Shoulder Pain
Conditions
Keywords
Shoulder pain, Physiotherapy, Rehabilitation, Exercise
Brief summary
Degenerative shoulder disorders are frequent in the Danish population and often cause disability and sick leave. After hospital discharge patients are often referred to physiotherapy rehabilitation as part of the treatment, and it is often assumed that one-on-one sessions will yield better results than group-based sessions, because individual needs can be better meet and targeted The project aims to evaluate the effect and cost-effectiveness of group- based exercise rehabilitation as compared to individual exercise rehabilitation in patients with degenerative shoulder disorders. .
Detailed description
The study is a three-armed controlled randomized trial in which a total of 180 patients referred to the municipal rehabilitation after hospital treatment due to shoulder disorders in 6 municipalities in Region Midtjylland expected to participate. Patients will be allocated to either 1) Group-based rehabilitation 2) Individual rehabilitation or 3) Home exercise.
Interventions
BEHAVIORALGroup-based exercise rehabilitation
Group- based physiotherapy-led exercise rehabilitation
BEHAVIORALIndividual exercise rehabilitation
Individual physiotherapy-led exercise rehabilitation
BEHAVIORALHome exercise
Supervised home exercise
Sponsors
University of Aarhus
Central Denmark Region
Regional Hospital West Jutland
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Investigator)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* 18 years and above, ability to speak and understand Danish and referred to physiotherapy rehabilitation after hospital conservative or surgical treatment under diagnose of rotator cuff/shoulder impingement or acromioclavicular osteoarthritis (International Classification of Diseases 10th revision \[ICD-10\] group M75.1-M75.8, M19.8).
Exclusion criteria
* Influence of co-morbidity, psychiatric illness, pregnancy, fullthickness rotator cuff tear, rotator cuff repair surgery, traumatic lesion, rheumatoid arthritis, frozen shoulder, glenohumeral osteoarthritis.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Disability wil be assessed by The Disabilities of the Arm, Shoulder and Hand questionnaire - shortened version (Quick DASH) | 6 monhts | Sum score 0-100 |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Cost-effectiveness across study arms measured by the EuroQol (EQ-5D) questionnaire | 6 months | Quality of life scale EQ-5D-5L will be used to calculate quality adjusted life years (QALYs) used in the health economic evaluation |
| Time off work (weeks) assessed by the Danish Register of Sickness absence compensation benefits and Social transfer payments | 6 months | Register |
| Pain intensity | 6 months | Numeric scale (0-10) |
| Patients impression of change of overall shoulder condition | 6 months | Single item question |
| Patient Acceptable Symptom State (PASS) | 6 months | Single item question. The highest level of symptom at which patients find their condition acceptable |
| Re-presentations after discharge from rehabilitation will be obtained by Danish National Rehabilitation | 6 months | Register number of contacts |
| Fear avoidance Beliefs and risk of chronicity the Orebro Musculoskeletal Pain Screening Questionnaire | 6 months | Sumscore 0-20 |
| Confidence will be assessed by one item from the Danish Cancer Society PREM (Barometer) Questionnaire | 3 months | Single item question. |
| Safety will be assessed by one item from the Danish Cancer Society PREM (Barometer) Questionnaire | 3 months | Single item question. |
| Satisfaction will be assessed by one item from the Danish Cancer Society PREM (Barometer) Questionnaire | 3 months | Single item question. |
| Well-being wil be assessed by the WHO-5 Well-being Index questionnaire | 6 months | Sum score of 5 items 0-100 |
Countries
Denmark
Outcome results
None listed