Table 4 Load strategies for specific and non-specific shoulder pain
From: Towards an integrated clinical framework for patient with shoulder pain
| Load strategies | |||
|---|---|---|---|
| Specific shoulder pain | Non-specific shoulder pain | ||
|
Responsive (NP or CS) |
Non responsive NP |
Non responsive CS | |
|
Aim: Increase movement/strength and flexibility. What to do: symptoms-contingent strategies; stretch, proprioceptive and active exercises progressively changing the position of execution and increasing number of repetition and the resistance according with patient’s pain. |
Aim: reduce pain, fear, increase movement/strength. What to do: symptoms-contingent strategies; commute positive procedures in exercises plus load the dysfunctional pattern of patient’s movement increasing and modulating number of repetition and resistance according with patient’s pain. |
Aim: reduce pain, increase movement/strength. What to do: symptoms-contingent strategies; stretch and active exercises progressively changing the position of execution and increasing number of repetition and the resistance according with patient’s pain. |
Aim: reduce pain, fear, increase movement/strength. What to do: time-contingent strategies; graded exposure/activity starting from the identification of painful tolerated exercise in terms of number of repetitions and pain granted during the execution. |