Abstract
A 45-year-old patient with suspected superior labral anterior to posterior lesion of the right glenohumeral joint was seen for physical therapy treatment for five sessions at an outpatient clinic by a student physical therapist under the supervision of a licensed physical therapist.
The patient was evaluated at the initial encounter with goniometry, manual muscle testing, numeric pain rating scale, active compression test, passive distraction test, and the Shoulder Pain and Disabilities Index. A plan of care was established to address right shoulder pain, decreased glenohumeral range of motion (ROM), decreased strength, limitations with activities of daily living, and restrictions with participation in hobbies. The main goals for the patient were to decrease pain, and to improve ROM, strength, and overall function with daily tasks. The main interventions used were patient education, manual therapy, strengthening, and mobility exercises. Upon discharge, the patient achieved goals related to pain, range of motion, and shoulder strength, and was able to return to yoga with mild restrictions. The patient was discharged home with an exercise program that addressed residual strength and range of motion deficits.