1. Lenker, Celia BS
  2. Larocca, Neil BS
  3. Lee, Judy BS
  4. Tucker, Pamela DPT, MS


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.