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 .
Comparative effectiveness of ultrasonophoresis and iontophoresis in impingement syndrome: a double-blind, randomized, placebo controlled trial
Objective : To estimate the effectiveness of ultrasonophoresis and iontophoresis with sodium diclofenac used in addition to an exercise program for patients with impingement syndrome . Design : Multicentre , double-blind , placebo r and omized controlled trial . Setting : “ Mancha Centro ” Outpatient primary care clinic ( Spain ) . Participants : A total of 175 patients were considered , of whom 88 met criteria and agreed . Intervention : The patients were r and omly assigned to one of three groups : a ) st and ard treatment ( supervised exercises and cryotherapy ) along with placebo iontophoresis and placebo ultrasonophoresis ; b ) st and ard treatment , iontophoresis , and placebo ultrasonophoresis ; and c ) st and ard treatment , ultrasonophoresis , and placebo iontophoresis . All patients received 15 treatment sessions . Outcome measures : Baseline , 6- , and 12-week evaluations were carried out . Functionality , pain , range of motion , strength and quality of life were assessed with the Disabilities of the Arm , Shoulder and H and Question naire ( DASH ) , Constant-Murley score , and SF-36 scale . Results : Ultrasonophoresis group experienced significant decreases in pain compared to the st and ard treatment group ( 12.7 and 13.5 points in “ bodily pain ” dimension of SF-36 ; and 1,5 and 2,2 points in “ pain ” dimension of Constant Murley after 6 and 12 weeks of therapy , respectively ) . They also reported improved range of motion compared to the exercises group ( 2,1 points in Constant-Murley after 6 weeks and 12 weeks ) , better vitality and overall health ( SF-36 dimensions ) . Iontophoresis , however , led to no significant improvements when added to the st and ard treatment . Conclusion : In patients with impingement syndrome , a combination of ultrasonophoresis and an exercise program are better than a combination of iontophoresis and the same exercise program or the exercise program alone
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 .