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International Journal of Recent Trends in Science and Technology, ISSN 2277-2812 E-ISSN: 2249-8109
Volume 8, Issue 3, October 2013 pp 273-278
Functional Outcomes of Conservative Management in Rotator Cuff Tendinitis
Vivian R. D' Almeida, K. Raghuveer Adiga, Tils Mathew, John E. Benny
Dept of Orthopaedics, Fr. Muller Medical College, Mangalore, Karnataka, INDIA.
Academic Editor : Dr. Aher K.R.
Tendinitis of the rotator cuff and the shoulder impingement are considered to be common intrinsic causes of shoulder pain and disability. They are characterized by pain and painful arc of abduction and signs of impingement. A combination of treatment modalities have been used, Tendinitis of the rotator cuff and the shoulder impingement are considered to be common intrinsic causes of shoulder pain and disability. They are characterized by pain and painful arc of abduction as indicators of impingement. Physiotherapy such as exercise and manual therapy are time tested modalities of treatment in rotator cuff tendinidtis. Instead of resolving the specific pathology, these modalities target the specific modifiable functional impairments that contribute to pain and dysfunction. Rotator cuff and scapular muscle weakness and dysfunction, Rigidity of posterior capsule and postural abnormalities are the commonly associated functional impairments. 53 shoulders with tendidnitis confirmed by ultrasound were analysed and their functional outcome has been assessed. Materials and Methods: A prospective follow up study of clinical and ultrasonographic outcome following conservative treatment of 53 shoulders with rotator cuff tendinitis has been studied. The outcome measures were assessed with clinical improvement in pain, range of movements and SPADI questionnaire. Results: In the total pool of 53 patients taken together at a mean follow up of 3.8 months there was mean increase in the range of abduction by 25.8 degrees, adduction by 8.40 degrees, flexion by 20.38 degrees, extension by 7.83 degrees, external rotation by 16.89 degrees and internal rotation by 17.55 degrees. The SPADI functional outcome measurement showed decrease in pain % by 13.08%, disability by 11.95% and total SPADI 11.43%. With an overall percentage of improvement being 73.58% of the total group. Conclusion: The results of our study re-enforces the fact that conservative management is optimal in the management of Rotator Cuff Tendinitis. A combination of Short course NSAIDS and 3 phase physiotherapy has been found effective in management of the condition.