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 .
The effect of balneotherapy on chronic shoulder pain. A randomized, controlled, single-blind follow-up trial. A pilot study
The effects of balneotherapy on chronic shoulder pain were studied . In this single-blind , r and omized , follow-up study involving 46 patients with chronic shoulder pain , one group of patients received physiotherapy — exercise and transcutaneous electrical nerve stimulation— and the other group received balneotherapy in addition to physiotherapy for 4 weeks on 15 occasions . The following parameters were recorded before treatment ( at week 0 ) and after treatment ( at weeks 4 , 7 , and 13 ) : Shoulder Pain and Disability Index ( SPADI ) , the Short Form ( 36 ) Health Survey ( SF-36 ) and EuroQuol-5D ( EQ-5D ) quality of life question naires , pain at rest and on movement on the visual analog scale ( VAS ) , and active and passive range of motion . The SPADI pain , function , and total scores and the VAS scores at rest and on movement significantly improved in both groups after treatments . A greater improvement was observed in the balneotherapy group compared to the control group ; regarding some parameters ( VAS score on movement and SPADI function score at visit 2 ; VAS score at rest at visits 3 and 4 ) , the difference between the groups was significant . The improvement of SF-36 and EQ-5D quality of life scores and the active range of motion was more pronounced in the balneotherapy group , the difference between the groups was not significant , except for EQ-5D at visit 2 . Improvement of passive range of motion was not significant . Balneotherapy may have a beneficial effect on the clinical parameters and quality of life of patients with chronic shoulder pain . The number of patients should be increased
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 .