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 beneficial effects of adding low level laser to ultrasound and exercise in Iranian women with shoulder tendonitis: a randomized clinical trial.
OBJECTIVES A r and omized , double-blind , clinical trial study was conducted with the aim of determining the efficacy of adding laser ( 830 nm ) to ultrasound ( US ) and exercise for the management of shoulder tendonitis . METHODS 42 subjects ( n=21 , in adding laser group and n=21 , in US and exercise group ) received a course of 10 sessions treatment over one month in the shoulder region . Outcome measures such as Visual Analogue Scale ( VAS ) , Tenderness Severity Scale ( TSS ) , Constant Murley Score ( CMS ) and Manual Muscle Testing ( MMT ) were performed before treatment and at the end of 4 weeks treatment . In addition , follow up were performed 2 months after the end of treatment based on the degree of pain improvement . RESULTS VAS , TSS and CMS improved significantly ( P=0.001 ) in both groups , however the muscle strengths only improved significantly in adding laser group ( P < 0.01 ) . CONCLUSION It seems that both protocol s of physical therapy interventions were effective in relieving the signs and symptoms of shoulder tendonitis . Furthermore , adding low level laser therapy ( LLLT ) to the US and exercise was more efficient in improving the muscle strength in patients with shoulder tendonitis over a period of three months . However , it should be emphasized that , the current results might be due to the effects of laser and exercise instead of laser , us and exercise ( as we had no independent group for US )
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 .