A Comprehensive Approach to Non-operative Rotator Cuff Rehabilitation

Abstract

One of the primary conditions targeted in rehabilitation of the shoulder is rotator cuff injury. Multiple non-operative rehabilitation protocols have been described for the treatment of the spectrum of rotator cuff injury. Most protocols are implemented under the pretense of treating areas local to the site of symptoms. However, a comprehensive approach aimed at identifying all possible contributing factors can aid the clinician in developing impairment directed programs, which address the local dysfunction in addition to the distal contributions of injury. This approach focuses on deficits distal to the site of symptoms and provides early intervention to rectifying the impairments found in the body segments, which provide the foundation of support for the proper function of the shoulder segment. Correction of the alterations following a kinetic chain and scapular-based program should be included as part of the comprehensive treatment plan for rotator cuff injuries.