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 .
Radial extracorporeal shock-wave therapy in patients with chronic rotator cuff tendinitis: a prospective randomised double-blind placebo-controlled multicentre trial.
The aim of this study was to determine the effect of radial extracorporeal shock-wave therapy ( rESWT ) on patients with chronic tendinitis of the rotator cuff . This was a r and omised controlled trial in which 82 patients ( mean age 47 years ( 24 to 67 ) ) with chronic tendinitis diagnosed clinical ly were r and omly allocated to a treatment group who received low-dose rESWT ( three sessions at an interval 10 to 14 days , 2000 pulses , 0.11 mJ/mm(2 ) , 8 Hz ) or to a placebo group , with a follow-up of six months . The patients and the treating orthopaedic surgeon , who were both blinded to the treatment , evaluated the results . A total of 44 patients were allocated to the rESWT group and 38 patients to the placebo group . A visual analogue scale ( VAS ) score for pain , a Constant-Murley ( CMS ) score and a simple shoulder test ( SST ) score significantly improved in both groups at three and six months compared with baseline ( all p ≤ 0.012 ) . The mean VAS was similar in both groups at three ( p = 0.43 ) and six months ( p = 0.262 ) . Also , the mean CMS and SST scores were similar in both groups at six months ( p = 0.815 and p = 0.834 , respectively ) . It would thus seem that low-dose rESWT does not reduce pain or improve function in patients chronic rotator cuff tendinitis compared with placebo 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 .