Rotor Cuff Impingement

Question 1

Anatomical Structures

Answer 1

B: Humerus + Scapular (SH)
M: Sup/Inf-raspinatus, Subscapularis + Teres minor (SITS)
B: Bursa

Question 2

MOI

Answer 2

Repetitive trauma to soft tissue during elevation of the arm.
Mechanical compression + irritation of soft tissues

Question 3

Management

Answer 3

1. Protection Phase:
   * RICE + Modalities.
   * PROM, AAROM or self-assisted ROM
2. Controlled Phase:
   * Stabilization + strengthen rotator cuff muscles.
3. Functional Phase:
   * Progress functional exercises when px has developed control of posture.