-welcome guide for patients- brandon togneri so you injured your rotator cuff
TRANSCRIPT
-Welcome Guide for Patients-
Brandon Togneri
Rotator Cuff ShoulderRehabilitation
So you injured your Rotator Cuff
What to Expect
• Event that caused onset of symptoms
• Anterior/Lateral Shoulder Pain• Possible Frozen Shoulder• Deficiency in Range of Motion• Increased pain while sleeping• Arm weakness
Trigger Events
• An action that may have lead to onset of symptoms
• Using arm to break your fall• Pulling an object that is too
heavy• Lifting something above
your head improperly
• Repetitive Stresses– Manual Labor– Racquet Sports– Throwing Sports– Swimming– Impact Sports
• Bone deformations
Shoulder Pain
• Often caused by tendonitis, bursitis, or tears
• Any type of inflammation will create grinding and painful frictional forces throughout these areas
Frozen Shoulder• Known as Adhesive Capsulitis
• Caused when the joint capsule becomes immobile by shrinkage or thickening or of the joint capsule itself
• Due to scarring, inflammation, tendonitis, bursitis, or even arthritis
Range of Motion
• A decrease in range of motion should be expected– Especially in abduction– Difficulty doing overhead
activities is a sign of injured Rotator Cuff
– Inability to lift arm above a certain point may mean a torn Rotator Cuff
Rehabilitation
• Rehab can improve strength, mobility, and reduce pain
• Rehab will most likely last 4-6 weeks, if not longer
• Surgery may be an option if damage is too severe
• Home exercise program is key to success
Program
• Will begin with a 5-10 minute warm up
• Your personalized rehabilitation program will most likely contain several of the key stretches and exercises in the following sizes
• Can end with ice, heat, and electrical stimulation depending on pain level and discomfort
Exercise Protocol
• Overall exercises will be prescribed and advanced by an educated, accredited and licensed physical therapist
• Following their cues, advice, and instructions will increase one’s odds of recovery
Anatomy of Rotator Cuff• This can be remembered by SITS
– Supraspinatus– Infraspinatus– Teres Minor– Subscapularis
• A Rotator Cuff Injury can occur at any one or all of these muscles
• You may choose to learn about the muscle you’ve injured
Supraspinatus
• Originates from the Supraspinous Fossa, A shallow depression in the body of the scapular
• Inserted into Superior Facet of the Greater Tubercle
Action• This muscle abducts the arm
at the shoulder joint during the first 10°-15° of movement
• Aids in Shoulder Stabilization by pulling Humerus medially against the Glenoid Fossa
Strengthening the Supraspinatus
• Pendulums
• Trap Fly
Infraspinatus
• Originates from the Infraspinous Fossa of the scapula
• Inserted into Middle Facet of the Greater Tubercle
• Reinforces the shoulder joint capsule
Action• This muscle is the main
external rotator of the shoulder
• In a fixed position it abducts the inferior angle of the scapula
• With the teres minor, rotate the head of the humerus outwards
Strengthening The Infraspinatus
• Pendulums
• Upper Ext Rotation
• External Rotation
Teres Minor
• Originates from the lateral boarder of the scapula
• Inserted into inferior facet of the greater tubercle
• Reinforces the shoulder joint capsule
Action• Hold and stabilize the
humeral head in the glenoid cavity of the scapula
• Externally rotate the humerus, transverse abduction, extension, and transverse extension
Strengthening the Teres Minor
• Horizontal Abduction
• Laying External Rotation
• Sleeper Stretch
Subscapularis
• Originates from the Subscapular Fossa
• Inserted into the lesser tubercle of the humerus
Action• This muscle causes internal
rotation, rotates head of humerus laterally
• When raised, pulls the humerus forward and downward
• Helps prevent shoulder displacement
Strengthening the Subscapularis
• Internal Rotation
• Int/Ext Rotation Stretch
• Passive Int Rotation
Enjoy
• Best of luck to you• Follow your program
closely and take care of yourself
• Stick with your program and achieve your Victory!