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Rotator cuff exercises

Shoulder exercises

 

Your Shoulder Joint

The rotator cuff is a group of muscles and tendons that attach to the bones of the shoulder joint, allowing the shoulder to move and keeping it stable.

The tendons of the rotator cuff pass underneath a bony area on their way to attaching to the top of the arm bone. These tendons join together to form a cuff that surrounds the shoulder joint. This helps keep the joint stable and allows the arm bone to move on the shoulder bone.

Injury to these tendons may result in:

  • Rotator cuff tendinitis, which is irritation and swelling of these tendons
  • A rotator cuff tear, which occurs when one of the tendons is torn due to overuse or injury

These injuries often lead to pain, weakness, and stiffness when you use your shoulder. A key part in your recovery is doing exercises to make the muscles and tendons in your joint stronger and more flexible.

Your doctor may refer you to a physical therapist to treat your rotator cuff. A physical therapist is trained to help improve your ability to do the activities you want.

Evaluating Your Shoulder

 

Before treating you, a doctor or therapist will evaluate your body mechanics. The therapist may:

  • Watch how your shoulder moves as you perform activities, including your shoulder joint and your shoulder blade
  • Observe your spine and posture as you stand or sit
  • Check the range of motion of your shoulder joint and spine.
  • Test different muscles for weakness or stiffness
  • Check to see which movements seem to cause or worsen your pain

After testing and examining you, your doctor or physical therapist will know which muscles are weak or too tight. You will then start a program to stretch your muscles and make them stronger.

 

Exercises for Your Shoulder

 

The goal is for you to function as well as possible with little or no pain. To do this, your physical therapist will:

  • Help you strengthen and stretch the muscles around your shoulder
  • Teach you proper ways to move your shoulder, for everyday tasks or sports activities

Before doing exercises at home, ask your doctor or physical therapist to make sure you are doing them properly. If you have pain during or after an exercise, you may need to change the way you are doing the exercise.

Most exercises for your shoulder either stretch or strengthen (make stronger) the muscles and tendons of your shoulder joint.

Exercises to stretch your shoulder include:

  • Stretching the back of your shoulder (posterior stretching)
  • Hand up your back stretch (anterior shoulder stretch)
  • Anterior shoulder stretch - towel
  • Pendulum exercise
  • Wall stretches

Exercises to strengthen your shoulder:

  • Internal rotation exercise - with band
  • External rotation exercise - with band
  • Isometric shoulder exercises
  • Wall push-ups
  • Shoulder blade (scapular) retraction - no tubing
  • Shoulder blade (scapular) retraction - tubing
  • Arm reach

 

 

References

O'Brien MJ, Leggin BG, Williams GR. Rotator cuff tendinopathies and tears: surgery and therapy. In: Skirven TM, Osterman AL, Fedorczyk JM, Amadio PC, eds. Rehabilitation of the Hand and Upper Extremity. 6th ed. Philadelphia, PA: Elsevier Mosby; 2011:chap 88.

Rudolph GH, Moen T, Garofalo R, Krishnan SG. Rotator cuff and impingement. In: Miller MD, Thompson SR, eds. DeLee and Drez's Orthopaedic Sports Medicine: Principles and Practice. 4th ed. Philadelphia, PA: Elsevier Saunders; 2015:chap 52.

Whittle S, Buchbinder R. In the clinic. Rotator cuff disease. Ann Intern Med. 2015;162:ITC1-15. PMID: 25560729 www.ncbi.nlm.nih.gov/pubmed/25560729.

 
  • Anterior shoulder stretch

    Anterior shoulder stretch - illustration

    The anterior shoulder stretch is an exercise that stretches the anterior, or front, part of your shoulder. anterior shoulder stretch

    Anterior shoulder stretch

    illustration

  • Arm reach

    Arm reach - illustration

    The arm reach is an exercise that strengthens the muscles that hold your should blade (scapula). arm reach

    Arm reach

    illustration

  • External rotation with band

    External rotation with band - illustration

    External rotation with a band is an exercise that strengthens or tones the muscles that help rotate your shoulder outward, or away from your body. External rotation with a band

    External rotation with band

    illustration

  • Internal rotation with band

    Internal rotation with band - illustration

    Internal rotation with a band is an exercise that strengthens or tones the muscles that help rotate your shoulder inward, or towards your body. Internal rotation with a band

    Internal rotation with band

    illustration

  • Isometric

    Isometric - illustration

    Isometric shoulder exercises strengthen and tone the muscles in your shoulder. Isometric shoulder exercises

    Isometric

    illustration

  • Pendulum exercise

    Pendulum exercise - illustration

    The pendulum exercise stretches the joint capsule of your shoulder joint to keep it from getting stiff. Avoid this exercise if you have back pain. pendulum exercise

    Pendulum exercise

    illustration

  • Shoulder blade retraction with tubing

    Shoulder blade retraction with tubing - illustration

    The shoulder blade retraction with tubing exercise stretches the muscles that hold your shoulder blade (scapula). shoulder blade retraction with tubing exercise

    Shoulder blade retraction with tubing

    illustration

  • Shoulder blade retraction

    Shoulder blade retraction - illustration

    The shoulder blade retraction with no tubing exercise stretches the muscles that hold your shoulder blade (scapula). shoulder blade retraction

    Shoulder blade retraction

    illustration

  • Stretching back of shoulder

    Stretching back of shoulder - illustration

    Stretching the back of your shoulder is an exercise that stretches the back part of your injured shoulder joint. Stretching the back of your shoulder

    Stretching back of shoulder

    illustration

  • Up the back stretch

    Up the back stretch - illustration

    The hand up your back stretch is an exercise that stretches the anterior, or front, part of your shoulder. hand up your back stretch

    Up the back stretch

    illustration

  • Wall push-up

    Wall push-up - illustration

    Wall push-ups are exercises that stretch the muscles and joint capsule of your shoulder joint. Wall push-ups

    Wall push-up

    illustration

  • Wall stretch

    Wall stretch - illustration

    Wall stretches are exercises that help make your injured shoulder joint more flexible. Wall stretches

    Wall stretch

    illustration

    • Anterior shoulder stretch

      Anterior shoulder stretch - illustration

      The anterior shoulder stretch is an exercise that stretches the anterior, or front, part of your shoulder. anterior shoulder stretch

      Anterior shoulder stretch

      illustration

    • Arm reach

      Arm reach - illustration

      The arm reach is an exercise that strengthens the muscles that hold your should blade (scapula). arm reach

      Arm reach

      illustration

    • External rotation with band

      External rotation with band - illustration

      External rotation with a band is an exercise that strengthens or tones the muscles that help rotate your shoulder outward, or away from your body. External rotation with a band

      External rotation with band

      illustration

    • Internal rotation with band

      Internal rotation with band - illustration

      Internal rotation with a band is an exercise that strengthens or tones the muscles that help rotate your shoulder inward, or towards your body. Internal rotation with a band

      Internal rotation with band

      illustration

    • Isometric

      Isometric - illustration

      Isometric shoulder exercises strengthen and tone the muscles in your shoulder. Isometric shoulder exercises

      Isometric

      illustration

    • Pendulum exercise

      Pendulum exercise - illustration

      The pendulum exercise stretches the joint capsule of your shoulder joint to keep it from getting stiff. Avoid this exercise if you have back pain. pendulum exercise

      Pendulum exercise

      illustration

    • Shoulder blade retraction with tubing

      Shoulder blade retraction with tubing - illustration

      The shoulder blade retraction with tubing exercise stretches the muscles that hold your shoulder blade (scapula). shoulder blade retraction with tubing exercise

      Shoulder blade retraction with tubing

      illustration

    • Shoulder blade retraction

      Shoulder blade retraction - illustration

      The shoulder blade retraction with no tubing exercise stretches the muscles that hold your shoulder blade (scapula). shoulder blade retraction

      Shoulder blade retraction

      illustration

    • Stretching back of shoulder

      Stretching back of shoulder - illustration

      Stretching the back of your shoulder is an exercise that stretches the back part of your injured shoulder joint. Stretching the back of your shoulder

      Stretching back of shoulder

      illustration

    • Up the back stretch

      Up the back stretch - illustration

      The hand up your back stretch is an exercise that stretches the anterior, or front, part of your shoulder. hand up your back stretch

      Up the back stretch

      illustration

    • Wall push-up

      Wall push-up - illustration

      Wall push-ups are exercises that stretch the muscles and joint capsule of your shoulder joint. Wall push-ups

      Wall push-up

      illustration

    • Wall stretch

      Wall stretch - illustration

      Wall stretches are exercises that help make your injured shoulder joint more flexible. Wall stretches

      Wall stretch

      illustration

    A Closer Look

     

      Self Care

       

      Tests for Rotator cuff exercises

       

         

        Review Date: 5/9/2015

        Reviewed By: C. Benjamin Ma, MD, Assistant Professor, Chief, Sports Medicine and Shoulder Service, UCSF Department of Orthopaedic Surgery, San Francisco, CA. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.

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