Shoulder Pain
Conditions
Keywords
Neuromodulation, Percutaneous Nerve Stimulation, Exercise
Brief summary
Based on the available literature, application of percutaneous electrical nerve stimulation interventions targeting peripheral nerves (also called percutaneous neuromodulation) has shown positive effects for improving pain-related and functional outcomes in musculoskeletal chronic pain. Studies investigating the use of this intervention for the shoulder are lacking.
Detailed description
Based on the available literature, application of percutaneous electrical nerve stimulation interventions targeting peripheral nerves (also called percutaneous neuromodulation) has shown positive effects for improving pain-related and functional outcomes in musculoskeletal chronic pain. Studies investigating the use of this intervention for the shoulder are lacking.
Interventions
Application of a electrical current percutaneously (at the motor response intensity) targeting the suprascapular and axillar nerves
Application of sham electrical current (no intensity) percutaneously targeting the suprascapular and axillar nerves
OTHERExercise
Application of three weeks of progressive exercises targeting the shoulder musculature
Sponsors
César Fernández-de-las-Peñas
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
* Unilateral non-traumatic shoulder pain (positive painful arc during shoulder abduction and a positive Hawkins test on clinical examination) * Shoulder pain from at least 3 months * Shoulder pain of more than 3/10 points on a NPRS
Exclusion criteria
* Bilateral shoulder symptoms * Younger than 18 or older than 65 years * History of shoulder traumatisms, fractures or dislocation * Diagnosis of cervical radiculopathy or myelopathy * Previous interventions with steroid injections in the shoulder area * Comorbid medical conditions, e.g., fibromyalgia syndrome * Previous history of shoulder or neck surgery * Any type of intervention for the neck-shoulder area during the previous year * Fear to needles
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Changes in disability between baseline and follow-up periods | Baseline, one week after the last intervention and 1 and 3 months after the intervention | The Disabilities of the Arm, Shoulder and Hand (DASH) will be used to determine the disability induced by shoulder pain |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Changes in shoulder pain between baseline and follow-up periods | Baseline, one week after the last intervention and 1 and 3 months after the intervention | A 10-point Numerical Pain Rating Scale (NPRS; 0: no pain, 10: maximum pain) will be used to assess the patients' mean level of shoulder pain experienced in the preceding week in the shoulder area. |
| Changes in sleep quality between baseline and follow-up periods | Baseline, one week after the last intervention and 1 and 3 months after the intervention | The Pittsburgh Sleep Quality Index (PSQI) will be used to evaluate the quality of sleep |
| Changes in anxiety/depressive symptoms between baseline and follow-up periods | Baseline, one week after the last intervention and 1 and 3 months after the intervention | The Hospital Anxiety and Depression Scale (HADS, A: Anxiety; D: Depression) will be used to evaluate the presence of anxiety/depressive symptoms |
Countries
Spain
Outcome results
None listed