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11: Shoulder Rehabilitation -- Part II - Tendinitis

Summary: The goal of rehabilitation in tendinitis is to create healing scar tissue along the normal lines of stress, rather than an excessive fibrotic cross-linkage that will result in abnormal function. We also, as stated in the previous article (Part I), want to establish normal joint mobility and normal balance between the shoulder force couples. It is recommended6 that since dynamic caudal glide (use of internal and external rotators) of the humerus is necessary for abduction to take place, that exercises be carried out in a specific sequence. For example, if the supraspinatus tendon is the principle lesion, then internal and external rotation strengthening should be done first, then flexion and extension, and finally abduction and adduction. Total evaluation of the spine and whole upper and lower extremity, of course, is necessary for complete rehabilitation. Full Article: Chiroweb