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SPRING study: a study to design and evaluate the clinical and cost effectiveness of the SPRING prehabilitation and early rehabilitation interventions for people undergoing shoulder replacement surgery compared to NHS usual care

Shoulder Replacement Prehabilitation and Rehabilitating Early (SPRING) project

Status
Recruiting
Phases
Unknown
Study type
Interventional
Source
ISRCTN
Registry ID
ISRCTN55050281
Enrollment
390
Registered
2025-08-20
Start date
2025-07-01
Completion date
Unknown
Last updated
2025-09-29

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Self management after shoulder replacement Musculoskeletal Diseases

Interventions

Phase 1: Separate small co-design group meetings (healthcare professionals and people with shoulder replacement) At least 2 weeks before the co-design meetings, after written consent has been receive

Sponsors

Cardiff University
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: People with shoulder replacement: 1. Have experienced a total shoulder replacement either anatomical or reverse because of osteoarthritis, rotator cuff arthropathy or inflammatory arthritis 2. >=18 years of age 3. English speaker or have access to someone who can act as a translator. Healthcare professionals: 1. Work in NHS shoulder replacement surgery or rehabilitation services as allied healthcare professionals, nurses, surgeons, consultants, support workers or have personal experience of shoulder replacement e.g., family members/friends

Exclusion criteria

Exclusion criteria: People with shoulder replacement: 1. Have experienced a revision joint replacement or total shoulder replacement because of malignancy, avascular necrosis, fracture or dislocation, where the surgical procedure precludes early rehabilitation

Design outcomes

Primary

MeasureTime frame
Pain and disability is measured using the Total Shoulder Pain and Disability Index (SPADI) at baseline, 3-month follow-up post randomisation 1, 6-week follow-up post randomisation 2, 12-month follow-up post randomisation 2.

Secondary

MeasureTime frame
1. Global Impression of change is measured using the Patient Global Impression of Change Scale (PGI-C) at baseline, 3-month follow-up post randomisation 1, 6-week follow-up post randomisation 2, 6-month follow-up post randomisation 2, and 12-month follow-up post randomisation 2. 2. Pain is measured using the SPADI pain subscale at baseline, 3-month follow-up post randomisation 1, 6-week follow-up post randomisation 2, and 12-month follow-up post randomisation 2. 3. Disability is measured using the SPADI disability subscale at baseline, 3-month follow-up post randomisation 1, 6-week follow-up post randomisation 2, and 12-month follow-up post randomisation 2. 4. Pain self-efficacy is measured using the Pain Self-Efficacy Questionnaire (PSEQ) at baseline, 3-month follow-up post randomisation 1, 6-week follow-up post randomisation 2, and 12-month follow-up post randomisation 2. 5. Sleep is measured using the Patient Reported Outcome Measurement Information System (PROMIS) Sleep Disturbance Short Form at baseline, 3-month follow-up post randomisation 1, 6-week follow-up post randomisation 2, and 12-month follow-up post randomisation 2. 6. Beliefs and priorities are measured using an in-house designed beliefs and priorities measure at baseline. 7. Length of stay is measured by calculating length of hospital stay at 6-week follow-up post randomisation 2. 8. Surgical complications are measured using an in-house designed measure at 6-week, 6-month, and 12-month follow-up post randomisation 2. 9. Surgical (in-hospital) outcomes are measured using an in-house designed measure at the time of surgery. 10. Serious adverse events (related and unrelated) and trial-specific adverse events are measured throughout the trial. 11. Quality of life is measured using the EQ-5D-5L health utility and EQ-5D-5L VAS at baseline, 3-month follow-up post randomisation 1, 6-week, 6-month, and 12-month follow-up post randomisation 2. 12. Healthcare resource use and costs are me

Countries

United Kingdom, Wales

Contacts

Public ContactGwenllian Moody
moodyg@cardiff.ac.uk+44 2920687257

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 4, 2026