Shoulder pain Musculoskeletal Diseases Shoulder pain
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Registered at participating general practices or attending participating self-referral physiotherapy services 2. Aged 18 years or over 3. Presenting with a new episode of shoulder-related pain (defined as no shoulder-related consultation, no injection, surgery, or physiotherapy-led exercise for shoulder pain, in the last 6 months)
Exclusion criteria
Exclusion criteria: 1. Present to the GP or physiotherapist with symptoms or signs indicative of serious pathology (e.g. fractures, infection), have shoulder pain caused by stroke-related subluxation 2. Diagnosis of inflammatory arthritis, including rheumatoid arthritis, and polymyalgia rheumatica 3. Shoulder pain caused by cervical pathology 4. Considered by the GP or physiotherapist to be vulnerable (severe physical and/or mental health problems, dementia) 5. Unable to complete written questionnaires in English
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain and disability, assessed using the Shoulder Pain and Disability Questionnaire (SPADI) at baseline and 6 months | — |
Secondary
| Measure | Time frame |
|---|---|
| The following are assessed at the baseline and after 3, 6, 12, 24, 36 months: 1. Pain (worst pain in the past week), assessed using a numerical rating scale (0-10) 2. Sleep, assessed using the Jenkins Sleep Evaluation Questionnaire (JSEQ) 3. Global perceived change in shoulder pain since baseline assessed using a single question "Compared to when you completed your last questionnaire X months ago how would you say your shoulder pain is now?". The answer is selected from "Completely recovered, much improved, somewhat improved, same, somewhat worse, much worse". 4. Work absence, assessed by: 4.1. Participant report of current absence (days/weeks/months) 4.2. Analysis of medical records (where there is consent to access) 5. Work performance, assessed using: 5.1. Response to question "question "If your work has been affected, on average, to what extent has shoulder pain affected your performance at work in the past 1 month?" using numerical rating scale (0-10, where 0 is not at all to 10 is the pain is so bad I have been unable to do my job) 5.2. Number of days work performance affected by pain assessed using question "Not including absence from work, on how many days in the last month has your work been affected by your shoulder pain?" 6. Health status, assessed using the EQ-5D-5L | — |
Countries
England, United Kingdom