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 .
Therapeutic effect of pulsed electromagnetic field in conservative treatment of subacromial impingement syndrome
Subacromial impingement syndrome ( SIS ) is a frequent cause of shoulder pain . Our purpose in this double-blinded , r and omized , and controlled study was to demonstrate whether the pulsed electromagnetic field ( PEMF ) provides additional benefit when used with other conservative treatment modalities in acute phase rehabilitation program of SIS . Forty-six patients with unilateral shoulder pain who had been diagnosed as having SIS were included in this trial . The cases were r and omly separated into two groups . All cases received a treatment program for 3 weeks consisting of Codman ’s pendulum exercises and subsequent cold pack gel application on shoulders with pain 5 times a day , restriction of daily activities that require the h and s to be used over the head , and meloxicam tablet 15 mg daily . One group was given PEMF ; the other group was given sham PEMF daily , 25 min per session , 5 days per week for 3 weeks . Shoulder pain during rest and activity and which causes disturbance of sleep was evaluated using a visual analogue scale , and total Constant score investigated shoulder function . Daily living activities were evaluated by shoulder disability question naire . Results were assessed before and after treatment . When compared with the baseline values , significant improvements in all these variables were observed at the end of the treatment in both groups ( p < 0.05 ) . No significant difference between treatments was observed for any of these variables ( p > 0.05 ) . There is no convincing evidence that electromagnetic therapy is of additional benefit in acute phase rehabilitation program of SIS
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 .