CLINICAL EVOLUTION OF A PATIENT WITH ROTATOR CUFF TENDINITIS

Abstract

Abstract

Introduction: Rotator cuff tendinitis is a common injury among people aged 40 to 60, causing pain, inflammation, limited movement, and impairment in activities of daily living. It is one of the most frequently treated pathologies by healthcare professionals, representing approximately 40 to 50% of shoulder pain cases. Physiotherapy plays a fundamental role in the treatment of rotator cuff tendinitis, using therapeutic resources such as ultrasound, infrared, strengthening exercises, joint mobilizations, and stretching. Objective: The main objective of this study is to evaluate the patient's clinical evolution, understanding the relevance and effectiveness of each method, as well as the patient's functional response to their limitations. Methodology: Data collection occurred through anamnesis and physical examination to confirm the functional diagnosis. Imaging exams (ultrasound) presented by the patient were also analyzed. The therapeutic plan was developed based on the initial clinical evaluation and included physiotherapy sessions twice a week for nine weeks. The protocol included electrotherapy resources (TENS and infrared), specific stretches, joint mobilizations, and muscle strengthening exercises primarily focused on the rotator cuff and scapular stabilizing muscles. During treatment, the patient's progress was monitored through monthly reassessments, taking into account pain (Visual Analogue Scale – VAS) and range of motion (goniometry). Results and Discussion: In the initial assessment, the patient presented with intense pain in the right shoulder, with a score of 9.5 on the Visual Analogue Scale (VAS). After nine weeks of physiotherapy treatment, a significant reduction in pain was observed, with a score of 3.5 on the VAS, an increase in range of motion (abduction from 20° to 75°; external rotation from 0° to 45°; flexion from 10° to 80°; extension from 23° to 52°), and functional improvement reported by the patient herself, demonstrating improved functional capacity. Conclusion: This case study demonstrated that physiotherapy plays a fundamental role in the conservative treatment of rotator cuff tendinitis. Through the application of specific techniques, such as electrotherapy, stretching, and muscle strengthening exercises, it was possible to promote a significant improvement in pain, range of motion, and functionality of the patient. Therefore, it is concluded that physiotherapy intervention is a safe and effective alternative in the management of rotator cuff tendinitis, contributing to improved quality of life and prevention of unnecessary surgical interventions.

Keywords: Rotator Cuff, Physiotherapy, Tendinitis, Evolution.