Shoulder impingement

Understanding the pathophysiology and treatment of rotator cuff disorders i s the key to understanding all other aspects of shoulder rehabilitation. Im pingement rehabilitation focuses on strengthening the humeral head depresso rs, while ignoring the deltoid and supraspinatus muscles. Later treatment i ncludes specific retraining of scapular balancing muscles. The final phase of treatment includes strengthening the prime humeral movers in positions t hat avoid further stress to the injured rotator cuff tendons and, last of a ll, specifically strengthening the supraspinatus muscle.