Early rehabilitation should focus on the reduction of:

Restoring normal ROM.


In a painful shoulder, studies have demonstrated a decrease in electromyographic activity by 23% with a corresponding reduction in external rotation force production by 32%.

This finding suggests the importance of early pain reduction such that the athlete can begin a progressive strengthening program.

This can be accomplished using both local physical modalities in addition to manual therapies.

The athlete should also avoid activities which reproduce symptoms. .


Manual therapies such as joint mobilization and passive ROM can help restore normal joint kinematics and improve shoulder ROM


Grade I and grade II glenohumeral joint mobilization techniques can be performed to reduce pain, decrease muscle guarding and improve ROM.


Indeed, Codman’s pendulum exercise is safe and

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Weiss et al. 2018. Management of Rotator Cuff Injuries in the Elite Athlete. 

Categoy Details

  • 07 Aug 2018
  • Shoulder