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 Register to read more
Weiss et al. 2018. Management of Rotator Cuff Injuries in the Elite Athlete.