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Table 1 Physiotherapy intervention overview

From: A comparison of isometric, isotonic concentric and isotonic eccentric exercises in the physiotherapy management of subacromial pain syndrome/rotator cuff tendinopathy: study protocol for a pilot randomised controlled trial

Treatment   Aim Exercise Description
Session 1 Retrain scapular movement patterns. Scapular stability/retraining: optimise the position of the scapular and humeral head during shoulder motion, restoring normal scapulo-humeral rhythm. Scapular setting.
Scapular shrugs.
Scapular setting in standing at 0° with scapular rotation/ tilt correction (based on individual deficits).
Build scapular stability-progression to scapular shrugs.
Session 2 Improve rotator cuff strength. Improve rotator cuff strength (in optimal scapulo-humeral movement pattern). Shoulder external rotation strengthening in neutral. External rotation in standing with elastic (isotonic) or rigid (isometric) resistance band. Shoulder adducted to side and elbow at 90°.
Session 3 Improve rotator cuff strength. Improve rotator cuff strength (in optimal scapulo-humeral movement pattern). Shoulder internal rotation strengthening in neutral. Internal rotation in standing with elastic (isotonic) or rigid (isometric) resistance band. Shoulder adducted to side and elbow at 90°.
Session 4 Build posterior musculature and restore flexibility. Improve posterior muscle strength. Standing rows at 45° or 90°. Bilateral standing rows progressing from 45° to 90° shoulder abduction with resistance band.
Improve flexibility of upper quadrant soft tissues. Anterior shoulder stretch.
Active thoracic extension.
Lateral neck stretches.
Bilateral anterior chest stretch using room corner/door jamb. Sternal lift in sitting with lumbar-thoracic dissociation. Neck stretches in stand/sit.