| der dysfunction affects the quality of life considerably. | | | | effective.o Injection Corticosteroid is often helpful.o |
| The shoulder joint is a ball and socket joint and is | | | | Most of the injuries are as a result of muscle |
| inherently unstable. Ligaments, rotator cuff muscles | | | | weakness. Therefore, strengthening the shoulder |
| provide stability. Rotator cuff muscles control the | | | | muscle is important. |
| position of the humeral head in the glenoid fossa. | | | | Exerciseso Pendulum exerciseso Rope and pulleyo |
| Shoulder pain can be due to the rotator cuff injury, | | | | Scapular stabilization exercises such as scapular |
| instability or referred pain in the neck. In cases of | | | | punch, scapular elevation/retraction against the wall, |
| shoulder instability, there is unwanted translation, | | | | rowing, etc.o Push-ups - knee push-ups/ wall |
| causing symptoms like pain and slipping away. | | | | push-upso Theraband-external/internal rotation. Start |
| Motion, strength and stability are the three components | | | | from the elbow at side, increasing to 90 degree |
| of shoulder function that can be disrupted by an acute | | | | abduction.o Closed chain strengthening exercises such |
| or chronic injury. All these can be treated effectively | | | | as walking on arms while the trunk supported by a ball |
| with therapeutic rehabilitation. The most important | | | | or low stool.o During the advanced strengthening |
| factor that determines the success or failure of a | | | | phase ball exercises such as throwing and catching a |
| particular shoulder rehabilitation protocol is establishing | | | | ball against a wall with a bend arm. |
| the correct diagnosis. | | | | Surgery: |
| Strict immobilization has been shown to be responsible | | | | If there is no progress in recovery with physical |
| for the development of “functional” | | | | therapy for six weeks then surgical treatment is |
| instability in the shoulder, muscle weakness and frozen | | | | advocated. |
| shoulder. Shoulder rehabilitation after an injury or | | | | Prevention: |
| surgery should begin with early active motion to help | | | | Shoulder injuries can be cured by careful warm-up, |
| restore normal shoulder mechanics. | | | | stretching and strengthening of the shoulder muscles. |
| The symptomso Pain while performing overhead | | | | When shoulder injury symptoms begin, early evaluation |
| activitieso Pain during night.o Recurrent subluxation or | | | | and treatment can prevent mild inflammation from |
| dead armo Shoulder weakness | | | | becoming full-blown rotator cuff tear, frozen shoulder. |
| Treatmento Avoidance of overhead activities, | | | | A program of 20 minutes a day of shoulder stretches |
| abduction and external rotation such as bench press, | | | | and muscle-strengthening exercises is recommended |
| chest fly and push-ups. Physical therapy should be | | | | to increase performance and decrease the injuries. |
| initiated in the early phase of treatment.o | | | | Shoulder injuries/dysfunction should be diagnosed early |
| Electrotherapeutic modalities such as ultrasound, | | | | and correctly so that chronic instability and dysfunction |
| interferential stimulation and laser may be used.o | | | | do not set in. Initiation of physical therapy should be |
| Massage therapy in the form of digital ischemic | | | | undertaken early and there should be effective |
| pressure and transverse friction massage is | | | | rehabilitation in order to obtain the optimum results. |