Outpatient rehabilitation for a patient with subacromial impingement syndrome

A 25-year-old male patient presenting with subacromial impingement syndrome was seen for 12 physical therapy treatment sessions, over 6 weeks, 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 evaluation with goniometry, manual muscle testing, passive accessory intervertebral movements, modified scapular assistance test, and the quick disabilities of arm, shoulder, and hand questionnaire. A plan of care was established. The clinician and patient goals were to improve range of motion, strength, sitting posture, and dynamic scapular mobility in order to complete activities of daily living and return to participating in weight lifting and martial arts. Main interventions provided were manual therapy, therapeutic exercise, and proprioceptive neuromuscular facilitation to restore upper extremity function. The patient improved range of motion, strength, dynamic scapular mobility, and upper extremity function. The patient was discharged to home with a home exercise program.