Day 10

Subjective: Mrs. X states that there are times when her shoulder bothers her. Her shoulder overall feels

tight but has been doing well with her home program. She has no concerns at this point. She is able to

reach her arm behind her back and reach a lamp behind her couch to turn it on and off.

Objective: Right shoulder flexion strength– normal, right shoulder abduction strength – normal, right

shoulder external rotation – normal, right shoulder internal rotation strength – good, right shoulder

AROM – mild discomfort at end of range.

Completed exercises to aid in ROM and increased strength.

Assessment: Demonstrated near full AROM in both shoulders with mild discomfort at the end of the

range in the right shoulder. Added additional strengthening exercises including dumbbells. Mrs. X is

progressing through the shoulder rehabilitation process. Recommend follow up in 2 weeks and plan to

discharge in 2-3 more visits.

Plan: Add weights to home program. Discuss follow up in 2-3 weeks for discharge.