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 .
Evaluation of the effectiveness of three physiotherapeutic treatments for subacromial impingement syndrome: a randomised clinical trial.
OBJECTIVE To determine whether dexketoprofen administered by phonophoresis or iontophoresis is more effective for the treatment of subacromial impingement syndrome ( SIS ) than conventional ultrasound therapy . DESIGN R and omised clinical trial . SETTING University hospital . PARTICIPANTS Ninety-nine participants with SIS without a complete tear of the rotator cuff were assigned at r and om to three intervention groups . INTERVENTION GROUPS Participants received ultrasound ( n=32 ) , phonophoresis with dexketoprofen ( 50mg/session ) ( n=33 ) or iontophoresis with dexketoprofen ( 50mg/session ) ( n=34 ) . All participants completed 20 treatment sessions plus exercise therapy and cryotherapy . OUTCOME MEASURES A visual analogue scale ( VAS ) , the Constant-Murley Scale ( CMS ) and the Disabilities of the Arm , Shoulder and H and ( DASH ) question naire were administered pre-treatment ( baseline ) , post-treatment and 1 month post-treatment . RESULTS At baseline , there were no differences between the groups . Post-treatment , VAS score improved by -1.2 points and CMS score improved by 8.9 points in the ultrasound group compared with the iontophoresis group [ 95 % confidence interval ( CI ) -0.2 to -2.2 and 95 % CI 17.0 to 0.7 , respectively ] . CMS score improved by 7.1 points in the phonophoresis group compared with the iontophoresis group ( 95 % CI 14.8 to -0.7 ) . At 1 month post-treatment , no significant differences were detected between the groups . VAS , CMS and DASH scores of all groups improved post-treatment and at 1 month post-treatment . CONCLUSION Ultrasound , iontophoresis with dexketoprofen and phonophoresis with dexketoprofen can improve pain , shoulder function , and physical functioning and symptoms in the upper limb in patients with SIS without a complete tear of the rotator cuff . CLINICAL TRIALS . GOV REGISTRATION NUMBER NCT01748188
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 .