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 .
Self-managed loaded exercise versus usual physiotherapy treatment for rotator cuff tendinopathy: a pilot randomised controlled trial.
OBJECTIVES Rotator cuff tendinopathy is a common source of shoulder pain characterised by persistent and /or recurrent problems for a proportion of sufferers . The aim of this study was to pilot the methods proposed to conduct a substantive study to evaluate the effectiveness of a self-managed loaded exercise programme versus usual physiotherapy treatment for rotator cuff tendinopathy . DESIGN A single-centre pragmatic unblinded parallel group pilot r and omised controlled trial . SETTING One private physiotherapy clinic , northern Engl and . PARTICIPANTS Twenty-four participants with rotator cuff tendinopathy . INTERVENTIONS The intervention was a programme of self-managed loaded exercise . The control group received usual physiotherapy treatment . MAIN OUTCOMES Baseline assessment comprised the Shoulder Pain and Disability Index ( SPADI ) and the Short-Form 36 , repeated three months post r and omisation . RESULTS The recruitment target was met and the majority of participants ( 98 % ) were willing to be r and omised . 100 % retention was attained with all participants completing the SPADI at three months . Exercise adherence rates were excellent ( 90 % ) . The mean change in SPADI score was -23.7 ( 95 % CI -14.4 to -33.3 ) points for the self-managed exercise group and -19.0 ( 95 % CI -6.0 to -31.9 ) points for the usual physiotherapy treatment group . The difference in three month SPADI scores was 0.1 ( 95 % CI -16.6 to 16.9 ) points in favour of the usual physiotherapy treatment group . CONCLUSIONS In keeping with previous research which indicates the need for further evaluation of self-managed loaded exercise for rotator cuff tendinopathy , these methods and the preliminary evaluation of outcome offer a foundation and stimulus to conduct a substantive study
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 .