For a client with rotator cuff tendinopathy, which sleeping position is contraindicated?

For a client with rotator cuff tendinopathy, which sleeping position is contraindicated?

• A. Sleep with shoulder extended and adducted
• B. Use an extension handle
• C. Sleep with arm overhead
• D. Sleep with shoulder fully flexed and adducted

Answer: (C)

Holding the arm overhead places the rotator cuff tendons, especially the supraspinatus, under impingement as the space under the acromion narrows. In rotator cuff tendinopathy, this impingement during sleep can irritate the tendon and bursa, increasing pain and delaying healing. So sleeping with the arm overhead is contraindicated because it maximizes tendon compression and irritation. Positions that keep the arm by the side or in a neutral to low-abduction alignment are generally less provocative for the tendinopathy, and devices or pillows that promote a safer, extended or slightly supported position help reduce strain on the affected tendons.

Holding the arm overhead places the rotator cuff tendons, especially the supraspinatus, under impingement as the space under the acromion narrows. In rotator cuff tendinopathy, this impingement during sleep can irritate the tendon and bursa, increasing pain and delaying healing. So sleeping with the arm overhead is contraindicated because it maximizes tendon compression and irritation.

Positions that keep the arm by the side or in a neutral to low-abduction alignment are generally less provocative for the tendinopathy, and devices or pillows that promote a safer, extended or slightly supported position help reduce strain on the affected tendons.