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 .
Adding ultrasound in the management of soft tissue disorders of the shoulder: a randomized placebo-controlled trial.
BACKGROUND AND PURPOSE There is still a lack of evidence about the beneficial effects of ultrasound ( US ) intervention for the management of soft tissue problems . Thus , this study was design ed to assess the effectiveness of US over a placebo intervention when added to other physical therapy interventions and exercise in the management of shoulder disorders . SUBJECTS AND METHODS Forty patients who were diagnosed by ultrasonography or magnetic resonance imaging to have a periarticular soft tissue disorder of the shoulder were r and omly assigned to either a group that received true US ( n=20 ; mean time since onset of pain=8.7 months , SD=8.8 , range=1 - 36 ) or a group that received sham US ( n=20 ; mean time since onset of pain=8.1 months , SD=10.8 , range=1 - 42 ) . Besides true or sham US ( 10 minutes ) , superficial heat ( 10 minutes ) , electrical stimulation ( 15 minutes ) , and an exercise program ( 15 - 30 minutes ) were administered to both groups 5 days each week for 3 weeks . RESULTS Subjects showed within-group improvements in pain , range of motion , Shoulder Disability Question naire scores , and Health Assessment Question naire scores with the intervention , but the differences did not reach significance when compared between the groups . DISCUSSION AND CONCLUSION The results suggest that true US , compared with sham US , brings no further benefit when applied in addition to other physical therapy interventions in the management of soft tissue disorders of the shoulder
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 .