Corrective Exercise Toolkit

Rotator Cuff Weakness

Rotator cuff weakness reduces shoulder stability and increases the risk of impingement and labral overload.

Shoulder - Strength

Biomechanical Mechanism

Weak external rotators and poor scapular control allow humeral head migration and altered joint mechanics.

Clinical Rationale

Rotator cuff weakness increases joint stress and risk of impingement. Targeted strengthening improves stability.

Practical Solution

Build rotator cuff endurance and scapular control before heavy overhead loading.

Common Compensations

Progression

  1. 1Level 1: Isometrics
  2. 2Level 2: Light resistance
  3. 3Level 3: Integrated movement
  4. 4Level 4: Overhead loading

Regression

  • Reduce resistance
  • Use supported positions
  • Shorten ROM

Red Flags

Differential Diagnosis

Rotator cuff tearImpingementCervical referral
Related Assessments
empty can assessment
Related Exercises
external rotation bandscapular squeezeytw seriesface pullserratus push upbanded pull apart

Evidence

Level: moderate

Exercise therapy is consistently supported for rotator cuff-related shoulder pain, indicating benefit from strengthening.

Effects of seven types of exercise in the treatment of rotator cuff-related shoulder pain (RCRSP): a systematic review and Bayesian network meta-analysis.

systematic review/meta-analysis View source

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