Rotator cuff related pain

Question 1

Research on acromioplasty

Answer 1

BJSM- recommended against- no difference vs placebo at 1 year

Question 2

Imaging and special tests on RC tendinopathy

Answer 2

Imaging lower correlation than previously thought

Special tests- cannot truly isolate RC muscles- because of this tests are poor statistically

Question 3

Common name for RC tendinopathy

Answer 3

Rotator cuff related shoulder pain (RCRSP)

Question 4

Key symptoms with RCRSP

Answer 4

Pain over anterolateral deltoid, pain with overhead activity
pain behind the back
Pain with lying on shoulder

Question 5

Key things to rule out to make sure it is RCRSP with shoulder pain

Answer 5

Visceral causes
Cervical
Adhesive capsulitis hypermobility
Labrum

Question 6

SSMP

Answer 6

CHange posture
ST exam
GH exam
Neuromodulation procedure

If one completely resolves focus there

Question 7

Scapular dyskinesis

Answer 7

not correlated with symptoms in current literature

Question 8

Exercise
Exercise and MT
Multimodal

(Research stance on RCRSP)

Answer 8

exercise- high to moderate level

Ex+MT- strong

Multimodal- no clear conclusion with EX+MTT+posture+tape+passive modalities

Question 9

Strengthening for RCRSP

Concentric vs eccentric

Answer 9

Strengthening program over 12 weeks with mild to moderate discomfort

eccentric vs concentric not clear

Question 10

MTT recommendations for RCRSP

Answer 10

Improved symptoms at 6 and 12 weeks- with lateral mob, dorsal and ventral

Thoracic manipulation (upper) no long term changes