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Shoulder injuries in athletes
Rehabilitation of shoulder impingement syndrome and rotator cuff injuries: an evidence-based review
  1. Todd S Ellenbecker1,
  2. Ann Cools2
  1. 1Physiotherapy Associates Scottsdale Sports Clinic, Scottsdale, Arizona, USA
  2. 2Department of Rehabilitation Sciences and Physiotherapy, Ghent University, Ghent, Belgium
  1. Correspondence to Todd S Ellenbecker, Physiotherapy Associates Scottsdale Sports Clinic, 9917 N 95th Street, Scottsdale, AZ 85258, USA; ellenbeckerpt{at}cox.net

Abstract

Rehabilitation of the patient with glenohumeral impingement requires a complete understanding of the structures involved and the underlying mechanism creating the impingement response. A detailed clinical examination and comprehensive treatment programme including specific interventions to address pain, scapular dysfunction and rotator cuff weakness are recommended. The inclusion of objective testing to quantify range of motion and both muscular strength and balance in addition to the manual orthopaedic clinical tests allows clinicians to design evidencebased rehabilitation programmes as well as measure progression and patient improvement.

https://doi.org/10.1136/bjsm.2009.058875

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    Footnotes

    • Competing interests None.

    • Provenance and peer review Commissioned; not externally peer reviewed.

    • Detail has been removed from these case descriptions to ensure anonymity. The editors and reviewers have seen the detailed information available and are satisfied that the information backs up the case the authors are making.