BIOPSYCHOSOCIAL REHABILITATION APPROACHES IN ROTATOR CUFF TEARS: IMPLICATIONS FOR PHYSIOTHERAPY PRACTICE AND LEARNING

Abstract

Rotator cuff tears are among the most prevalent shoulder pathologies affecting both active and sedentary populations, leading to pain, weakness, reduced functional capacity, and compromised quality of life. While traditionally considered a structural musculoskeletal disorder, growing evidence demonstrates that outcomes after rotator cuff injury are influenced not only by tissue pathology but also by psychological, behavioral, and social factors. Fear of movement, reduced activity participation, altered occupational roles, and decreased adherence to rehabilitation programs can significantly affect recovery trajectories. This chapter explores the physical, psychological, and social consequences of rotator cuff tears and highlights the importance of biopsychosocial assessment and management. It examines determinants of rehabilitation success, discusses evidence-based physiotherapy strategies, and emphasizes patient-centred care models. Understanding the multidimensional nature of rotator cuff injuries enables clinicians to design comprehensive rehabilitation programs that optimize functional recovery, enhance participation, and improve long-term wellbeing.