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KMID : 0828620120160010079
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Journal of Korean Arthroscopy Society
2012 Volume.16 No. 1 p.79 ~ p.86
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Conservative Treatment of Impingement Syndrome and Rotator Cuff Tear
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Jung Hong Jun
Jeon In-Ho
Chun Jae-Myeung
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Abstract
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The conservative treatment for impingement and rotator cuff tear includes rest, nonsteroidal anti-inflammatory drugs (NSAIDs), local steroid injection and physiotherapy depending on the purpose to relieve the pain and inflammation, in addition, stretching exercise to recover flexibility and strengthening exercise to recover the function could be used. When these conservative treatments are divided into multiple steps, the first one contains pain relief, modification of daily activity and stretching exercise. Second step includes strengthening exercise of the anterior/posterior cuff and peri-scapular muscles and eventually. The third step includes training program to return to job, housework and hobby activities and maintain. Thus, the key of these step wise approach for the treatment of impingement and rotator cuff tear is exercise program. Understanding of various exercise program and apply to the patients properly is most important for the conservative treatment of impingement and cuff tear.
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KEYWORD
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Rotator cuff, Rotator cuff tear, Shoulder impingement syndrome, Conservative treatment
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