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The Use of Thoracic Mobilization With Movement to Treat Shoulder Impingement in Older Adults: A Case Study

Lenker, Celia BS; Larocca, Neil BS; Lee, Judy BS; Tucker, Pamela DPT, MS

doi: 10.1097/TGR.0b013e31825d3834
Special Features

Shoulder impingement in the geriatric population can be disabling and costly. Currently, there are many techniques involving mobilizations for the cervicothoracic region that can be done in conjunction with modalities, exercises for the rotator cuff and scapular stabilizers, and mobilizations of the scapula and glenohumeral joint. This case of a 70-year-old woman with shoulder impingement uses a conventional program and thoracic mobilizations with movement to facilitate correct posturing, improve segmental mobility, provide mechanoreceptor input to decrease pain, and improve shoulder range of motion. After 7 sessions, the patient had improved range of motion, no pain with movement, and an improved outcome score on the Simple Shoulder Test.

Department of Physical Therapy, Hampton University, Hampton, Virginia. No funding was received for this study.

Correspondence: Celia Lenker, BS, Department of Physical Therapy, Hampton University, Phoenix Hall, Room 201 B, Hampton, VA 23668 (

No funding was received for this study.

The authors have disclosed that they have no significant relationships with, or financial interest in, any commercial companies pertaining to this article.

© 2012 Lippincott Williams & Wilkins, Inc.