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.