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Outpatient rehabiliation for a patient with subacrominal impingement syndrome
A patient with right shoulder impingement syndrome was seen for physical therapy treatment for 8 sessions from 7/13/2015 to 8/5/2015 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 a full musculoskeletal examination including: manual muscle tests, range of motion, special tests, functional movements, the quick disability of the arm, shoulder and hand outcome measure, and the Patient Specific Functional scale, and a plan of care was established. The main goals for this patient were to improve strength; range of motion; postural endurance; neuromuscular control, and to improve performance of functional activities to enable the patient to return to his personal participation goals. The main interventions used during treatment were manual therapy to the shoulder and thoracic spine, therapeutic exercise, posture strengthening, patient education, and functional training. The patient improved in strength, neuromuscular control, postural endurance, shoulder range of motion and functional ability. The patient was discharged to home, independent on a home exercise program.