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 .
Comparision of Ultrasound Therapy of Various Durations in the Treatment of Subacromial Impingement Syndrome
[ Purpose ] A prospect i ve , r and omized , single-blind study was performed in order to compare the efficacy of ultrasound treatments of various duration s for patients with subacromial impingement syndrome . [ Subjects and Methods ] One hundred patients who had been diagnosed with subacromial impingement syndrome by clinical examination and magnetic resonance imaging were included in this study . Patients were r and omly divided into two groups of fifty patients per group . The first group received 15 sessions of therapeutic ultrasound ( 4 minutes ) , superficial heat and transcutaneous electrical stimulation therapy combined with exercise . The second group received the same treatment except that each of the 15 ultrasound sessions were eight minutes in length . The patients were evaluated before and after the treatment . A visual analog scale ( VAS ) was used to assess pain , the University of California at Los Angeles ( UCLA ) and Constant Scale were used to assess shoulder function and the Beck Depression Inventory ( BDI ) was used to quantify depressive symptoms . [ Results ] There were no statistically significant differences between the groups in age , time since the onset of pain , sex , education and depression levels prior to the treatment . The post-treatment evaluation of patients VAS , UCLA , Constant , and BDI scores showed statistically significant within group improvements . When the two groups were compared , we found no statistically significant differences in the Constant activities of daily living , Constant external rotation , Constant force and BDI scores . However , the second group scored better than the first group in all the remaining parameters . [ Conclusion ] Ultrasound therapy was found to have beneficial effects on pain and functional status in the treatment of subacromial impingement syndrome . Eight minutes of ultrasound treatment was shown to be more effective than 4 minutes of ultrasound treatment
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 .