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 Blind & Ultrasound Guided Corticosteroid Injection in Impingement Syndrome
Local steroid injections are common for treatment of impingement syndrome .  Corticosteroid injections methods are basically in two formats , blind or with image guidance . The aim of this study is to compare the effect of ultrasound-guided in comparison with blind corticosteroid injections in patients with impingement syndrome . This study is a r and omized clinical trial study undertaken in patients with diagnosis of impingement syndrome done in Isfahan University of Medical Science clinics from February 2014 to February 2015 . The number of all patients registered in the study is 48 ; and then 40 patients were allocated to either  control group r and omly which received blind steroid injection or case group that underwent ultrasound-guided steroid injection . The clinical symptoms were assessed using Shoulder Pain and Disability Index ( SPADI ) question naire , Visual Analogue Scale ( VAS ) and shoulder range of motion ( ROM ) using goniometer at baseline and six weeks after the injection . Data analysis revealed a significant difference in the mean of the VAS , SPADI and shoulder ROM in both groups 6 weeks after intervention ( P < 0.05 ) . Patients with ultrasound guided corticosteroid injection had statistically significant improvements in function and shoulder ROM ( abduction , flexion ) compared to blind injection group after 6 weeks ( P<0.05 ) . There was not significant differences in pain ( VAS ) and internal and external rotation between these two groups ( p>0.05 ) . Our findings suggest that US image guided can improve the shoulder function of patients with impingement syndrome , and thus can be considered in comprehensive care programs of these patients for fast speed of rehabilitation
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 .