Strengthening exercise for the management of rotator cuff tendinopathy

Authors

DOI:

https://doi.org/10.33448/rsd-v10i14.22298

Keywords:

Physiotherapy; Rotator cuff tendinopathy.

Abstract

The RC rotator cuff is formed by the supraspinatus, subscapularis, infraspinatus, and teres minor tendons. Since all tendons originate from the anterior and superior part and the posterior part of the shoulder region. The tendon structure is formed by six to nine structurally independent bundles, and by water and type I collagen. Objective: The aim of the present study was to determine whether muscle strengthening is effective in rotator cuff tendinopathy. Methods: The literature review was carried out in the virtual databases Pubmed and PEDro. The descriptors used were the following: Strengthening exercises; physiotherapy; Rotator cuff tendinopathy. Studies should meet the following eligibility criteria: articles published in English, publication interval of five years, between 2017 and 2021, randomized clinical trials, with a score greater than 6 on the PEDro quality scale. Results: 96 articles were found, with only 7 articles related to the topic. Conclusion: This literature review study verified the effectiveness of muscle strengthening in CR Tendinopathy, in all included studies, eccentric FM exercises and stretching obtained great results, from the period of pain to functionality and total mobility of each participant , however, it is extremely important to obtain further studies in order to outline new ways of treating tendinopathy in the rotator cuff.

References

Ager, A. L., Roy, J.-S., Gamache, F., & Hébert, L. J. (2018). The Effectiveness of an Upper Extremity Neuromuscular Training Program on the Shoulder Function of Military Members With a Rotator Cuff Tendinopathy: A Pilot Randomized Controlled Trial. Military Medicine, 184(5-6), e385–e393. https://doi.org/10.1093/milmed/usy294

Belley, A. F.; Mercier, C.; Bastien, M.; Léonard, G.; Gaudreault, N. & Roy, J. S. (2018). Anodal Transcranial Direct-Current Stimulation to Enhance Rehabilitation in Individuals With Rotator Cuff Tendinopathy: A Triple-Blind Randomized Controlled Trial. Journal of Orthopaedic & Sports Physical Therapy, 48(7), 541–551. https://doi.org/10.2519/jospt.2018.7871

Boudreau, N., Gaudreault, N., Roy, J.-S., Bédard, S., & Balg, F. (2019). The Addition of Glenohumeral Adductor Coactivation to a Rotator Cuff Exercise Program for Rotator Cuff Tendinopathy: A Single-Blind Randomized Controlled Trial. Journal of Orthopaedic & Sports Physical Therapy, 49(3), 126–135. https://doi.org/10.2519/jospt.2019.8240

Dejaco, B., Habets, B., van Loon, C., van Grinsven, S., & van Cingel, R. (2016). Eccentric versus conventional exercise therapy in patients with rotator cuff tendinopathy: a randomized, single blinded, clinical trial. Knee Surgery, Sports Traumatology, Arthroscopy, 25(7), 2051–2059. https://doi.org/10.1007/s00167-016-4223-x

Dupuis, F., Barrett, E., Dubé, M.-O., McCreesh, K. M., Lewis, J. S., & Roy, J.-S. (2018). Cryotherapy or gradual reloading exercises in acute presentations of rotator cuff tendinopathy: a randomised controlled trial. BMJ Open Sport & Exercise Medicine, 4(1), e000477. https://doi.org/10.1136/bmjsem-2018-000477

Escala PEDro. (n.d.). PEDro. Retrieved October 25, 2021, from https://pedro.org.au/portuguese/resources/pedro-scale/

Heron, S. R., Woby, S. R., & Thompson, D. P. (2017). Comparison of three types of exercise in the treatment of rotator cuff tendinopathy/shoulder impingement syndrome: A randomized controlled trial. Physiotherapy, 103(2), 167–173. https://doi.org/10.1016/j.physio.2016.09.001

Ingwersen, K. G., Jensen, S. L., Sørensen, L., Jørgensen, H. R., Christensen, R., Søgaard, K., & Juul-Kristensen, B. (2017). Three Months of Progressive High-Load Versus Traditional Low-Load Strength Training Among Patients With Rotator Cuff Tendinopathy: Primary Results From the Double-Blind Randomized Controlled RoCTEx Trial. Orthopaedic Journal of Sports Medicine, 5(8), 232596711772329. https://doi.org/10.1177/2325967117723292

Kooijman, M., Swinkels, I., Dijk, C. van, Bakker, D. de, & Veenhof, C. (2013). Patients with shoulder syndromes in general and physiotherapy practice: an observational study. BMC Musculoskeletal Disorders, 14(1). https://doi.org/10.1186/1471-2474-14-128

Lewis J, Dor no ombro relacionada ao manguito rotador: Avaliação, manejo e incertezas, Terapia manual (2016), doi: 10.1016 / j.math.2016.03.009.

Lewis, J. S. (2009). Rotator cuff tendinopathy. British Journal of Sports Medicine, 43(4), 236–241. https://doi.org/10.1136/bjsm.2008.052175

Lewis, J. S. (2009). Rotator cuff tendinopathy/subacromial impingement syndrome: is it time for a new method of assessment? British Journal of Sports Medicine, 43(4), 259–264. https://doi.org/10.1136/bjsm.2008.052183

Littlewood, C., Ashton, J., Chance-Larsen, K., May, S., & Sturrock, B. (2012). Exercise for rotator cuff tendinopathy: a systematic review. Physiotherapy, 98(2), 101–109. https://doi.org/10.1016/j.physio.2011.08.002

Longo, U. G., Berton, A., Papapietro, N., Maffulli, N., & Denaro, V. (2011). Epidemiology, Genetics and Biological Factors of Rotator Cuff Tears. Rotator Cuff Tear, 1–9. https://doi.org/10.1159/000328868

Macias-Hernandez, S. I.; Garcia-Morales, J. R.; Hernandez-Diaz, C.; Tapia-Ferrusco, I.. Velez-Gutierrez, O. B. & Nava-Bringas, T. I. (2020). Tolerance and effectiveness of eccentric vs. concentric muscle strengthening in rotator cuff partial tears and moderate to severe shoulder pain. A randomized pilot study. (2021). Journal of Clinical Orthopaedics and Trauma, 14, 106–112. https://doi.org/10.1016/j.jcot.2020.07.031

Moher, D., Liberati, A., Tetzlaff, J., & Altman, D. G. (2009). Preferred Reporting Items for Systematic Reviews and Meta-Analyses: the PRISMA Statement. PLoS Medicine, 6(7), e1000097. https://doi.org/10.1371/journal.pmed.1000097

Neer CS II. Acromioplastia anterior para síndrome do impacto crônicono ombro: um relato preliminar.J Bone Joint Surg Am. 1972; 54 (1):41-50.

Nirschl, R. P. (1969). Mesenchymal syndrome. Virginia Medical Monthly, 96(11), 659–662. https://pubmed.ncbi.nlm.nih.gov/5377568/

Parle, P. J., Riddiford-Harland, D. L., Howitt, C. D., & Lewis, J. S. (2016). Acute rotator cuff tendinopathy: does ice, low load isometric exercise, or a combination of the two produce an analgaesic effect? British Journal of Sports Medicine, 51(3), 208–209. https://doi.org/10.1136/bjsports-2016-096107,

Titchener, A. G., White, J. J. E., Hinchliffe, S. R., Tambe, A. A., Hubbard, R. B., & Clark, D. I. (2014). Comorbidities in rotator cuff disease: a case-control study. Journal of Shoulder and Elbow Surgery, 23(9), 1282–1288. https://doi.org/10.1016/j.jse.2013.12.019

Published

13/11/2021

How to Cite

HENRIQUE, K. K. B. .; JESUS, D. L. de .; BAHIA, A. M. A. .; SILVA, W. F. . Strengthening exercise for the management of rotator cuff tendinopathy. Research, Society and Development, [S. l.], v. 10, n. 14, p. e524101422298, 2021. DOI: 10.33448/rsd-v10i14.22298. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/22298. Acesso em: 17 jun. 2024.

Issue

Section

Review Article