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 .
Effects of therapeutic ultrasound and exercise on pain, function, and isokinetic shoulder rotator strength of patients with rotator cuff disease
[ Purpose ] The aim of this prospect i ve , double-blind , r and omized , placebo-controlled study was to evaluate the effects of therapeutic continuous ultrasound ( US ) on patients with rotator cuff disease . [ Subjects and Methods ] Twenty-two patients were treated with a st and ard physiotherapy program consisting of a hot-pack , transcutaneous electrical nerve stimulation ( TENS ) , exercises , and US that was supervised by the same physiotherapist . The patients were r and omly assigned to either a group that received true US ( n=11 ) or one that received sham US ( n=11 ) . [ Results ] There were significant differences between the pre- and post-intervention UCLA Shoulder Rating Scale and Constant-Murley Shoulder Outcome scores , VAS , and external rotation ( ER ) peak torque 60 ° /second values for both the true and sham US groups . However , the between-group differences were not statistically significant . [ Conclusion ] In patients with rotator cuff disease , physiotherapy interventions effectively treat the pain , improve the clinical status , and increase the muscle strength of the shoulder ER at a low constant angular velocity , with functional improvement being seen immediately after treatment . However , at the end of the intervention , the US had yielded no additional efficacy to the physiotherapy treatment regimen of the patients with rotator cuff disease
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 .