Optimal management of shoulder impingement syndrome - PubMed (original) (raw)

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Optimal management of shoulder impingement syndrome

Rafael F Escamilla et al. Open Access J Sports Med. 2014.

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: internal impingement; overhead athlete; rehabilitation; rotator cuff impingement; shoulder.

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