Rotator cuff rehabilitation: current theories and practice.

Journal and index pages often block iframe embedding. This reader keeps the evidence details in Orthonotes and leaves the source page one click away.

Abstract

[Indexed for MEDLINE] 2. Curr Sports Med Rep. 2021 Jun 1;20(6):298-305. doi: 10.1249/JSR.0000000000000851. Extracorporeal Shockwave Therapy in the Management of Sports Medicine Injuries. Schroeder AN(1), Tenforde AS(2), Jelsing EJ(3). Author information: (1)Physical Medicine and Rehabilitation, Mayo Clinic, Rochester, MN. (2)Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Boston, MA. (3)Orthopedic Surgery and Physical Medicine and Rehabilitation, Mayo Clinic, Rochester, MN. Treatment of musculoskeletal conditions in athletes with extracorporeal shockwave therapy (ESWT) is gaining popularity as greater evidence supports its use. ESWT protocols (describing energy flux density, number of impulses, type of shockwave (focused or radial), number/frequency/duration of treatment session, area of application, and postprocedural therapy protocols) can be adjusted in the clinical setting. Protocols vary across studies, and optimal protocols for most indications are yet to be determined. ESWT can safely be used to treat various musculoskeletal conditions in athletes, including rotator cuff tendinopathy, lateral elbow epicondlyopathy, greater trochanteric pain syndrome, hamstring tendinopathy, patellar tendinopathy, Achilles tendinopathy, other tendinopathies, plantar fasciopathy, bone stress injuries, and medial tibial stress syndrome. ESWT can be used to treat in-season athletes, as it often requires no/minimal time away from sport and may result in rapid benefits. ESWT should be used in conjunction with physical therapy to facilitate longer-term gains in function and to optimize healing. Copyright © 2021 by the American College of Sports Medicine. DOI: 10.1249/JSR.0000000000000851