University of Hertfordshire

Rotator cuff related shoulder pain: Assessment, management and uncertainties.

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Original languageEnglish
Pages (from-to)57-68
JournalManual Therapy
Journal publication date1 Jun 2016
Volume23
Early online date26 Mar 2016
DOIs
Publication statusPublished - 1 Jun 2016

Abstract

Rotator cuff related shoulder pain (RCRSP) is an over-arching term that encompasses a spectrum of shoulder conditions including; subacromial pain (impingement) syndrome, rotator cuff tendinopathy, and symptomatic partial and full thickness rotator cuff tears. For those diagnosed with RCRSP one aim of treatment is to achieve symptom free shoulder movement and function. Findings from published high quality research investigations suggest that a graduated and well-constructed exercise approach confers at least equivalent benefit as that derived from surgery for; subacromial pain (impingement) syndrome, rotator cuff tendinopathy, partial thickness rotator cuff (RC) tears and atraumatic full thickness rotator cuff tears. However considerable deficits in our understanding of RCRSP persist. These include; (i) cause and source of symptoms, (ii) establishing a definitive diagnosis, (iii) establishing the epidemiology of symptomatic RCRSP, (iv) knowing which tissues or systems to target intervention, and (v) which interventions are most effective.

Notes

This document is the Accepted Manuscript version of the following article: Jeremy Lewis, ‘Rotator cuff related shoulder pain: Assessment, management and uncertainties’, Manual Therapy, Vol. 23: 57-68, June 2016, DOI: https://doi.org/10.1016/j.math.2016.03.009. This manuscript version is distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License ( http://creativecommons.org/licenses/by-nc-nd/4.0/ ), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited, and is not altered, transformed, or built upon in any way.

ID: 10678860