Rockwood programme | Watson programme |
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Focus: concurrent rotator cuff and deltoid strengthening and push ups for scapular stability. Majority of exercises performed at 0° of elevation. | Focus: retraining specific scapular faulty biomechanics prior to any rotator cuff/deltoid strengthening. Exercises progress into functional/sports-specific ranges. |
Aims and exercise drills | |
Phase 1: aim: strength through progressive levels of Theraband resistance Load: tan, yellow, red, green, blue Theraband Patient standing
| Stage 1: scapular phase: aim: retrain scapular control Load: 0–0.5–1 kg
Load: yellow–red Theraband Patient standing
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Phase 2: aim: strength through resistance with weights Load: 4–5–6–7–8–9–10–11 kg with weight and pulley system Load begins at 4 kg Progresses in 1 kg increments 9 kg maximum for females, 11 kg maximum for males | Stage 2: aim: building posterior GHJ muscle bulk Load: green Theraband/1–2 kg Patient standing
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Patient standing
| Stage 3: scapular phase: aim: scapular control in sagittal plane Load: 0–0.5–1–2 kg
Load: yellow–green Therabands/1–3 kg Patient standing
|
Not all exercises need to be progressed at the same time and participants may be on a different band or weight/resistance for different exercises. | Stage 4: scapular phase: aim: scapular control at 90° of elevation Load: red–green Therabands
Patient standing Load: yellow–green Therabands/2–5 kg
|
Stage 5: aim: specific deltoid strengthening Load: 1–4 kg+ Patient standing
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Stage 6: aim: sports-specific/functional control and strength Load: depends on participant's requirements Drills mimic specific sporting or functional activates Part practise to full practise | |
Dosage | |
All exercises 5 repetitions with a 5 s hold at the end range of the exercise. All exercises are performed twice a day | Typically start with a recruitment dosage for motor relearning (3×20, 2×day),56 followed by an endurance dosage (3×10–15, 2×day), then strength dosage in later stages (4×8–12, every second day).57 For most exercises, repetitions are held for 3 s. |
Theraband (Theraband Hygenic Corporation, 1245 Home Ave, Akron, Ohio 44310, USA). ER, external rotation; GHJ, glenohumeral joint; IR, internal rotation; RC, rotator cuff.