%0 Journal Article %T Central neuromuscular dysfunction of the deltoid muscle in patients with chronic rotator cuff tears %A Alexander Berth %A G¨¦za Pap %A Wolfram Neuman %A Friedemann Awiszus %J Journal of Orthopaedics and Traumatology %@ 1590-9999 %D 2009 %I %R 10.1007/s10195-009-0061-7 %X The DM hyperexcitability may be related to alterations in the sensory output from the shoulder. The insufficient facilitation of the DM points toward a bilateral central activation deficit. These findings seem to be assigned to adaptive changes in the motor cortex as a consequence of chronic RCT, and the neuromuscular alteration of the DM should be considered when treating patients with RCT. %K Shoulder %K Rotator cuff tear %K Deltoideus muscle %K Transcranial magnetic stimulation %U http://link.springer.com/article/10.1007/s10195-009-0061-7