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 ECCENTRIC AND CONCENTRIC EXERCISE INTERVENTIONS IN ADULTS WITH SUBACROMIAL IMPINGEMENT SYNDROME.
BACKGROUND Research ers have demonstrated moderate evidence for the use of exercise in the treatment of subacromial impingement syndrome ( SAIS ) . Recent evidence also supports eccentric exercise for patients with lower extremity and wrist tendinopathies . However , only a few investigators have examined the effects of eccentric exercise on patients with rotator cuff tendinopathy . PURPOSE To compare the effectiveness of an eccentric progressive resistance exercise ( PRE ) intervention to a concentric PRE intervention in adults with SAIS . STUDY DESIGN R and omized Clinical Trial . METHODS Thirty-four participants with SAIS were r and omized into concentric ( n = 16 , mean age : 48.6 ± 14.6 years ) and eccentric ( n = 18 , mean age : 50.1 ± 16.9 years ) exercise groups . Supervised rotator cuff and scapular PRE 's were performed twice a week for eight weeks . A daily home program of shoulder stretching and active range of motion ( AROM ) exercises was performed by both groups . The outcome measures of the Disabilities of the Arm , Shoulder , and H and ( DASH ) score , pain-free arm scapular plane elevation AROM , pain-free shoulder abduction and external rotation ( ER ) strength were assessed at baseline , week five , and week eight of the study . RESULTS Four separate 2x3 ANOVAs with repeated measures showed no significant difference in any outcome measure between the two groups over time . However , all participants made significant improvements in all outcome measures from baseline to week five ( p < 0.0125 ) . Significant improvements also were found from week five to week eight ( p < 0.0125 ) for all outcome measures except scapular plane elevation AROM . CONCLUSION Both eccentric and concentric PRE programs result ed in improved function , AROM , and strength in patients with SAIS . However , no difference was found between the two exercise modes , suggesting that therapists may use exercises that utilize either exercise mode in their treatment of SAIS . LEVEL OF EVIDENCE Therapy , level 1b
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 .