For a client with Rotator Cuff Impingement, which position of the shoulder should be avoided?

For a client with Rotator Cuff Impingement, avoiding overhead positions that cause pain is crucial. Overhead movements can exacerbate the impingement by creating compression in the subacromial space, where the rotator cuff tendons pass. This can lead to increased pain and reduced mobility, making it difficult for the client to perform exercises effectively.

In contrast, while flexed positions, extended positions, and medial rotation can pose challenges, they do not inherently carry the same risk of pain exacerbation that overhead positions do. Flexed and extended positions might still be feasible as long as they fall within a pain-free range of motion, and medial rotation can often be adjusted or avoided as needed based on the individual client’s comfort level. Therefore, prioritizing the avoidance of overhead positions is vital for managing symptoms and promoting recovery in clients with Rotator Cuff Impingement.