Physiotherapy intervention for rotator cuff syndrome: a case study report

Rakhmad Rosadi, Sri Sunaringsih Ika Wardojo, Safun Rahmanto, Nungki Marlian Yuliadarwati


This research was motivated by the general complaints that patients generally experience functional disorders, patients found it difficult to wear their own clothes, comb their hair and carry heavy items or activities due to repetitive and chronic excessive shoulder. This is because in patients with rotator cuff syndrome, they feel pain which can cause limitation of joint motion in the shoulder, thereby reducing muscle strength and reducing functional activity. Purpose of this study was to determine the result of physiotherapy intervention given towards reducing pain and improve the disability index for patients with rotator cuff syndrome This research uses descriptive analysis method. The method of data collection using the autoanamnesis method. The research design used is a case study with the subject of this research being a patient with a diagnosis of shoulder sprain rotator cuff syndrome using ultrasound, tens and exercise therapy modalities. To find out the benefits of giving ultrasound, tens and exercise therapy to rotator cuff syndrome on pain, spasm, limitation of motion, muscle strength and functional activity.


Shoulder, Rotator cuff, Exercise therapy

Full Text:



Jayakumar P, Overbeek CL, Lamb S. What factors are associated with disability after upper extremity injuries? A systematic review. Clin Orthop Relat Res. 2018;476(11):2190.

Chiu YH, Chang KV, Chen IJ, Wu WT, Özçakar L. Utility of sonoelastography for the evaluation of rotator cuff tendon and pertinent disorders: a systematic review and meta-analysis. Eur Radiol. 2020;30(12):6663-72.

Ager AL, Roy JS, Gamache F, Hébert LJ. The effectiveness of an upper extremity neuromuscular training program on the shoulder function of military members with a rotator cuff tendinopathy: a pilot randomized controlled trial. Mil Med. 2019;184(5-6):e385-93.

Mahure SA, Rokito AS, Kwon YW. Transcutaneous electrical nerve stimulation for postoperative pain relief after arthroscopic rotator cuff repair: a prospective double-blinded randomized trial. J shoulder Elb Surg. 2017;26(9):1508-13.

Lanza E, Banfi G, Serafini G. Ultrasound-guided percutaneous irrigation in rotator cuff calcific tendinopathy: what is the evidence? A systematic review with proposals for future reporting. Eur Radiol. 2015;25(7):2176-83.

Vrouva S, Batistaki C, Koutsioumpa E, Kostopoulos D, Stamoulis E, Kostopanagiotou G. The Greek version of Shoulder Pain and Disability Index (SPADI): translation, cultural adaptation, and validation in patients with rotator cuff tear. J Orthop Traumatol. 2016;17(4):315-26.

Page MJ, Green S, Mrocki MA. Electrotherapy modalities for rotator cuff disease. Cochrane Database Syst Rev. 2016;(6).

Eyigor C, Eyigor S, Korkmaz K. Are intra-articular corticosteroid injections better than conventional TENS in treatment of rotator cuff tendinitis in the short run? A randomized study. Eur J Phys Rehabil Med. 2010;46(3):315-24.

Lin ML, Luo YJ, Hsu YM. Randomized controlled trial comparing of analgesic effectiveness of TPRF and TENs in clinical and endocrinological changes for chronic shoulder pain. In: 2015 International Symposium on Bioelectronics and Bioinformatics (ISBB). IEEE. 2015:23-26.

Szlosek PA, Taggart J, Cavallario JM, Hoch JM. Effectiveness of diathermy in comparison with ultrasound or corticosteroids in patients with tendinopathy: a critically appraised topic. J Sport Rehabil. 2014;23(4):370-5.

Fukuda H. Partial-thickness rotator cuff tears: a modern view on Codman’s classic. J Shoulder Elb Surg. 2000;9(2):163-8.

Mantone JK, Burkhead Jr WZ, Noonan Jr J. Nonoperative treatment of rotator cuff tears. Orthop Clin North Am. 2000;31(2):295-311.

De Roo PJ, Muermans S, Maroy M, Linden P, Van den Daelen L. Passive mobilization after arthroscopic rotator cuff repair is not detrimental in the early postoperative period. Acta Orthop Belg. 2015;81(3):485-92.

Kaltenborn FM. Manual Mobilization of the Joints Volume 1 The Extremities. 7th Editio. Norli. 2011.