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 Effectiveness of Precut Kinesiology Tape Versus an NSAID as Adjuvant Treatment to Exercise for Subacromial Impingement: A Randomized Controlled Trial
Objective : To compare the short-term effectiveness of precut kinesiology tape ( PCT ) to a nonsteroidal anti-inflammatory drug ( NSAID ) as adjuvant treatment to exercise physiotherapy in improving pain and function in patients with shoulder impingement . Design : R and omized , controlled assessor-blind parallel- design trial with 3 groups . Setting : Academic-community hospital . Patients : One hundred patients ( mean age : 48 ± 12.3 , 61 men , 39 women ) with a diagnosis of subacromial impingement ( SAI ) syndrome were r and omized to a treatment group from October 2009 to June 2012 . Eighty-one patients completed the study . Interventions : Patients were r and omized to one of the 3 treatment groups : PCT and Exercise ( n = 33 ) , NSAID and Exercise ( n = 29 ) , or Exercise only ( n = 38 ) for a 4 session 2-week intervention with a registered physiotherapist . Main Outcome Measures : Numeric pain rating scales for pain at rest and pain with arm elevation , the Simple Shoulder Test ( SST ) , and the Constant Score were assessed pretreatment and post-treatment . Results : A statistically significant reduction in pain at rest and pain with arm elevation , as well as improvement in SST and Constant Score were observed in all 3 treatment groups , with minimal clinical ly important differences shown on pain with elevation and SST scores . Between-group differences on all outcome measures were not statistically significant or clinical ly meaningful . Conclusions : The improvements in pain and function observed with an NSAID or PCT as adjuvant treatments were no greater than with rehabilitation exercise alone . If adjuvant treatment is desired , PCT seems to be better tolerated than an NSAID , although the difference did not reach significance . Clinical Relevance : The routine addition of adjuvant treatment is not supported by the results of this study . As adjuvant therapy , PCT seems to be better tolerated  than an NSAID . If desired , clinicians may consider incorporating PCT along with an exercise component in the conservative treatment of SAI syndrome
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 .