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 .
Are ultrasound, laser and exercise superior to each other in the treatment of subacromial impingement syndrome? A randomized clinical trial.
BACKGROUND Subacromial impingement syndrome ( SIS ) is the most common reason for shoulder pain .  Ultrasound and laser are the physical therapy modalities , in conservative treatment of SIS . AIM The aim of this study was to define and compare the efficacy of ultrasound , laser and exercise in the treatment of SIS . DESIGN This was a r and omized controlled trial with-pre and post-treatment evaluations SETTING Out- patients referred to physical medicine and rehabilitation unit . POPULATION This study was performed on 52 patients with SIS . The patients were r and omly allocated into three groups METHODS The patients were treated five days a week for three weeks with hotpack+ultrasound+exercise ( the first group ) ; hotpack+laser+exercise ( the second group ) , or hotpack+exercise ( the third group ) . The pre and post treatment ranges of motion were measured in the patients . The visual analogue scale ( VAS ) was used to evaluate the severity of pain . Constant scoring was used to evaluate the shoulder functions and the results were compared after the treatment . RESULTS When the post-treatment results of the groups were compared with the pretreatment results , there was a statistically significant improvement in each of the three groups , in the pain , the range of motion and the functional improvement at the shoulder ( P<0.05 ) . However , the inter-group comparison did not reveal any statistically significant difference in the parameters indicating improvement ( P>0.05 ) . CONCLUSION The results of this study demonstrated that ultrasound and laser treatments were not superior to each other in the treatment of SIS . CLINICAL REHABILITATION IMPACT . Exercise treatment forms the base for the conservative treatment
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 .