocol 1 (RCP1) designed by the clinical reasoning of one of the lead authors
(LW) as a rehabilitation management approach for those clients who present with
SADRC tears. METHODS/RESULTS/DISCUSSION: N/A for clinical commentary.
CONCLUSIONS: The ability to identify SADRC tears should consider shoulder
anatomy, extrinsic, intrinsic and environmental factors, and the consideration
for the natural history of atraumatic partial and full thickness tears in the
general population. A thorough clinical history and examination, which includes
shoulder symptom modification tests, allows the examiner to determine at what
phase the patient may start their exercise program. The RCP1 is a program that
has been used clinically by many therapists and clients over the years and
research is underway to test this protocol in atraumatic rotator cuff disease
including SADRC tears. LEVEL OF EVIDENCE: 5.
CI - Copyright (c) 2017 Hanley & Belfus. Published by Elsevier Inc. All rights
reserved.

Langue : ANGLAIS