Abstract
A 46-year-old male with a medical diagnosis of left shoulder pain was seen for physical therapy for 8 sessions over 8 weeks in an outpatient physical therapy clinic. Treatment was provided by a physical therapist student under the supervision of a licensed physical therapist. The patient was evaluated at the initial encounter with goniometry, Manual Muscle Tests, muscle length testing, Shoulder Pain and Disability Instrument, the Numeric Pain Rating Scale, and several special tests to rule in subacromial impingement syndrome. A plan of care was established to address impaired active range of motion (AROM), strength, impaired scapular kinematics, and limitations in lifting objects overhead. Main goals for the patient were to improve AROM and strength, improve sleep and return to full work duties in construction. Interventions used were high frequency and low load resistance training, task specific training, ROM training, and manual therapy. The patient achieved goals related to strength, AROM, shoulder function, and was able to return to his full work duties. The patient was discharged to continue living at home and was given a home exercise program to continue after discharge