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      Rotator cuff related shoulder pain: Assessment, management and uncertainties.

      1
      Manual therapy
      Elsevier BV
      Assessment, Management, Rotator cuff, Shoulder pain

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          Abstract

          Rotator cuff related shoulder pain (RCRSP) is an over-arching term that encompasses a spectrum of shoulder conditions including; subacromial pain (impingement) syndrome, rotator cuff tendinopathy, and symptomatic partial and full thickness rotator cuff tears. For those diagnosed with RCRSP one aim of treatment is to achieve symptom free shoulder movement and function. Findings from published high quality research investigations suggest that a graduated and well-constructed exercise approach confers at least equivalent benefit as that derived from surgery for; subacromial pain (impingement) syndrome, rotator cuff tendinopathy, partial thickness rotator cuff (RC) tears and atraumatic full thickness rotator cuff tears. However considerable deficits in our understanding of RCRSP persist. These include; (i) cause and source of symptoms, (ii) establishing a definitive diagnosis, (iii) establishing the epidemiology of symptomatic RCRSP, (iv) knowing which tissues or systems to target intervention, and (v) which interventions are most effective.

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          Author and article information

          Journal
          Man Ther
          Manual therapy
          Elsevier BV
          1532-2769
          1356-689X
          Jun 2016
          : 23
          Affiliations
          [1 ] Department of Allied Health Professions and Midwifery, School of Health and Social Work, Wright Building, College Lane Campus, University of Hertfordshire, Hatfield AL10 9AB, Hertfordshire, UK. Electronic address: jeremy.lewis@LondonShoulderClinic.com.
          Article
          S1356-689X(16)00040-0
          10.1016/j.math.2016.03.009
          27083390
          1ee8fc91-e057-49fa-a570-28ef118a7ea7
          History

          Assessment,Management,Rotator cuff,Shoulder pain
          Assessment, Management, Rotator cuff, Shoulder pain

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