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 postoperative pain or pain medication use apparently are not seen between arthroscopic- and open-surgery. Even for full-thickness rotator cuff tears, conservative care (i.e., nonsurgical treatment) outcomes are usually reasonably good. However, many people still have disability and pain despite nonsurgical therapies. For massive tears of the rotator cuff, surgery has shown durable outcomes on 10-year follow-up. However, the same study demonstrated ongoing and progressive fatty atrophy and repeat tears of the rotator cuff. MRI evidence of fatty atrophy in the rotator cuff prior to surgery is predicative of a poor surgical outcome. If the rotator cuff is completely torn, surgery