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 Dose-Response Effect of Medical Exercise Therapy on Impairment in Patients with Unilateral Longstanding Subacromial Pain
Objectives : The primary aim of this study was to investigate the effect of medical exercise therapy in shoulder impingement patients , along with possible correlations between impairment variables . Study Design : A prospect i ve unblended r and omized clinical trial . Methods : Over four months , 61 participants were r and omly assigned into a high- grade d exercise therapy group ( HD ) ( n=31 ) and into a low- grade d exercise therapy group ( LD ) ( n=30 ) . Prognostic variables were similar between the groups at baseline . Five ( 8 % ) patients dropped out during the treatment period , and another four ( 6 % ) dropped out before followup . Pain was a composite score of a visual analogue scale ( VAS ) . Isometric strength was measured during four resisted break tests on the shoulder . Function was measured by means of a functional assessment question naire ( Shoulder Rating Question naire , SRQ ) . Both groups trained three times per week for twelve weeks , with tests pre- and posttraining and six months follow-up . Results : The HD group achieved significantly ( p < 0.05 ) better outcome effects than the LD group for pain , range of motion , isometric functional strength and function , but both groups increased function from pretest to posttest . Conclusions : In patients with uncomplicated subacromial pain syndrome , medical exercise therapy is an efficient treatment alternative , where high- grade doses should be emphasized . A major limitation is that the measurements were not undertaken by another person than the treating physiotherapists
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 .