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 .
Comparison of Manual Therapy Techniques with Therapeutic Exercise in the Treatment of Shoulder Impingement: A Randomized Controlled Pilot Clinical Trial
Abstract The purpose of this double-blind , r and omized controlled pilot study was to compare the effectiveness of four physical therapy interventions in the treatment of primary shoulder impingement syndrome : 1 ) supervised exercise only , 2 ) supervised exercise with glenohumeral mobilizations , 3 ) supervised exercise with a mobilization-with-movement ( MWM ) technique , or 4 ) a control group receiving only physician advice .  Thirty-three subjects diagnosed with primary shoulder impingement were r and omly assigned to one of these four groups . Main outcome measures included 24-hour pain ( VAS ) , pain with the Neer and Hawkins-Kennedy tests , shoulder active range of motion ( AROM ) , and shoulder function ( SPADI ) . Repeated- measures analyses indicated significant decreases in pain , improved function , and increases in AROM . Univariate analyses on the percentage of change from pre- to post-treatment for each dependent variable found no statistically significant differences ( P<0.05 ) between the four groups . Although not significant , the MWM and mobilization groups had a higher percentage of change from pre- to post-treatment on all three pain measures ( VAS , Neer , Hawkins-Kennedy ) . The three intervention groups had a higher percentage of change on the SPADI . The MWM group had the highest percentage of change in AROM , and the mobilization group had the lowest . This pilot study suggests that performing glenohumeral mobilizations and MWM in combination with a supervised exercise program may result in a greater decrease in pain and improved function although studies with larger sample s and discriminant sampling methods are needed
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 .