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Conservative treatment of partial and complete tears of the rotator cuff

The lesion of rotator cuff is the most frequent lesion of the shoulder. Circa 180 patients were conservatively treated in both Clinics during the years of 1976 and 1997. This group of patients received a wide range of treatments (only medication, home exercises, infiltration, physiotherapy, etc). This study evaluated the results of the conservative treatment in 26 patients with partial and total rupture of the rotator cuff. The protocol consisted of a program with duration of 6 months including specific miofascial therapy, assisted active exercises and of strengthening of the muscles of the rotator cuff and axioscapular musculature. The inclusion criteria of the study were: 1) to carry the program with just one reabilitator; 2) no previous infiltration; 3) no previous surgery; 4) absence of diagnosed rheumatopathy. Six months after the end of treatment, eighteen patients (69,22%) presented with satisfactory results, while the other 8 cases (30,78%) were considered not satisfactory and were referred to surgery.


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