National Board of Chiropractic Examiners (NBCE) Practice Test

Which of these home exercises is most appropriate for a patient with an acute impingement syndrome?

1. Shoulder abduction

2. Shoulder flexion

3. Passive range of motion exercises

4. Shoulder extension

The correct answer is: Passive range of motion exercises

Passive range of motion exercises are particularly beneficial for a patient with acute impingement syndrome. This condition often causes pain and limited motion in the shoulder due to irritation or compression of the rotator cuff tendons beneath the acromion. By using passive range of motion exercises, the patient can help maintain joint mobility without overstraining the affected muscles and tendons, which is crucial in the acute phase of the syndrome. These exercises allow the therapist or another individual to assist the patient in moving the shoulder through its range without the patient having to exert effort, thereby minimizing pain and further injury. In cases of acute impingement syndrome, other options like shoulder abduction, shoulder flexion, and shoulder extension could exacerbate the condition by putting additional strain on the shoulder structures. Engaging in these more active movements might irritate the inflamed areas, leading to increased pain and potential complications. Therefore, focusing on passive range of motion is the safest and most effective initial approach to rehabilitation in this scenario.