You are treating a patient with a painful shoulder as the result of supraspinatus tendonitis from chronic impingement.There is no evidence of tendon rupture or joint instability.Acute symptoms have subsided.Each of the following is appropriate to improve active elevation of the arm at this stage of rehabilitation except:
A)Reinforce the importance of maintaining an erect trunk during elevation of the arm.
B)Teach the patient to apply cross-fiber massage to the supraspinatus tendon while it is on a stretch, followed by isometric contractions of the muscle.
C)As the patient actively elevates the arm within the pain-free range, apply an anterior glide of the head of the humerus (mobilization with movement technique).
D)Strengthen key scapular stabilizers, such as the serratus anterior, middle trapezius, and lower trapezius, in closed-chain and open-chain positions.

Question

Quizplus · Accepted Answer

Applying an anterior glide of the head of the humerus during active elevation of the arm could potentially increase impingement of the supraspinatus tendon under the acromion, which is counterproductive in the rehabilitation of supraspinatus tendonitis from chronic impingement. The goal is to reduce impingement, not potentially exacerbate it.

You Are Treating a Patient with a Painful Shoulder as the Result