Rotator cuff and range of motion of the Subscapularis, Supraspinatus, Infraspinatus, and Teres minor muscles within the rotator cuff. Passive exercises include internal and external rotation of the shoulder joint, as well as flexion and extension of the shoulder.As progression increases after 4–6 weeks, active exercises are now implemented into the rehabilitation process. Active exercises allow an increase in strength and further range of motion by permitting the movement of the shoulder joint without the support of a physical therapist. Active exercises include the Pendulum exercise (as shown in Image 2), which is used to strengthen the Supraspinatus, Infraspinatus, and Subscapularis. External
Rotator cuff tear is usually required to reattach the tendon to the bone. If a significant bone spur is present, any of the approaches may include an acromioplasty, a subacromial decompression, as part of the procedure. Subacromial decompression, removal of a small portion of the acromion that overlies the rotator cuff, aims to relieve pressure on the rotator cuff in certain conditions and promote healing and recovery. Although subacromial decompression may be beneficial in the management of partial and full-thickness tear repair, it does not repair the tear itself and arthroscopic decompression has more recently been combined with "mini-open" repair of the rotator