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Outpatient physical therapy for subacromial impingement syndrome
A patient with right subacromial impingement syndrome was seen for physical therapy treatment for eight sessions for an eight-week period at an outpatient physical therapy clinic. Treatment was provided by a student physical therapist under the supervision of a licensed physical therapist. The patient was evaluated at the initial encounter with goniometry, inclinometry, manual muscle testing, numeric pain rating scale, special tests for the shoulder, passive shoulder joint play assessment, palpation, observation, and the QuickDash, after which a plan of care was established. Main goals for the patient were to improve cervical and shoulder range of motion, upper extremity strength, functional activities, and to decrease pain. Main interventions used were therapeutic exercise including stretching and strengthening, and manual therapy.The patient improved cervical and shoulder range of motion, upper extremity strength, and in functional activities, and decreased pain. The patient was discharged with a home exercise program.