{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T09:56:57Z","timestamp":1792749417988,"version":"4.5.0"},"reference-count":178,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2018,9,20]],"date-time":"2018-09-20T00:00:00Z","timestamp":1537401600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Shoulder &amp; Elbow"],"published-print":{"date-parts":[[2019,8]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate approaches used to screen the cervical spine in patients with subacromial shoulder pain.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Systematic review of randomized controlled trials.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Electronic searches of PEDro and MEDLINE to December 2016 were conducted. Randomized controlled trials evaluating the effectiveness of interventions within the current scope of physiotherapy comprising of adult patients complaining of subacromial shoulder pain were included. Data relating to the method of cervical spine screening were extracted and synthesized categorically.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>One hundred and two studies were included. Twenty-six (25.5%) were categorized as \u201cNo method of screening undertaken or reported,\u201d 49 (48.0%) were categorized as \u201cLocalized cervical spine symptoms and\/or radiculopathy\/radicular pain,\u201d nine (8.8%) were categorized as \u201cCervical examination,\u201d two (2.0%) were categorized as \u201cManual testing,\u201d two (2.0%) were categorized as \u201cHistory of cervical surgery,\u201d and 14 (13.7%) were categorized as using \u201cCombined approaches.\u201d<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Examination of the cervical spine in patients with subacromial shoulder pain is variable in randomized controlled trials. In many instances, no or minimal attempts to screen were undertaken or reported. This has potential research and management implications and further research is indicated to facilitate development of this aspect of examination.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1758573218798023","type":"journal-article","created":{"date-parts":[[2018,9,21]],"date-time":"2018-09-21T01:31:00Z","timestamp":1537493460000},"page":"305-315","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":25,"title":["Screening of the cervical spine in subacromial shoulder pain: A systematic review"],"prefix":"10.1177","volume":"11","author":[{"given":"Tom","family":"Walker","sequence":"first","affiliation":[{"name":"Connect Health, Musculoskeletal Service, Dewsbury Health Centre, Dewsbury, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emma","family":"Salt","sequence":"additional","affiliation":[{"name":"Burton Hospitals NHS Foundation Trust, Queen\u2019s Hospital, Burton-on-Trent, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Greg","family":"Lynch","sequence":"additional","affiliation":[{"name":"Inform Physiotherapy Limited, Silverstream, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chris","family":"Littlewood","sequence":"additional","affiliation":[{"name":"Arthritis Research UK Primary Care Centre, Research Institute for Primary Care and Health Sciences, Keele Clinical Trials Unit, David Weatherall Building, Keele University, Keele, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2018,9,20]]},"reference":[{"key":"bibr1-1758573218798023","doi-asserted-by":"publisher","DOI":"10.1080\/03009740310004667"},{"key":"bibr2-1758573218798023","doi-asserted-by":"publisher","DOI":"10.1111\/sae.12028"},{"key":"bibr3-1758573218798023","doi-asserted-by":"publisher","DOI":"10.1136\/oem.60.11.850"},{"key":"bibr4-1758573218798023","first-page":"519","volume":"46","author":"Van Der Windt DAWM","year":"1996","journal-title":"Br J Gen Pract"},{"key":"bibr5-1758573218798023","doi-asserted-by":"publisher","DOI":"10.1016\/j.math.2016.05.048"},{"key":"bibr6-1758573218798023","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2011.05.019"},{"key":"bibr7-1758573218798023","first-page":"1","volume":"6736","author":"Beard DJ","year":"2017","journal-title":"Lancet"},{"key":"bibr8-1758573218798023","doi-asserted-by":"publisher","DOI":"10.1016\/j.math.2013.07.005"},{"key":"bibr9-1758573218798023","doi-asserted-by":"publisher","DOI":"10.1197\/j.jht.2004.02.004"},{"key":"bibr10-1758573218798023","doi-asserted-by":"publisher","DOI":"10.1136\/bjsm.2008.052183"},{"key":"bibr11-1758573218798023","doi-asserted-by":"publisher","DOI":"10.1016\/j.physio.2009.12.002"},{"key":"bibr12-1758573218798023","doi-asserted-by":"publisher","DOI":"10.1016\/j.math.2008.05.006"},{"key":"bibr13-1758573218798023","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2007.07.010"},{"key":"bibr14-1758573218798023","doi-asserted-by":"publisher","DOI":"10.1016\/S1047-9651(02)00007-4"},{"key":"bibr15-1758573218798023","doi-asserted-by":"crossref","unstructured":"Polston DW. 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