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 microwave diathermy on pain, functional capacity, muscle strength, quality of life, and depression in patients with subacromial impingement syndrome: a randomized placebo-controlled clinical study
The aim of this clinical trial was to evaluate the effectiveness of therapeutic MD on pain , functional capacity , muscle strength , quality of life , and depression in patients with subacromial impingement syndrome ( SIS ) . A total of 40 inpatient subjects with definite SIS were included in this study . These patients were sequentially r and omized into 2 groups . Group 1 ( n = 20 ) received therapeutic MD . Group 2 ( n = 20 ) was served as control group and received sham MD . Superficial heat and exercise program were given to both groups . Both of the programs were performed 5 times weekly for 3 weeks . Patients were assessed before treatment ( BT ) , after treatment ( AT ) , and at a 1-month follow-up ( F ) . Outcome measures included visual analogue scale , goniometry , Shoulder Pain and Disability Index , Shoulder Disability Question naire , shoulder isokinetic muscle testing , h and grip strength , Short Form 36 , and Beck Depression Index . The patients with SIS in each group had significant improvements in pain , shoulder ROM , disability , shoulder muscles and grip strength , quality of life , and depression AT and F when compared with their initial status ( P < 0.05 ) . There was no statistically significant difference between the groups according to all the parameters regarding the change scores between AT – BT test and F – BT test ( P > 0.05 ) . A 2,450-MHz MD regimen showed no beneficial effects in patients with SIS , so the superficial heat and exercise program , as it is efficient , may be preferable for the treatment of SIS , alone
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 .