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Supraspinatus Tendinopathy (Eccentric Loading (Improved tissue healing.,…
Supraspinatus Tendinopathy
Eccentric Loading
Improved tissue healing.
Greater strengthening ability.
controlled movement.
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.
Continued activity
Psychological well-being
Social inclusion
Mental stimulation.
Return to work.
Supporting family.
Physical well-being
Personal hobbies.
Continue gym activity.
Weight maintenance.
Muscle healing and strengthening.
Financial benefits
Return to work.
Hobbies and activities.
Physiotherapy
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.
Acute Stage
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
Onwards Referral
Occupational Therapy.
Assistive devices.
Adaptive management.
General practitioner.
Surgeon.
Continued physiotherapy.
Community support.
Exercise groups.
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.
Postural Management
Scapula rythum.
Head positioning.
Effectiveness of subacromial space.
Muscular efficiency.
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.