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 .
The addition of cervical unilateral posterior-anterior mobilisation in the treatment of patients with shoulder impingement syndrome: a randomised clinical trial.
Shoulder impingement syndrome ( SIS ) is a complex , multi-factorial problem that is treated with a variety of different conservative options . One conservative option that has shown effectiveness is manual therapy to the thoracic spine . Another option , manual therapy to the cervical spine , has been studied only once with good results , evaluating short-term outcomes , in a small sample size . The purpose of this study was to investigate the benefit of neck manual therapy for patients with SIS . The study was a r and omised , single blinded , clinical trial where both groups received pragmatic , evidence -based treatment to the shoulder and one group received neck manual therapy .  Subjects with neck pain were excluded from the study .  Comparative pain , disability , rate of recovery and patient acceptable symptom state ( PASS ) measures were analyzed on the 68 subjects seen over an average of 56.1 days ( st and ard deviation (SD)=55.4 ) . Eighty-six percent of the sample reported an acceptable change on the PASS at discharge . There were no between-groups differences in those who did or did not receive neck manual therapy ; however , both groups demonstrated significant within-groups improvements . On average both groups improved 59.7 % ( SD=25.1 ) for pain and 53.5 % ( SD=40.2 ) for the Quick Disabilities of the Shoulder and H and Question naire ( QuickDASH ) from baseline . This study found no value when neck manual therapy was added to the treatment of SIS . Reasons may include the lack of therapeutic dosage provided for the manual therapy approach or the lack of benefit to treating the neck in subjects with SIS who do not have concomitant neck problems
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 .