In many instances , no or minimal attempts to screen were undertaken or reported .
Background Subacromial shoulder pain is a common clinical presentation with much diagnostic uncertainty .
Some of this uncertainty relates to the involvement of the cervical spine as a source or contribution to subacromial shoulder pain .
Currently , there is no accepted method of screening of the cervical spine in the presence of subacromial shoulder pain , which risks patients receiving misguided and /or ineffective interventions .
Objective To evaluate approaches used to screen the cervical spine in patients with subacromial shoulder pain .
Short-term effects of thoracic spinal manipulations and message conveyed by clinicians to patients with musculoskeletal shoulder symptoms: a randomized clinical trial
Abstract Study design : R and omized clinical trial . Objectives : To evaluate the effects of high-velocity , low-amplitude thrust manipulations ( HVLATMs ) and various messages on patients with musculoskeletal shoulder symptoms . Background : Previous studies indicated that HVLATM directed at the thoracic spine and ribs result ed in improvements of shoulder range of motion , pain , and disability in patients with musculoskeletal shoulder symptoms . These studies did not explore if the outcome was dependent on thrust location , clinician communication with the patient , or if there were any lasting effects . Methods : A consecutive sample of 100 patients with shoulder pain was r and omized into four groups . Patients received one intervention session including : six thoracic HVLATM ( spine versus scapula ) , a message about HVLATM ( neutral versus positive ) , and st and ardized home exercises . Outcome measures included shoulder Numeric Pain Rating Scale ( NPRS ) , NPRS with impingement testing , and Shoulder Pain and Disability Index ( SPADI ) . Measurements were recorded prior to intervention , immediately following intervention , and at short-term follow-up . Kruskal – Wallis statistics were used for between-group comparisons and Wilcoxon signed ranks for within-group comparisons . Results : Eighty-eight patients ( 22 per group ) completed the study . Statistically significant differences were found for within-group comparisons for most time points assessed . No statistical differences were found for between-group comparisons . Conclusion : Patients improved following the interventions . Neither the type of HVLATM nor the message conveyed to the patients had a significant effect on the patients ’ improvements . Level of evidence :
In many instances , no or minimal attempts to screen were undertaken or reported .
Background Subacromial shoulder pain is a common clinical presentation with much diagnostic uncertainty .
Some of this uncertainty relates to the involvement of the cervical spine as a source or contribution to subacromial shoulder pain .
Currently , there is no accepted method of screening of the cervical spine in the presence of subacromial shoulder pain , which risks patients receiving misguided and /or ineffective interventions .
Objective To evaluate approaches used to screen the cervical spine in patients with subacromial shoulder pain .