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 .
Effects of mobilization with movement on pain and range of motion in patients with unilateral shoulder impingement syndrome: a randomized controlled trial.
OBJECTIVE The purpose of this study was to compare the immediate effects of mobilization with movement ( MWM ) to a sham technique in patients with shoulder impingement syndrome . METHODS A r and omized controlled trial was performed . Forty-two patients ( mean ± SD age , 55 ± 9 years ; 81 % female ) satisfied eligibility criteria , agreed to participate , and were r and omized into an MWM group ( n = 21 ) or sham manual contact ( n = 21 ) . The primary outcome measures including pain intensity , pain during active range of motion , and maximal active range of motion were assessed by a clinician blinded to group allocation . Outcomes were captured at baseline and after 2 weeks of MWM treatment or sham intervention . The primary analysis was the group × time interaction . RESULTS The 2 × 2 analysis of variance revealed a significant group × time interaction for pain intensity during shoulder flexion ( F = 7.054 ; P = .011 ) , pain-free shoulder flexion ( F = 32.853 ; P < .001 ) , maximum shoulder flexion ( F = 18.791 ; P < .01 ) , and shoulder external rotation ( F = 7.950 ; P < .01 ) in favor of the MWM group . No other significant differences were found . CONCLUSIONS Patients with shoulder impingement syndrome who received 4 sessions of MWM exhibited significantly better outcomes for pain during shoulder flexion , pain-free range of shoulder flexion , maximal shoulder flexion , and maximal external rotation than those patients who were in the sham group
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 .