Rotator Cuff Tears

Date 2007/5/2 15:22:42 | Topic: Shoulder

Rotator cuff tears happen in younger people when they experience a trauma such as a fall. In middle-aged people and seniors, rotator cuff tears are usually the result of a gradual wearing out of the rotator cuff tendon(s). The signs and symptoms of rotator cuff tears are pain in the shoulder often radiating down to the middle of the arm especially when the arm is raised overhead, weakness, and in severe cases, a complete loss of the ability to lift the arm. Diagnostic tests sometimes include an arthrogram (a radio-opaque dye is injected into the shoulder, and if it leaks out of the rotator cuff, it can be viewed on x-ray) or an ultrasound, but an M.R.I. of the rotator cuff is the most common test used for diagnosis.
Treatment in young and middle-aged patients is usually arthroscopic or open repair of the torn tendons. In older patients, activity modification, anti-inflammatory medication, physical therapy and cortisone injections are typical. Surgery is a last resort because it is so hard on the body and many seniors may not survive the affects of anesthesia.

Possible Treatments
Aerobic/Endurance Exercise
Active Range of Motion (AROM)
Active Assistive Range of Motion (AAROM)
Cryotherapy or Cold Therapy
Core Strengthening
Electrotherapeutic Modalities
Isometrics
Mobilization
Proprioceptive Neuromuscular Facilitation (PNF)
Progressive Resistive Exercises (PRE)
Passive Range of Motion (PROM)
Proprioception Exercises
Physical Agents
Soft Tissue Mobilization
Stretching/Flexibility Exercise

Possible Treatment Goals
Decrease Risk of Reoccurrence
Improve Fitness
Improve Function
Improve Muscle Strength and Power
Increase Oxygen to Tissues
Improve Proprioception
Improve Range of Motion
Self-care of Symptoms
Improve Tolerance for Prolonged Activities
Improve Wound Healing




This article comes from Chicago Rehabilitation Services, Inc. - Physical Therapy
http://chicagorehab.net

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