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 .
Does Passive Mobilization of Shoulder Region Joints Provide Additional Benefit Over Advice and Exercise Alone for People Who Have Shoulder Pain and Minimal Movement Restriction? A Randomized Controlled Trial
Background Passive mobilization of shoulder region joints , often in conjunction with other treatment modalities , is used for the treatment of people with shoulder pain and minimal movement restriction . However , there is only limited evidence supporting the efficacy of this treatment modality . Objective The purpose of this study was to determine whether passive mobilization of shoulder region joints adds treatment benefit over exercise and advice alone for people with shoulder pain and minimal movement restriction . Design This was a r and omized controlled clinical trial with short- , medium- and longer-term follow-up . Setting The study was conducted in a metropolitan teaching hospital . Patients Ninety-eight patients with shoulder pain of local mechanical origin and minimal shoulder movement restriction were r and omly allocated to either a control group ( n=51 ) or an experimental group ( n=47 ) . Intervention Participants in both groups received advice and exercises design ed to restore neuromuscular control at the shoulder . In addition , participants in the experimental group received passive mobilization specifically applied to shoulder region joints . Measurements Outcome measurements of shoulder pain and functional impairment , self-rated change in symptoms , and painful shoulder range of motion were obtained at 1 , 3 , and 6 months after entry into the trial . All data were analyzed using the intention-to-treat principle by repeated- measures analyses of covariance . Results No statistically significant differences were detected in any of the outcome measurements between the control and experimental groups at short- , medium- , or longer-term follow-up . Limitations Therapists and participants were not blinded to the treatment allocation . Conclusion This r and omized controlled clinical trial does not provide evidence that the addition of passive mobilization , applied to shoulder region joints , to exercise and advice is more effective than exercise and advice alone in the treatment of people with shoulder pain and minimal movement restriction
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 .