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Shoulder Rotator cuff tear help video Intermediate Rehabilitation exercises

  • Injuries, Stability & Strength
  • Intermediate
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This is an instructional video to correctly demonstrate how to manage a Shoulder Rotator cuff tear with Intermediate Rehabilitation exercises.

The content in this video is provided for general information purposes only and is not meant to replace a physiotherapy or medical consultation.

Step by Step

  1. The Rotator cuff is a group of muscles surrounding the shoulder joint.
  2. They are Supraspinatus, Infraspinatus, Subscapularis and Teres Minor.
  3. The Rotator cuff basically aids movement of the shoulder joint by keeping the shoulder joint tight in the socket. It also controls translation, which is basically keeping it in the centre of the socket.
  4. It is also very important with sensorimotor control & proprioception.
  5. So a Rotator cuff tear is a tear in the tendon of one of these muscles, most commonly affected is Supraspinatus.
  6. Now you should have followed the previous video for your early rehabilitation and only when you are performing the earlier exercises well with no pain then you are ready to advance to intermediate rehabilitation
  7. Again it is important that before you follow this video that you have a firm diagnosis of a rotator cuff tear and have read the disclaimer for this video.
  8. The first level intermediate strengthening exercises are lateral and medial rotation in neutral using an exercise band for resistance.
  9. Shoulder Lateral rotation in neutral:
  10. Standing in a good posture with your elbow bent to 90 degrees and a towel being gently squeezed between your elbow and your hip.
  11. Rotate the arm outwards to take your hand out to the side and return back to the stomach slowly with the resistance of an exercise band
  12. Repeat 10 times and repeat for 3 sets in total
  13. When it becomes easier add more tension to the band or get a harder band resistance and over time gradually increase this as long as your technique is correct.
  14. Shoulder Medial rotation in neutral:
  15. Standing in a good posture with your elbow bent to 90 degrees and a towel being gently squeezed between your elbow and your hip.
  16. Rotate the arm to take your hand across your stomach and return back to the out to the side position slowly
  17. Repeat 10 times and repeat for 3 sets in total
  18. When it becomes easier add more tension to the band or get a harder band resistance and over time gradually increase this as long as your technique is correct.
  19. Once this becomes easier and you are ready to advance then the next exercise advancement is Through range looped exercise band flexion.
  20. Tie the exercise band together to make a loop which is hip width apart when it is tied and the slack is taken up.
  21. Next with your elbows tucked in by your sides, put your hands into the looped band so that it is around your wrists.
  22. Keep the palms of your hands facing each other at all times and push slightly outwards at the hands, not the elbows.
  23. You should be pivoting on your elbow.
  24. Now elevate your arms up till they are pointing to the ceiling and bring them back down to your sides. Throughout you need to keep the outward pressure at your hands and not your elbows.
  25. Perform 10 repetitions repeat for 3 sets in total.
  26. Alongside the strengthening you need to perform an intermediate stability exercise. This is Shoulder stabilisation in 4 point kneeling
  27. It is a good exercise if you have some restricted movement or significant pain but it is important to know that you will need to advance to other exercises as you improve.
  28. Starting on your hands and knees, in 4 point kneeling, with good neutral posture.
  29. Gently lean forwards, backwards and side to side.
  30. Perform 10 repetitions for each side in each direction and repeat for 3 sets in total.
  31. Once you have progressed through these intermediate exercises you will need to move onto advanced strengthening and stability exercises, which will be in the next video.

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Put simply this is Physio done via either telephone or video over the internet. Skype and facetime are examples of this.

Contrary to popular belief online physiotherapy can be very effective and it can help the same injuries that face to face physio can help. I have helped many people with injuries such as disc prolapses, tennis elbow, neck pain and much more).