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ORTHOPEDIC REHABILITATION PROGRAM TREATMENT PLAN


Shoulder Impingement


“Neutral position” of the back, shoulders, and spine should be maintained during standing, sitting, and lifting activities.

Shoulder impingement syndrome occurs as the result of chronic and repetitive compression or “impingement” of the rotator-cuff tendons in the shoulder, causing pain and movement problems.

It can also be caused by an injury to the shoulder to people who perform repetitive or overhead arm movements, such as manual laborers or athletes who raise their arms repeatedly overhead (i.e. weightlifters and baseball pitchers.


Program of treatment:


TENS application

For pain relief by causing a mild electrical stimulation to the neural system that enhances production of beta endorphin and encephalin (pain killer).

Ultrasound

For pain relief by increased extensibility of tendon, allowing a micro message effect and vasodilatation of the blood vessels

Laser therapy

For pain relief through acceleration of the inflammatory phase of the healing process, stimulating B endorphin secretion which is associated with inhibiting synthesis of prostaglandin, decreasing the conduction velocity of the sensory nerve and stimulating the gate control to inhibit pain pathway

Electromagnetic field

To decrease pain and inflammation

Hot / cold application

to decrease pain

Infra-Red

To improve blood supply and decrease pain.

Myofascial Release

to decrease muscle spasm and improve body fascia

Strengthening Exercise

To improve power of weak muscles

Stretching Exercise

To improve flexibility of shorter muscles

Proprioceptive Exercise

To regain joint receptor sensitivity.

Mobilization Techniques

To improve R.O.M of shoulder joint and decrease pain.

Kinesio Tapping

To improve circulation, decrease muscle spasm and support joints.


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