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 effectiveness of manual therapy in supraspinatus tendinopathy.
OBJECTIVES The aim of this r and omized controlled study was to assess the efficacy of manual therapy in the treatment of patients with symptomatic supraspinatus tendinopathy . METHODS Seventy-seven patients ( age range , 30 to 55 years ) with supraspinatus tendinopathy , were r and omly assigned to one of the three treatment groups : a supervised exercise program ( Group 1 ) , a supervised exercise program combined with joint and soft tissue mobilization ( Group 2 ) , or a home-based rehabilitation program ( Group 3 ) . All patients had rehabilitation for 12 weeks . Pain level was evaluated with a visual analogue scale ( VAS ) and the range of motion ( ROM ) was measured with a goniometer . The Modified American Shoulder and Elbow Surgery ( MASES ) score was used in functional assessment . Flexion , abduction , internal and external rotation strengths were measured with a manual muscle test . All patients were evaluated before , and at the 4th and 12th week of the rehabilitation . RESULTS All groups experienced significant decrease in pain and an increase in shoulder muscle strength and function by both the 4th and 12th weeks of treatment ( p<0.05 ) . There was no significant difference between the groups in terms of function ( p>0.05 ) . However , the greatest improvement in functionality was found in Group 2 . CONCLUSION Supervised exercise , supervised and manual therapy , and home-based exercise are all effective and promising methods in the rehabilitation of the patients with subacromial impingement syndrome . The addition of an initial manual therapy may improve the results of the rehabilitation with exercise
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 .