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 .
The therapeutic role of motor imagery on the functional rehabilitation of a stage II shoulder impingement syndrome
Abstract Purpose : Motor imagery ( MI ) has been used as a complementary therapeutic tool for motor recovery after central nervous system disease and peripheral injuries . However , it has never been used as a preventive tool . We investigated the use of MI in the rehabilitation of stage II shoulder impingement syndrome . For the first time , MI is used before surgery . Method : Sixteen participants were r and omly assigned to either a MI or control group .  Shoulder functional assessment ( Constant score ) , range of motion and pain were measured before and after intervention . Results : Higher Constant score was observed in the MI than in the control group ( p = 0.04 ) . Participants in the MI group further displayed greater movement amplitude ( extension ( p < 0.001 ) ; flexion ( p = 0.025 ) ; lateral rotation ( p < 0.001 ) . Finally , the MI group showed greater pain decrease ( p = 0.01 ) . Conclusion : MI intervention seems to alleviate pain and enhance mobility , this is probably due to changes in muscle control and consequently in joint amplitude . MI might contribute to postpone or even protect from passing to stage III that may require surgery . Implication s for Rehabilitation Adding motor imagery training to classical physical therapy in a stage II impingement syndrome : Helps in alleviating pain Enhances shoulder mobility  Motor imagery is a valuable technique that can be used as a preventive tool before the stage III of the impingement syndrome
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 .