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 .
A self-managed single exercise programme versus usual physiotherapy treatment for rotator cuff tendinopathy: a randomised controlled trial (the SELF study)
Objectives : To evaluate the clinical effectiveness of a self-managed single exercise programme versus usual physiotherapy treatment for rotator cuff tendinopathy . Design : Multi-centre pragmatic unblinded parallel group r and omised controlled trial . Setting : UK National Health Service . Participants : Patients with a clinical diagnosis of rotator cuff tendinopathy . Interventions : The intervention was a programme of self-managed exercise prescribed by a physiotherapist in relation to the most symptomatic shoulder movement . The control group received usual physiotherapy treatment . Main outcome measures : The primary outcome measure was the Shoulder Pain & Disability Index ( SPADI ) at three months . Secondary outcomes included the SPADI at six and twelve months . Results : A total of 86 patients ( self-managed loaded exercise n=42 ; usual physiotherapy n=44 ) were r and omised . Twenty-six patients were excluded from the analysis because of lack of primary outcome data at the 3 months follow-up , leaving 60 ( n=27 ; n=33 ) patients for intention to treat analysis . For the primary outcome , the mean SPADI score at three months was 32.4 ( SD 20.2 ) for the self-managed group , and 30.7 ( SD 19.7 ) for the usual physiotherapy treatment group ; mean difference adjusted for baseline score : 3.2 ( 95 % Confidence interval -6.0 to + 12.4 P = 0.49 ) . By six and twelve months there remained no significant difference between the groups . Conclusions : This study does not provide sufficient evidence of superiority of one intervention over the other in the short- , mid- or long-term and hence a self-management programme based around a single exercise appears comparable to usual physiotherapy treatment
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 .