The following ICD-10 codes may be referred to in the study if they are related to shoulder: M15, M19, M24, M25, M70, M77, M79, M93, M94, M99 M75
Conditions
Interventions
Group 1: Monocenter prospective non-intervention pilot study comparing patients with and without extensive work-related problems (EWRP). Persons with EWRP have long or frequent spells of sick leave an
Sponsors
Deutsche Rentenversicherung Braunschweig-Hannover
Eligibility
Sex/Gender
Male
Age
20 Years to 64 Years
Inclusion criteria
Inclusion criteria: •impaired function of one or both shoulders with and without structural lesions as identified with imaging techniques •documented imaging exams (x-ray, MRI, USG or CT-scan) •eligibility for inpatient rehabilitation due to expected benefit from the program •complete documentation for all study parameters
Exclusion criteria
Exclusion criteria: •shoulder endoprosthesis •motor radicular lesion of cervical spine •peripheral nerve lesion and impaired upper limb perfusion •severe visual impairment •cardiovascular fitness insufficient for maximum power and strength tests •lung diseases with a risk of spontaneous pneumothorax •acute infectious or inflammatory diseases •psychiatric comorbidity •spondylolisthesis grade II and above of the Meyerding system •manifest osteoporosis •large hernias of abdominal wall or colostomy •patient’s desire for leaving the study •permanent pension •language barriers •employment in a sheltered workshop or similar workplaces for people with disabilities •exclusion from a general labour market due to an atypical severe incapacity •post-acute rehab department (inpatient and day clinic) after an acute inpatient treatment •incompetent to consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Work-related motor functioning capacity (Isernhagen and Sapphire tools): (1) Modified test by means of the evaluation of functioning capacity (FCE) tool “Isernhagen Work Systems FCE": maximal lifting low and overhead according to FCE criteria (maximum amount of kg lifted), at the beginning (t1) and end of (t2) inpatient rehabilitation (2) Sapphire test according to the standardised protocol extended with an overhead module (excluded a 6-min. walk test or preceding warming up), at the beginning (t1) and end of (t2) inpatient rehabilitation: (2a) Performance tests according to MTM-criteria (in percent): handling and finger dexterity right- and left-hand side (2b) Performance tests according to MTM-criteria (in percent): forward reach right- and left-hand side and mean value (2c) Maximum static lift strength (in kilogram) according to the manufacturer’s test program specification, right- and left-hand side and mean value | — |
Secondary
| Measure | Time frame |
|---|---|
| Changes in perceived exertion (Borg scale), upper limb pain and function (DASH) and pain intensity (VAS) Work-related therapy motivation (FBMT-R), exercise intensity for voluntary training programs (self-reported and as reported by medical staff) Submaximal functional performance (pain behaviour as recorded by therapists in relation to functional capacity evaluation tests (FCE), assessment of inconsistency (objective parameter in FCE- and Sapphire-tests) and patient’s efforts to perform physically demanding tests as recorded by therapists in FCE and Sapphire tests) | — |
Countries
Germany
Contacts
Public ContactYulia Namakonova
Deutsche Rentenversicherung Braunschweig-Hannover, Rehazentrum Bad Pyrmont, Klinik Friedrichshöhe
Outcome results
None listed