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 .
Comparison of customized versus standard exercises in rehabilitation of shoulder disorders
Objective ( s ) : ( 1 ) To compare the effectiveness of customized exercises with that of st and ard exercises for the treatment of patients with shoulder disorders . ( 2 ) To determine whether four weeks or eight weeks would be needed to see improvement in outcome measures . Design : A single-blinded r and omized clinical trial . Setting : An outpatient physical therapy clinic affiliated with an academic institution . Subjects : Thirty patients with shoulder disorders were tested and treated between February 2003 and December 2004 . Interventions : Patients were r and omized to a customized or st and ard exercise group . Each patient first underwent a st and ardized physical therapy assessment . Based on the results of the assessment , a classification was determined and a classification-specific exercise programme was instructed to the patients in the customized exercise group . The st and ard exercise group , regardless of classification , received preselected st and ard exercises . Both groups were followed for eight weeks . Main measures : Shoulder range of motion , strength , pain intensity and function were assessed three times ( weeks 0 , 4 and 8) . Results : There were no significant differences between the customized and st and ard exercise groups in measures of shoulder range of motion , strength , pain intensity and function after four or eight weeks of exercise . Patients in both groups had significant improvements in shoulder strength , pain intensity and function . Significant improvements occurred at week 8 , but not at week 4 . Conclusion : The customized shoulder exercises did not provide additional benefit to our shoulder patients than the st and ard exercises
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 .