Management of Rotator Cuff Injury with Physiotherapy in Pre- and Post-surgery: An Overview

Year : 2023 | Volume : 01 | Issue : 01 | Page : 6-12

    Kudshiya Khan

  1. Guisia Khan

  2. Aafreen

  3. Asad Jamal Ansari

  4. Ebadurrahman

  5. Abdur Raheem Khan

  1. Researcher, Integral University, Uttar Pradesh, India
  2. Researcher, Integral University, Uttar Pradesh, India
  3. Researcher, Integral University, Uttar Pradesh, India
  4. Faculty, Integral University, Uttar Pradesh, India
  5. Faculty, Integral University, Uttar Pradesh, India
  6. Head and Professor, Integral University, Uttar Pradesh, India


The likelihood of rotator cuff tears increases with age, with total width tears occurring in roughly 25% of people in their 60s and an extra 50% of people in their 80s. Despite the fact that surgery is considered an active therapy, repeated rips at the inset place are common, particularly during progressive tears, which are common in the elderly population. Physical therapy and exercise therapy are currently receiving more attention as a way to treat partial and complete rotator cuff strains by treating weakness and effective arrears. Affected role selection for physical treatment and exercise has been advised by recent teachings to have best result, an enhancement in purpose, and achievement in avoiding surgery. Yet, once an elderly patient continues to be active and has very efficient needs, surgical activity becomes increasingly reciprocal. Studies in ageing populations had produced positive therapeutic and clinical outcomes after invasive restoration. Decompressing is a less harmful and intrusive opportunity that has remained useful to deliver temporary pain reprieve, although permanent interventions may become less effective with time. The goal of this clinical commentary is to describe the function of physical therapy in the pre- and post-surgical care of rotator cuff injury.

Keywords: Physiotherapy, rotator cuff tears, rotator cuff repairs, rehabilitation, surgical management

[This article belongs to International Journal of Orthopedic Nursing and Practices(ijornp)]

How to cite this article: Kudshiya Khan, Guisia Khan, Aafreen, Asad Jamal Ansari, Ebadurrahman, Abdur Raheem Khan Management of Rotator Cuff Injury with Physiotherapy in Pre- and Post-surgery: An Overview ijornp 2023; 01:6-12
How to cite this URL: Kudshiya Khan, Guisia Khan, Aafreen, Asad Jamal Ansari, Ebadurrahman, Abdur Raheem Khan Management of Rotator Cuff Injury with Physiotherapy in Pre- and Post-surgery: An Overview ijornp 2023 {cited 2023 Jun 30};01:6-12. Available from:


  1. Yamamoto A, Takagishi K, Osawa T, Yanagawa T, Nakajima D, Shitara H, Kobayashi T. Prevalence and risk factors of a rotator cuff tear in the general population. J Shoulder Elbow Surg. 2010; 19 (1): 116–1
  2. Kijima H, Minagawa H, Nishi T, Kikuchi K, Shimada Y. Long-term follow-up of cases of rotator cuff tear treated conservatively. J Shoulder Elbow Surg. 2012; 21 (4): 491–49
  3. Hippensteel KJ, Brophy R, Smith MV, Wright RW. A comprehensive review of physical examination tests of the cervical spine, scapula, and rotator cuff. J Am Acad Orthop Surg. 2019; 27 (11):385-3
  4. Karasuyama M, Gotoh M, Tahara K, Kawakami J, Madokoro K, Nagamatsu T, Imai T, Harada N, Kudo Y, Shiba N. Clinical results of conservative management in patients with full-thickness rotator cuff tear: a meta-analysis. ClinShoulder 2020; 23 (2): 86–93.
  5. Vachhani K, Whyne C, Nam D, Wong J, Chou J, Paul R. Comparing surgical techniques for irreparable rotator cuff tear management: a cadaveric biomechanical study. Orthop Proc. 2020; 102-B (Supp_6): 51–51.
  6. Cadogan A, McNair P, Laslett M, Hing W, Taylor S. Diagnostic accuracy of clinical examination features for identifying large rotator cuff tears in primary health care. J Manual Manipulat Ther. 2013; 21 (3): 148–1
  7. Itoi E. Rotator cuff tear: physical examination and conservative treatment. J Orthop Sci. 2013; 18(2): 197–
  8. Hertel R, Ballmer FT, Lambert SM, Gerber CH. Lag signs in the diagnosis of rotator cuff rupture. J shoulder Elbow Surg. 1996; 5 (4): 307–3
  9. Longo UG, Berton A, Marinozzi A, Maffulli N, Denaro V. Subscapularis tears. Rotator Cuff Tear. 2012; 57: 114–1
  10. Collin P, Matsumura N, Lädermann A, Denard PJ, Walch G. Relationship between massive chronic rotator cuff tear pattern and loss of active shoulder range of motion. J Shoulder Elbow Surg. 2014; 23 (8): 1195–1
  11. Melis B, DeFranco MJ, Chuinard C, Walch G. Natural history of fatty infiltration and atrophy of the supraspinatus muscle in rotator cuff tears. Clin Orthop Relat Res. 2010; 468 (6): 1498–1505.
  12. Flurin PH, Hardy P, Abadie P, Desmoineaux P, Essig J, Joudet T, Sommaire C, Thelu CE, French Arthroscopy Society (SFA). Rotator cuff tears after 70 years of age: a prospective, randomized, comparative study between decompression and arthroscopic repair in 154 patients. Orthop Traumatol Surg Res. 2013; 99 (8): S371–S37
  13. Cools AM, Dewitte V, Lanszweert F, Notebaert D, Roets A, Soetens B, Cagnie B, Witvrouw EE. Rehabilitation of scapular muscle balance: which exercises to prescribe? Am J Sports Med. 2007; 35 (10): 1744–17
  14. Escamilla RF, Yamashiro K, Paulos L, Andrews JR. Shoulder muscle activity and function in common shoulder rehabilitation exercises. Sports Med. 2009; 39: 663–6
  15. Kibler WB, McMullen JO, Uhl TI. Shoulder rehabilitation strategies, guidelines, and practice. Orthop Clin. 2001; 32 (3): 527–5
  16. Kuhn JE. Exercise in the treatment of rotator cuff impingement: a systematic review and a synthesized evidence-based rehabilitation protocol. J Shoulder Elbow Surg. 2009; 18 (1): 138–1
  17. Reinold MM, Escamilla R, Wilk KE. Current concepts in the scientific and clinical rationale behind exercises for glenohumeral and scapulothoracic musculature. J Orthop Sports Phys Ther. 2009; 39 (2):105–1
  18. Muir SW, Corea CL, Beaupre L. Evaluating change in clinical status: reliability and measures of agreement for the assessment of glenohumeral range of motion. North Am J Sports Phys Ther. 2010; 5(3): 98–110.
  19. Jobanputtra Y, Samal S, Bawiskar D, Chitale N, Phansopkar P, Arora SP. Physiotherapy rehabilitation of rotator cuff injury.J Med Pharm Allied Sci. 2021; 10 (6): 4057–4059.
  20. Bhamra MK, Bhamra JK, Naqvi WM, Mishra G. Frozen shoulder response with short wave diathermy, acupuncture and supervised active exercise in eight weeks. Eur J Mol Clin Med. 2020; 7 (11): 21–2
  21. Björnsson H, Norlin R, Knutsson A, Adolfsson L. Fewer rotator cuff tears fifteen years after arthroscopic subacromial decompression. J Shoulder Elbow Surg. 2010;19 (1): 111–11
  22. Husby T, Haugstvedt JR, Brandt M, Holm I, Steen H. Open versus arthroscopic subacromial decompression: a prospective, randomized study of 34 patients followed for 8 years. Acta Orthop Scand. 2003; 74 (4): 408–4
  23. Millett PJ, Horan MP, Maland KE, Hawkins RJ. Long-term survivorship and outcomes after surgical repair of full-thickness rotator cuff tears. J Shoulder Elbow Surg. 2011; 20 (4): 591–59
  24. Seida JC, LeBlanc C, Schouten JR, Mousavi SS, Hartling L, Vandermeer B, Tjosvold L, Sheps DM. Systematic review: nonoperative and operative treatments for rotator cuff tears. Ann Intern Med. 2010; 153 (4): 246–2
  25. Feng S, Guo S, Nobuhara K, Hashimoto J, Mimori K. Prognostic indicators for outcome following rotator cuff tear repair. J Orthop Surg. 2003; 11 (2): 110–11
  26. Unruh KP, Kuhn JE, Sanders R, An Q, Baumgarten KM, Bishop JY, Brophy RH, Carey JL, Holloway BG, Jones GL, Ma BC. The duration of symptoms does not correlate with rotator cuff tear severity or other patient-related features: a cross-sectional study of patients with atraumatic, full-thickness rotator cuff tears. J Shoulder Elbow Surg. 2014; 23 (7): 1052–105
  27. Moosmayer S, Lund G, Seljom U, Svege I, Hennig T, Tariq R, Smith HJ. Comparison between surgery and physiotherapy in the treatment of small and medium-sized tears of the rotator cuff: a randomised controlled study of 103 patients with one-year follow-up. J Bone Joint Surg Br. 2010;92 (1): 83–
  28. Meng Z, Garrett CR, Shen Y, Liu L, Yang P, Huo Y, Zhao Q, Spelman AR, Ng CS, Chang DZ, Cohen L. Prospective randomised evaluation of traditional Chinese medicine combined with chemotherapy: a randomised phase II study of wild toad extract plus gemcitabine in patients with advanced pancreatic adenocarcinomas. Br J 2012;107 (3): 411–416.
  29. van der Meijden OA, Westgard P, Chandler Z, Gaskill TR, Kokmeyer D, Millett PJ. Rehabilitation after arthroscopic rotator cuff repair: current concepts review and evidence-based guidelines. Int J Sports Phys Ther. 2012; 7 (2): 197–218.
  30. Jeanfavre M, Husted S, Leff G. Exercise therapy in the non-operative treatment of full-thickness rotator cuff tears: a systematic review. Int J Sports Phys Ther. 2018; 13 (3): 335–378.
  31. Zhang M, Zhou JJ, Zhang YM, Wang JH, Zhang QY, Chen W. Clinical effectiveness of scapulothoracic joint control training exercises on shoulder joint dysfunction. Cell Biochem Biophys. 2015; 72: 83–8

Regular Issue Subscription Review Article
Volume 01
Issue 01
Received June 17, 2023
Accepted June 26, 2023
Published June 30, 2023