Eccentric strength training for the rotator cuff tendinopathies with subacromial impingement. Current evidence

Background: Rotator cuff tears are the leading cause of pain and functional disability of the shoulder. Conservative treatment is an essential part of their management. Despite the limited evidence, rehabilitation is the mainstay of the treatment for rotator cuff tears associated to impingement syndrome. There are current reports on the utility of strengthening with resistance, particularly by eccentric exercise. This report aims to present an overview of the efficacy of eccentric exercises in tendinopathies and current evidence of its benefit in rotator cuff tears. Four studies published on eccentric strengthening for rotator cuff tears were analysed. There is theoretical evidence about its usefulness in this pathology, but only a controlled clinical trial has been published with data on improvement in strength but not in pain or functionality. Conclusions: More studies are needed with better methodological designs in order to generate evidence of their utility and recommendation. All Rights Reserved (C) 2015 Academia Mexicana de Cirugia A.C.