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Impingement Tests:
- Painful Arc
- Neer
- Hawkins-Kennedy
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Impingement:
Acute Phase:
- Mild stretches
- Isometrics
- Postural Adjustments
- Thoracic Extension
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Mild stretches of which muscles is implemented in the Acute Phase of Impingement?
- pec major
- pec minor
- levator scapulae
- internal rotators
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Postural adjustments of the Acute Phase of Impingement treatment includes:
- relaxing upper traps
- scapular depresion
- work on thoracic extension
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Impingement:
Sub Acute Phase
- Stretches with cross friction massage
- Isometrics in multiple pain-free positions
- Posteriolateral glide with active shoulder elevation
- strengthen scapular stabilizers
- scapular open-chain positions
- closed-chain stabilization with hands at wall, table, or quadruped
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Impingement:
Advanced Phase
- Increase repetitive loading of patterns for 3-5 minutes
- UBE
- Increasing speed of stabilization exercises
- plyometric training in open-closed chain patterns
- specificity of training
- Patient education-prior to exercise, massage involved tendon, follow with isometric resistance, complete full ROM and muscle stretching
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