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 .
Short-term outcomes of extracorporeal shock wave therapy for the treatment of chronic non-calcific tendinopathy of the supraspinatus: a double-blind, randomized, placebo-controlled trial
Background There is evidence supporting the use of extracorporeal shock wave therapy ( ESWT ) in calcific tendinopathy of the rotator cuff , but the best current evidence does not support its use in non-calcifying tendinopathy . We conducted a r and omized placebo-controlled trial to investigate the efficacy and safety of low energy ESWT for non-calcifying tendinopathy of the rotator cuff . Methods 20 patients with non-calcifying supraspinatus tendinopathy ( NCST ) were r and omized to an active or a sham treatment group . Physical , blood , roentgenographic , and MRI examinations of the shoulder were conducted to verify that patients met the inclusion and exclusion criteria . These examinations were repeated six and twelve weeks after treatments . Effectiveness was determined by comparison of the mean improvement in the Constant and Murley score ( CMS ) between the treatment and the placebo groups at three months . Safety was assessed by analyzing the number and severity of adverse events . Results All the patients completed the investigation protocol . At the final follow-up , significant improvement in the total CMS score and most of the CMS subscales was observed in the ESWT group when compared to the baseline values . Significantly higher total CMS , and significantly higher scores for CMS pain and ROM were observed in the ESWT group when compared to the placebo . No serious adverse events were noted after ESWT . Conclusions Patients suffering from NCST may benefit from low energy ESWT , at least in short-term . The application protocol of ESWT is likely to play a key-role in a successful treatment . Future investigations should be undertaken on the long-term effects of this technique for the treatment of NCST.Trial registration Current Controlled Trials IS RCT
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 .