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 effects of high-intensity laser therapy, manual therapy, and Kinesio taping in patients with subacromial impingement syndrome
Subacromial impingement syndrome ( SAIS ) is a major contributing factor of shoulder pain ; and treatment approaches ( Kinesio ® taping [ KT ] , Exercise [ EX ] , manual therapy [ MT ] , and high-intensity laser therapy [ HILT ] ) have been developed to treat the pain . The key objective of this study was to compare the effects of KT , MT , and HILT on the pain , the range of motion ( ROM ) , and the functioning in patients with SAIS . Seventy patients with SAIS were r and omly divided into four groups based on the treatment(s ) each group received [ EX ( n = 15 ) , KT + EX ( n = 20 ) , MT + KT + EX ( n = 16 ) , and MT + KT + HILT + EX ( n = 19 ) ] . All the patients were assessed before and at the end of the treatment ( 15th day ) . The main outcome assessment s included the evaluation of severity of pain by visual analogue scale ( VAS ) and shoulder flexion , abduction , and external rotation ROM measurements by a universal goniometry . Shoulder pain and disability index ( SPADI ) was used to measure pain and disability associated with shoulder pathology . Statistically significant differences were found in the treatment results of all parameters in MT + KT + EX and HILT + MT + KT + EX groups ( p < 0.05 ) . When the means of ROM and SPADI results of three groups were compared , statistically significant differences were found between all the groups ( p < 0.05 ) . These differences were significant especially between the groups MT + KT + EX and KT + EX ( p < 0.05 ) and HILT + MT + KT + EX and KT + EX ( p < 0.05 ) . HILT and MT were found to be more effective in minimizing pain and disability and increasing ROM in patients with SAIS . Further studies with follow-up periods are required to determine the advantages of these treatments conclusively
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 .