Effectiveness of Core Stabilization Exercises in Rotator Cuff Injuries

Investigation of the Effectiveness of Core Stabilization Exercises in Patients With Rotator Cuff Tear

The aim of this study is to investigate the effectiveness of core stabilization exercises added to conventional physical therapy in patients aged 40-60 with rotator cuff tears, compared to classic trunk and abdominal muscle strengthening exercises.

Rotator cuff tears are classified as full-thickness and partial tears. Partial tears are a clinical condition commonly seen in the early stages but can often be treated with conservative methods. Partial tears can develop as a result of repetitive microtraumas, postural abnormalities, muscle imbalances, and deficiencies in the biomechanical chain. This condition affects not only the local shoulder muscles but also the scapulothoracic rhythm and trunk control. Recent studies have shown that shoulder function is closely related not only to local muscle strength but also to the integrity of the kinetic chain. The trunk (core) muscles are particularly critical for maintaining posture, transferring force during upper extremity movements, and stabilizing the distal segments. Inadequate trunk stabilization can lead to increased loads on the shoulder joint and elevated stress on the rotator cuff. Therefore, the aim of this thesis study is to examine the effectiveness of core stabilization exercises applied to individuals diagnosed with rotator cuff partial tears on pain, shoulder function, and clinical recovery, and to contribute scientifically to conservative rehabilitation approaches.

Inclusion Criteria:

• Patients aged 40 to 60 years with a partial supraspinatus tear detected by MRI, reported by a radiologist, and confirmed by a physiatrist.
• Patients who test positive for at least two of the Jobe, Hawkins and Neer tests during the physical examination
• Patients with a visual analog scale (VAS) score between 3.5 and 7.4 millimeters (mm)

Exclusion Criteria:

• Participants do not wish to continue treatment for any reason
• Complete or massive rotator cuff tear
• Use of non-steroidal or steroidal anti-inflammatory drugs
• If they have received shoulder injections or physical therapy within the three months prior to the study
• History of acute trauma
• Presence of neurological disease
• History of surgery on the treated shoulder
• Symptomatic acromioclavicular joint arthritis
• Frozen shoulder