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 .
Effectiveness of physiotherapy and costs in patients with clinical signs of shoulder impingement syndrome: One-year follow-up of a randomized controlled trial.
OBJECTIVES To investigate the effect of manual physiotherapy and exercises compared with exercises alone in patients with shoulder impingement syndrome one year after inclusion . DESIGN R and omized controlled trial . SUBJECTS Patients with shoulder impingement of more than 4 weeks . METHODS The intervention group received individualized manual physiotherapy plus individualized exercises ; the control group received individualized exercises only . Both groups had 10 treatments over 5 weeks ; afterwards all patients continued their exercises for another 7 weeks at home . Primary outcomes were the Shoulder Pain and Disability Index and Patients ' Global Impression of Change . The Generic Patient-Specific Scale was used as secondary outcome . Costs were recorded in a log-book . RESULTS Ninety patients were included in the study and 87 could be analyzed at 1-year follow-up . Both groups showed significant improvements in all outcome measures , but no difference was detected between the groups . Only costs differed significantly in favour of the control group ( p = 0.03 ) after 5 weeks . CONCLUSION Individualized exercises result ed in lower costs than manual physiotherapy and showed a significant effect on pain and functioning within the whole group after one year . Exercises should therefore be considered as a basic treatment . Due to the progressive improvement that occurred during the follow-up period with individualized exercises further treatments should be delayed for 3 to 4 months
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 .