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Table 2 Description of specific exercises

From: Efficacy and cost-effectiveness of a physiotherapy program for chronic rotator cuff pathology: A protocol for a randomised, double-blind, placebo-controlled trial

Name Description Dosage Weeks performed
Scapular setting Sitting, isometric hold of scapula in retracted and depressed position 5 sec hold × 5 reps Week 1 then maintained in all exercises
Self-resisted isometric ER Standing sideways to wall. Upper arm squeezing a towel roll against body, elbow bent with forearm pushing into wall 5 sec hold × 5 reps Weeks 1&2
Active ER Sitting with shoulder in 45° Abd resting elbow and forearm on table in IR. Taking shoulder into ER 10 reps × 2 Week 1&2
Shoulder shrugs Standing with arms slightly abducted and actively elevating scapula then lowering slowly 10 reps × 2 handweight Week 1&2
Pectoralis minor stretch Supine with arms in 45° Abd and elbows bent to 90°. Shoulders rotate into ER to stretch muscle 5 reps with 10 sec hold × 2 Weeks 2–6
Wall push up Standing arms length from wall, hands at shoulder height and shoulders in 45° Abd. Body lowered to wall and then pushed away 5 reps × 2 Weeks 2–10
Chin tuck Standing with head and back against a wall. Chin tucked in toward neck 5 reps × 10 sec holds Week 2
Resisted external rotation Sidelying with affected shoulder uppermost, elbow bent to 90° and holding weight in hand. Weight lifted up toward ceiling with upper arm against body 10 reps × 2 using hand weight Week 2
Thoracic extension over towel Supine on a firm surface with arms by side and lying on towel roll placed horizontally on floor at level of maximum thoracic curve 1–3 mins hold Weeks 3–6
Resisted scapular setting – elbow extension with shoulder neutral Standing, arm by side and elbow bent holding theraband attached in front at shoulder height. Elbow straightened and slowly flexed whilst keeping scapula in set position 10 reps × 2 using theraband Weeks 3–6
Resisted external rotation Standing, elbow bent to 90° and forearm along stomach and holding onto theraband at waist height. Keeping elbow in to side, pulling against theraband to perform ER 10 reps × 2 using theraband Weeks 3&4
Resisted internal rotation Standing, elbow bent to 90° and shoulder in ER and holding onto theraband at waist height. Keeping elbow in by side, pulling against theraband to perform IR 10 reps × 2 using theraband Weeks 3&4
Resisted horizontal row Standing, both arms outstretched holding onto theraband attached at waist height. Both arms pulled back toward trunk with elbows flexed 10 reps × 2 using theraband Weeks 3–10
Resisted external rotation in supported 90° Abd Sitting with shoulder supported in 90° Abd on table and forearm resting on table holding a weight in hand. Weight lifted toward ceiling keeping elbow on table 10 reps × 2 using hand weight Weeks 5&6
Resisted internal rotation in supported 90° Abd Sitting with shoulder supported in 90° Abd on table and forearm resting on table holding theraband attached behind. Hand taken to table to perform IR 10 reps × 2 using theraband Weeks 5&6
Corner stretch Standing with one hand on each corner wall at shoulder height and elbows bent. Leaning in toward corner to stretch anterior shoulder and thoracic spine 5 reps × 10 sec holds Weeks 5–10
Resisted scapular setting – elbow flexion Standing with hands at chest height, elbows bent and holding onto theraband which is then stretched apart by trying to straighten both elbows 10 reps × 2 Weeks 7–10
Resisted external rotation in unsupported Abd ER performed in standing with shoulder unsupported in 45° scapular plane, elbow bent and holding theraband attached in front 10 reps × 2 Weeks 7–10
Resisted internal rotation in unsupported Abd IR performed in standing with shoulder unsupported in 45° scapular plane, elbow bent and holding theraband attached behind 10 reps × 2 Weeks 7–10
  1. ER = external rotation; IR = internal rotation; Abd = abduction