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 .
Randomized trial of trigger point acupuncture treatment for chronic shoulder pain: a preliminary study.
There is evidence for the efficacy of acupuncture treatment for chronic shoulder pain , but it remains unclear which acupuncture modes are most effective . We compared the effect of trigger point acupuncture ( TrP ) , with that of sham ( SH ) acupuncture treatments , on pain and shoulder function in patients with chronic shoulder pain . The participants were 18 patients ( 15 women , 3 men ; aged 42 - 65 years ) with nonradiating shoulder pain for at least 6 months and normal neurological findings . The participants were r and omized into two groups , each receiving five treatment sessions . The TrP group received treatment at trigger points for the muscle , while the other group received SH acupuncture treatment on the same muscle . Outcome measures were pain intensity ( visual analogue scale , VAS ) and shoulder function ( Constant-Murley Score : CMS ) . After treatment , pain intensity between pretreatment and 5 weeks after TrP decreased significantly ( p<0.001 ) . Shoulder function also increased significantly between pretreatment and 5 weeks after TrP ( p<0.001 ) . A comparison using the area under the outcome curves demonstrated a significant difference between groups ( p=0.024 ) . Compared with SH acupuncture therapy , TrP therapy appears more effective for chronic shoulder pain
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 .