Rotator Cuff Impingement, Rotator Cuff Syndrome, Rotator Cuff Tear or Rupture, Not Specified as Traumatic, Rotator Cuff Tears, Rotator Cuff Tendinosis
Conditions
Keywords
Rotator Cuff Related Shoulder Pain, Chronic Pain
Brief summary
The aim of this study is to collect a sum of different characteristics that have been mentioned previously in people presenting with RCRSP and by clustering them to create a phenotype system which may assist the individualisation of their management
Detailed description
This study will be conducted at a hospital environment by recruiting people that will seek help for their shoulder pain by a specialist upper- limb Orthopaedic Surgeon at the Department of Hand & Upper Limb Microsurgery of the 'KAT General Hospital' in Athens, Greece. Participants that will be diagnosed with RCRSP by the orthopaedic surgeon and fulfil the eligibility criteria will undergo a series of one-off measurements. Written consent will have to be obtained before a sum of self-reported outcome measures and objective testing will take place. The main categories for which outcome measures will be used are: pain, function, psychosocial and lifestyle factors.
Interventions
DEVICEQuantitative Sensory Testing / Dynamometry / Goniometry
Testing procedures that follow previously used protocols of the literature for all the Quantitative Sensory Testing, Dynamometry & Goniometry
Sponsors
University of Thessaly
Study design
Observational model
COHORT
Time perspective
CROSS_SECTIONAL
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Age: 18-65 * Pain: \>3 months, non-traumatic, unilateral or bilateral of anterolateral location * ROM: \>50% all planes, AROM painful in forward flexion and/or abduction * Provocation testing: Hawkins-Kennedy, Neer, Painful Arc, Resisted ER, Empty Can (3 or more out of the 5 +ve)
Exclusion criteria
* Pain \< 3months * History of neck or shoulder trauma * Radicular signs, shoulder pain reproduced with neck movements * GH OA * Frozen Shoulder * Tears \>C3 according to Snyder Classification * Fibromyalgia * Neurological, systemic local or autoimmune inflammatory conditions * Clinical depression * No injected corticosteroids or physiotherapy the last 3/12
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain Drawings (PD) | Once - Baseline | Capture painful body locations for participants with the spectrum of pathologies |
| Central Sensitisation Inventory (CSI) | Once - Baseline | Identify participants suspicious of central sensitisation symptoms Score: 0-100 Score\>40 indicates central sensitisation |
| Numeric Pain Rating Scale (NPRS) | Once - Baseline | Obtain a measurement of pain Score: 0-10 Higher scores indicate more pain |
| Western Ontario Rotator Cuff Index (WORC) | Once - Baseline | Assess the self-reported functional ability of participants Score: 0-100 % Higher scores indicate higher functional status |
| The Self-Report Leeds Assessment of Neuropathic Symptoms & Signs (SLANSS) | Once - Baseline | Identify possible participants with neuropathic type of pain Score: 0-24 Score \>12 indicates neuropathic pain |
| Nociplastic Pain Flow Chart by IASP | Once - Baseline | Identification of Predominant Pain Mechanism, especially participants with possible nociplastic pain |
| Quantitative Sensory Testing (QST) | Once - Baseline | Assessment of Pressure Pain Threshold, Conditioned Pain Modulation & Temporal Summation |
| Range of Motion (ROM) | Once - Baseline | Assess Range of motion of the movements of interest |
| Dynamometry | Once - Baseline | Assess strength and explore pain provocation in participants |
| Posterior Shoulder Endurance Test (PSET) | Once - Baseline | Assess the endurance of the Rotator Cuff myotendinous unit |
| Hospital Anxiety & Depression Scale (HADS) | Once - Baseline | Obtain a score of Anxiety & Depression among participants Score: 0-42 (Two scales between 0 & 21 each - one for anxiety and 1 for depression) Higher Scores indicate higher anxiety & depression |
| Pain Catastrophising Scale (PCS) | Once - Baseline | Explore how the pain experience is perceived by the individual Scale: 0-52 Higher scores indicate higher levels of catastrophising |
| Tampa Scale of Kinesiophobia (TSK) | Once - Baseline | Explore fear of movement and avoidance of participants Score: 17-68 Higher scores indicate higher levels of Kinesiophobia, cut-off point: scores \>37 are indicative of kinesiophobia |
| Pain Self-Efficacy Questionnaire (PSEQ) | Once - Baseline | Assess the ability of the participant to cope with a spectrum of activities Score: 0-60 Lower scores indicate less self-efficacy |
| Allostatic Index-5 (ALI-5) | Once - Baseline | Investigate psychosocial stressors reflective of chronc adaptive states for 'wear & tear' of the human body Score: 0-5 Higher score indicating higher allostatic load |
| EuroQol-5Dimension (EQ-5D) | Once - Baseline | Investigate quality of life levels of participants Score: 5-likert with no problem, slight, moderate, severe and extreme in each of the dimensions plus the 0-100 VAS as a global rating of self-perceived health with higher scores indcating better health |
| Pittsburgh Sleep Quality Index (PSQI) | Once - Baseline | Assess sleep quality of participants Score: 0-21 Higher scores indicate worse sleep quality |
| Modified Baecke Physical Activity Questionnaire (MBPAQ) | Once - Baseline | Evaluate Physical Activity levels of participants Score: low - moderate - high Higher scores indicate higher activity levels |
Contacts
Primary ContactACHILLEAS PALIOURAS, PT, MSc
Outcome results
None listed