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Optimal management of shoulder impingement syndrome

Authors Escamilla R, Hooks T, Wilk K

Received 15 September 2013

Accepted for publication 25 November 2013

Published 28 February 2014 Volume 2014:5 Pages 13—24

DOI https://doi.org/10.2147/OAJSM.S36646

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 3


Rafael F Escamilla,1,2 Todd R Hooks,3 Kevin E Wilk4

1Department of Physical Therapy, California State University, Sacramento, CA, USA; 2Andrews Research and Education Institute, Gulf Breeze, FL, USA; 3Drayer Physical Therapy Institute, Columbus, MS, USA; 4Champion Sports Medicine, Birmingham, AL, USA

Abstract: Shoulder impingement is a progressive orthopedic condition that occurs as a result of altered biomechanics and/or structural abnormalities. An effective nonoperative treatment for impingement syndrome is aimed at addressing the underlying causative factor or factors that are identified after a complete and thorough evaluation. The clinician devises an effective rehabilitation program to regain full glenohumeral range of motion, reestablish dynamic rotator cuff stability, and implement a progression of resistive exercises to fully restore strength and local muscular endurance in the rotator cuff and scapular stabilizers. The clinician can introduce stresses and forces via sport-specific drills and functional activities to allow a return to activity.

Keywords: rotator cuff impingement, internal impingement, overhead athlete, shoulder, rehabilitation

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