Distal arm pain Musculoskeletal Diseases Pain in limb
Conditions
Interventions
Advice to remain active:
Participants randomised to receive advice to remain active will receive a leaflet focusing on shifting beliefs about activity, and including practical advice.
Sponsors
University of Aberdeen (UK)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Entry on to out-patient physiotherapy waiting list for treatment for distal arm pain / disability following self-referral or referral from primary care and 2. Aged =18 years at the time of screening
Exclusion criteria
Exclusion criteria: 1. Previous physiotherapy for distal arm pain (within the past 12 months) 2. Pain for which physiotherapy of the distal arm is not the primary treatment (e.g. referred pain from the neck / shoulder) 3. Arm pain arising from fracture or systemic inflammatory disease 4. Pain arising from cancer 5. Complex Regional Pain Syndrome (CRPS) 6. Specific condition for which advice to remain active is contraindicated (e.g. evidence of florid tenosynovitis) 7. Classed as an emergency appointment 8. Embroiled in legal dispute regarding arm pain
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The proportion of patients free of disability at 26 weeks post-randomisation, as determined by the modified - Disabilities of the Arm, Shoulder and Hand (DASH) | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Determine the proportion of participants who still seek physiotherapy at 6 weeks 2. Collect information on the type of treatments given, and time to discharge 3. Arm pain and function 4. Coping 5. Fear of movement 6. Ability to function at work 7. Aspects of general health and quality of life Measured at 6, 13, and 26 weeks post-randomisation by self complete postal questionnaire using validated instruments | — |
Countries
United Kingdom
Outcome results
None listed