Chronic Rotator Cuff Tendinopathy

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Top Contributors - Mariam Hashem, Tarina van der Stockt, Kim Jackson and Wanda van Niekerk  

Introduction[edit | edit source]

Rotator Cuff Tendinopathy is a common condition representing 30-70% of shoulder pain disorders[1]. This condition is more significant after the age of 50 and can be attributed to multiple factors.

Rotator Cuff Tendinopathy has adverse consequences on the quality of life and is associated with long-term disability, retirement and high rates of chronicity (40-50%)[2].

To develop effective management strategies, clinicians need to understand the factors contributing to the development of chronicity. Structural, gentic, biomechanical and psychosocial factors play an integral role in the development of Chronic Rotator Cuff Tendinopathy. Additionally, the following five factors have been discussed in recent literature and therefore should be considered when addressing this condition:

  • Central Nervous System reorganization
  • Tendons
  • Scapula
  • Proprioception
  • Central Senstization

Central Nervous System Reorganization[edit | edit source]

Tendons[edit | edit source]

Scapula[edit | edit source]

Proprioception[edit | edit source]

Central Senstization[edit | edit source]

References[edit | edit source]

  1. Oliva F, Piccirilli E, Bossa M, Via AG, Colombo A, Chillemi C, Gasparre G, Pellicciari L, Franceschetti E, Rugiero C, Scialdoni A. IS Mu. LT-rotator cuff tears guidelines. Muscles, ligaments and tendons journal. 2015 Oct;5(4):227.
  2. Kuijpers T, van der Windt DA, Boeke AJ, Twisk JW, Vergouwe Y, Bouter LM, van der Heijden GJ. Clinical prediction rules for the prognosis of shoulder pain in general practice. Pain. 2006 Feb 1;120(3):276-85.