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 .
Ultrasound-Guided Percutaneous Electrolysis and Eccentric Exercises for Subacromial Pain Syndrome: A Randomized Clinical Trial
Objective . To compare effects of ultrasound- ( US- ) guided percutaneous electrolysis combined with an eccentric exercise program of the rotator cuff muscles in subacromial pain syndrome . Methods . Thirty-six patients were r and omized and assigned into US-guided percutaneous electrolysis ( n = 17 ) group or exercise ( n = 19 ) group . Patients were asked to perform an eccentric exercise program of the rotator cuff muscles twice every day for 4 weeks . Participants assigned to US-guided percutaneous electrolysis group also received the application of galvanic current through acupuncture needle on each session once a week ( total 4 sessions ) . Shoulder pain ( NPRS ) and disability ( DASH ) were assessed at baseline , after 2 sessions , and 1 week after the last session . Results . The ANOVA revealed significant Group∗Time interactions for shoulder pain and disability ( all , P < 0.01 ) : individuals receiving US-guided percutaneous electrolysis combined with the eccentric exercises experienced greater improvement than those receiving eccentric exercise alone . Conclusions . US-guided percutaneous electrolysis combined with eccentric exercises result ed in small better outcomes at short term compared to when only eccentric exercises were applied in subacromial pain syndrome . The effect was statistically and clinical ly significant for shoulder pain but below minimal clinical difference for function . Future studies should investigate the long-term effects and potential placebo effect of this intervention
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 .