Shoulder Pain Chronic
Conditions
Brief summary
This project aims to study the impacts of self-thoracic spine and rib mobilization on sleep quality in patients who present to UTSW physicians with shoulder pain. The investigators plan to randomize participants into treatment and control groups, but the investigators will provide education on sleep hygiene for each group. The treatment group will also receive instruction to mobilize their thoracic spine and ribs each night before going to sleep.
Detailed description
Subjects with a chief complaint of musculoskeletal pain will be recruited from clinics in the Departments of Internal Medicine, Family Medicine, and Orthopedic Surgery. Subjects will be randomized into either the intervention or control group. The intervention group will receive education on sleep hygiene and instruction to use a foam roller to mobilize the thoracic spine and ribs just before the subject goes to sleep. The control group will receive education on sleep hygiene. Valid and reliable measures will be used to assess sleep quality (Pittsburgh Sleep Quality Index), pain (Numeric Pain Rating Scale), and function (SF-36 and ASES), as well as a sleep diary. Measures will be taken at baseline as well as two weeks after the subject's enrollment in the study.
Interventions
PROCEDURESelf-mobilization
Subjects will mobilize thoracic spine and ribs with a foam roller every night before going to bed.
PROCEDURESleep Education
Subjects will be educated on sleep hygiene in order to improve likelihood of having good sleep.
Sponsors
University of Texas Southwestern Medical Center
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 89 Years
Healthy volunteers
No
Inclusion criteria
* Shoulder pain with associated sleeping disturbance * Between the ages of 18-89 * Present to the clinics in the Departments of Internal Medicine, Family Medicine, and Orthopedic Surgery at UTSW
Exclusion criteria
* non-English speakers * chronic pain or rheumatic disorders * unstable psychopathology, cognitive impairment (including dementia) * current or recent history (within 6 months) of substance abuse disorders * recent history of surgery or fracture to the cervical spine, thoracic spine, ribs, or shoulders (within 6 months) * metabolic bone disease (including osteoporosis) * fusion or ankyloses * osteomyelitis, pregnancy, vertebral basilar insufficiency, neoplastic disease, malignancy in the area of treatment * actively treated for sleep disorders (including insomnia) * uncontrolled congestive heart failure, COPD, hypertension, or other serious medical illness
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pittsburgh Sleep Index | Baseline, 1 week, and 2 weeks | Valid and reliable 19 item assessment of sleep quality, with higher scores indicating greater sleep disturbance |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Numeric Pain Rating Scale | Baseline, 1 week, and 2 weeks | Valid and reliable 11 point rating of pain, with higher scores indicating more pain |
| SF-36 | Baseline, 1 week, and 2 weeks | Valid and reliable 36 item assessment of quality of life, with higher scores indicating lower disability |
Countries
United States
Outcome results
None listed