---
title: Decreasing Pain and Improving Strength Using Ultrasound, Electrical Stimulation, and Exercise
description: Decreasing Pain and Improving Strength Using Ultrasound, Electrical Stimulation, and Exercise
---

[Blog - ACP](https://blog.acplus.com)

# [Decreasing Pain and Improving Strength Using Ultrasound, Electrical Stimulation, and Exercise](https://blog.acplus.com/decreasing-pain-and-improving-strength-using-ultrasound-electrical-stimulation-and-exercise)

 Written by [ACP - Accelerated Care Plus](https://blog.acplus.com/author/acp-accelerated-care-plus) | Sep 16, 2021 9:20:54 PM

Patient Information: Female, Age 80

Diagnosis: Subluxed Humerus / Pain

History:  
This woman, a long-term care resident of a skilled nursing facility, was referred for rehabilitation services to address pain, decreased strength, and impaired motion of the left shoulder after experiencing a fall which caused her left shoulder to become partially dislocated (subluxed). Prior to her fall, she was able to dress independently.

Pre-Therapy Status:  
•Left Shoulder Pain: Severe (7/10) affecting upper body dressing and engagement in social activities including meals.  
•Left Shoulder Strength: Poor (2/5).  
•Upper Body Dressing: Moderate (50%) assistance.

Therapy Information:  
•Biophysical Agent/Advanced Technology: OmniVersa® Ultrasound/Electrotherapy System.  
•Frequency: 5x per week.  
•Protocol: Patterned electrical neuromuscular stimulation (PENS) subluxation protocol and subthermal ultrasound to the left shoulder to decrease pain and improve shoulder strength.  
•Duration: Four weeks.  
•Other Therapy Services Provided: Therapeutic exercise and therapeutic activities.

Outcome:  
•Left Shoulder Pain: Absent (0/10).  
•Left Shoulder Strength: Good (4/5).  
•Upper Body Dressing: Independent.

*This woman and her family are thrilled with her accomplishments in therapy! Since her shoulder pain has resolved, she dresses independently and enjoys going out to dinner with her family.*

[View full post](https://blog.acplus.com/decreasing-pain-and-improving-strength-using-ultrasound-electrical-stimulation-and-exercise)

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