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 .
Physiotherapy in patients with clinical signs of shoulder impingement syndrome: a randomized controlled trial.
OBJECTIVE To investigate the effect of individualized manual physiotherapy and exercises compared with individualized exercises alone in patients with shoulder impingement syndrome . DESIGN R and omized controlled trial . SUBJECTS Patients with shoulder impingement of more than 4 weeks ' duration . METHODS Patients in the intervention group were treated with individually adapted exercises and examination-based physiotherapy . Controls were treated with individually adapted exercises only . Both groups had 10 treatment sessions over a period of 5 weeks and subsequently continued their exercises at home for another 7 weeks . Results were analysed at 5 and 12 weeks after the start of the study . Primary outcome measures were : Shoulder Pain and Disability Index , and Patient 's Global Impression of Change . Secondary outcome measures were : mean weekly pain score ; Generic Patient-Specific Scale ; and Patients ' Satisfaction with Treatment . RESULTS A total of 46 patients were r and omized to the intervention group and 44 to the control group . Although both groups showed significant improvements , there was no difference between groups for the primary and secondary outcomes at any time . Only the results for mean pain differed at 5 weeks in favour of the intervention group . CONCLUSION Individually adapted exercises were effective in the treatment of patients with shoulder impingement syndrome .  Individualized manual physiotherapy contributed only a minor amount to the improvement in pain intensity . However , further research is necessary to confirm these results before definite recommendations can be made
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 .