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 local microwave diathermy on shoulder pain and function in patients with rotator cuff tendinopathy in comparison to subacromial corticosteroid injections: a single-blind randomized trial.
STUDY DESIGN Single-blind r and omized clinical trial , with a follow-up of 24 weeks . OBJECTIVE To determine the effects of hyperthermia via localized microwave diathermy on pain and disability in comparison to subacromial corticosteroid injections in patients with rotator cuff tendinopathy . BACKGROUND Hyperthermia improves symptoms and function in several painful musculoskeletal disorders . However , the effects of microwave diathermy in rotator cuff tendinopathy have not yet been established . METHODS Ninety-two patients with rotator cuff tendinopathy and pain lasting for at least 3 months were recruited from the outpatient clinic of the Department of Orthopaedics and Traumatology , University Hospital , Rome , Italy . Participants were r and omly allocated to either local microwave diathermy or subacromial corticosteroids . The primary outcome measure was the short form of the Disabilities of the Arm , Shoulder and H and Question naire ( QuickDASH ) . Secondary outcome measures were the Constant-Murley shoulder outcome score and a visual analog scale for pain assessment . RESULTS At the end of treatment and at follow-up , both treatment groups experienced improvements in all outcome measures relative to baseline values . Changes over time in QuickDASH , Constant-Murley , and visual analog scale scores were not different between treatment arms . CONCLUSION In patients with rotator cuff tendinopathy , the effects of localized microwave diathermy on disability , shoulder function , and pain are equivalent to those elicited by subacromial corticosteroid injections
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 .