The Effect of Physiotherapy for the cases with Pain in Resisted Abduction

Abstract

We have had excellent clinical results for cases with shoulder disorders using the concept of the Cuff-Y exercise. The purpose of this study was to clarify the selection of physiotherapy from the improvement results.602 cases who complained of shoulder pain were estimated. The degree of pain, X-ray examinations of the Scapula-45, EMG studies of the supraspinatus, the deltoid, the biceps brachii and the infraspinatus. And the range of motion were examined.405 cases with decreased pain demonstrated improvement of the cuff index and the scapula index from the Scapula-45 X-ray films. They were divided into two groups.387 cases had improved function of the rotator cuff, and the other 18 cases showed compensative muscle activity.197 cases showed no remarkable decrease of pain.29 out of the 197 cases had complete rotator cuff tears and 51 cases who had severe limitations of R. O. M. decreased their pain which was parallel to the improvement of their R. O. M. s.76 cases had other dysfunctions. In conclusion, in order to treat the above cases, compensative muscle activities for a rotator cuff tear, direct approach to dysfunctions for an impingement, and decrease the obstruction of pass for an edema of the cuff were required.