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 .
Acute effects of scapular mobilization in shoulder dysfunction: a double-blind randomized placebo-controlled trial.
OBJECTIVE The aim of this study was to evaluate the initial effects of scapular mobilization ( SM ) on shoulder range of motion ( ROM ) , scapular upward rotation , pain , and function . DESIGN Pretest-posttest for 3 groups ( SM , sham , and control ) . SETTING A double-blinded , r and omized , placebo-controlled trial was conducted to evaluate the initial effect of the SM at a sports physiotherapy clinic . PARTICIPANTS 39 subjects ( 22 women , 17 men ; mean age 54.30 + /- 14.16 y , age range 20 - 77 y ) . INTERVENTIONS A visual analog scale , ROM , scapular upward rotation , and function were assessed before and just after SM . SM ( n = 13 ) consisted of the application of superoinferior gliding , rotations , and distraction to the scapula . The sham ( n = 13 ) condition replicated the treatment condition except for the h and positioning . The control group ( n = 13 ) did not undergo any physiotherapy and rehabilitation program . MAIN OUTCOME MEASURES Pain severity was assessed with a visual analog scale . Scapular upward rotation was measured with a baseline digital inclinometer . Constant Shoulder Score ( CSS ) was used to measure shoulder function . RESULTS After SM , we found significant improvements for shoulder ROM , scapular upward rotation , and CSS between pretreatment and posttreatment compared with the sham and control groups . In the sham group , shoulder-ROM values increased or decreased for the shoulder and scapular upward rotation was not changed . Pain , ROM , and physical function of the shoulder were not significantly different in the sham group than in controls ( P > .05 ) . CONCLUSIONS SM may be a useful manual therapy technique to apply to participants with a painful limitation of the shoulder . SM increases ROM and decreases pain intensity
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 .