Supraspinatus Tendinopathy (Eccentric Loading (Eccentric Loading Exercises…
Improved tissue healing.
Greater strengthening ability.
Combination with concentric and isometric exercises.
Functional components towards normal acitvity.
Eccentric Loading Exercises
Rotator Cuff Exercises Southampton Sheet
Problem 1: Weakness.
Problem 2: Minimimal subacromial space.
Problem 3: Altered or reducing activity.
Torbay exercises to strengthen deltoid muscles supporting rotator cuffs.
Return to work.
Continue gym activity.
Muscle healing and strengthening.
Return to work.
Hobbies and activities.
Management plan, holistic approach towards treatment.
Main treatments - Strengthening, Tissue healing, Endurance, Functional activity, Social/Economic, Hobbies and patient centred treatment.
Diagnosis and differential diagnosis.
Objective assessment - Observation, Clearing, AROM, PROM, RROM, Palpation, Special tests.
Outcome measures, progression of treatment and adaptation of exercises and self-management.
Subjective history - PC, HPC, PMH, SHx, Goals.
Continued development and home exercise planning.
Ice, reducing painful sensation or heat to prevent swelling in first 2-3 days.
Compression, reduces swelling and inflammation of area.
Optimal load tissue in pain free range.
Elevation, aids in reducing swelling phase.
Protect and rest from strenuous activity.
Tendonitis NHS Management
Pharmaceutical adjuncts - analgesia and NSAID's.
NICE Guidelines Rotator Cuff Disorders
Poole Shoulder Class
Shoulder Class Leaflet
Fact Sheet and Information
Health centres and well-being classes.
Problem 1: Interventions not working.
Problem 2: Slower than expected recovery.
Problem 3: Continued pain.
Effectiveness of subacromial space.
Ability to prolong stationary positioning - during work and leisure activities.
Example Exercises Maintaing Posture
Problem: 1. Decreased muscular efficiency.
Problem 2: Postural related pain - Other areas surrounding shoulder.