Shoulder impingement, also known as subacromial impingement syndrome, is a common orthopedic condition characterized by compression and irritation of the structures in the shoulder joint. It occurs when the space between the acromion (a bony projection of the shoulder blade) and the rotator cuff tendons narrows, leading to impingement of the tendons during shoulder movement. This can cause pain, weakness, and restricted range of motion in the shoulder.
Pain Reduction: Physical therapists use various interventions, such as manual therapy, therapeutic exercises, and modalities like ice or heat therapy, to alleviate pain and inflammation associated with shoulder impingement.
Restoration of Range of Motion: Physical therapy incorporates stretching and range-of-motion exercises to restore normal movement of the shoulder joint. These exercises help reduce stiffness and improve flexibility, allowing for improved functional mobility.
Strengthening of Shoulder Muscles: Weakness in the muscles surrounding the shoulder joint is often a contributing factor to impingement. Physical therapists design specific strengthening exercises targeting the rotator cuff and other supporting muscles. Strengthening these muscles enhances stability and helps alleviate impingement symptoms.
Posture Correction: Poor posture can contribute to shoulder impingement by altering the alignment of the shoulder joint. Physical therapists assess and address posture-related issues, providing education and exercises to improve posture and reduce the risk of impingement recurrence.
Functional Rehabilitation: Physical therapy focuses on restoring shoulder function to perform daily activities and sports-specific tasks. Therapists guide patients through functional exercises and movements tailored to their specific needs, gradually increasing the complexity and intensity to promote a safe return to normal activities.
Education and Self-Management: Physical therapists provide education on proper body mechanics, ergonomics, and activity modification to prevent future episodes of impingement. They also teach self-management techniques, such as home exercises and strategies for pain management, empowering individuals to take an active role in their recovery.
Length of Treatment: 60 minutes to 90 minutes
Lewis, J. (2019). Rotator Cuff-Related Shoulder Pain: Assessment, Management and Uncertainties. Manual Therapy, 34, 20-27. doi:10.1016/j.math.2018.07.007
Ludewig, P. M., & Reynolds, J. F. (2009). The Association of Scapular Kinematics and Glenohumeral Joint Pathologies. Journal of Orthopaedic & Sports Physical Therapy, 39(2), 90-104. doi:10.2519/jospt.2009.2808
Yang, I. H., & Jang, S. H. (2017). The Effects of Scapular Stabilization Exercise Training on Scapular Kinematics, Disability, and Pain in Subacromial Impingement: A Randomized Controlled Trial. Clinical Rehabilitation, 31(7), 915-924. doi:10.1177/0269215516668295
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