Conservative care of the athlete with shoulder impingement includes activity modification, application of ice, nonsteroidal anti-inflammatory drugs, subacromial corticosteroid injections, and physiotherapy. This case report describes the clinical treatment and outcome of three patients with shoulder impingement syndrome who did not respond to traditional treatment. Two of the three were previou...

We examined 524 patients with whiplash injuries for delayed onset of shoulder pain in order to establish whether this was due to impingement syndrome. A total of 476 patients (91%) responded to a questionnaire of which 102 (22%) were entered into the study; 43 had both a positive impingement sign and Neer test. The incidence of impingement-type pain was 9%. After treatment 23 patients (5%) had ...

Definition One of the challenges for the diagnosis of subacromial impingement is the multiplicity of conditions with similar symptoms and variable clinical presentation. With no single aetiology, the clinical diagnosis of subacromial impingement has also suffered from a “lack of consensus on diagnostic criteria, case definition and even nomenclature”. For want of clarity, we suggest the followi...

OBJECTIVE To investigate the effect of individualized manual physiotherapy and exercises compared with individualized exercises alone in patients with shoulder impingement syndrome. DESIGN Randomized controlled trial. SUBJECTS Patients with shoulder impingement of more than 4 weeks' duration. METHODS Patients in the intervention group were treated with individually adapted exercises and e...

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OBJECTIVE To assess pain, function, quality of life, and muscle strength in patients with shoulder impingement syndrome who participated in muscle strengthening exercises. METHODS A total of 60 patients diagnosed with shoulder impingement syndrome were selected from the clinics of the Federal University of São Paulo and randomly distributed into experimental and control groups. Patients were ...

OBJECTIVE To compare the effectiveness of subacromial corticosteroid injection combined with timely exercise and manual therapy (injection plus exercise) or exercise and manual therapy alone (exercise only) in patients with subacromial impingement syndrome. DESIGN Pragmatic randomised clinical trial. SETTING Primary care based musculoskeletal service. Patients Adults aged 40 or over with su...

OBJECTIVE To determine the association between shoulder impingement and morphological characteristics of acromion and the role of sub-acromial injection of methylprednisolone in the short-term treatment for relieving pain and improve functional disability of these patients. STUDY DESIGN A descriptive study. PLACE AND DURATION OF STUDY Department of Orthopedic Surgery and Traumatology Unit-I...