Shoulder Pain
Conditions
Keywords
exercise, manual therapy, shoulder pain, pain neuroscience education
Brief summary
Objectives: The purpose of this study was to assess the efficacy of a pain neuroscience education programme applied to patients with shoulder pain.
Detailed description
A randomised controlled trial was performed. Fifty-five patients satisfied eligibility criteria, agreed to participate, and were randomized into an experimental group (n = 27) or control group (n =28). A manual therapy and exercises program was administered for both groups. In addition, a pain neuroscience education protocol was administered for the experimental group for a whole period of 4 weeks (1 session/week, 75mins per session).
Interventions
A manual therapy(Mulligan´s Mobilization with Movement) and 4 sessions of strenght exercises program was administered for both groups. In addition, a pain neuroscience education protocol was administered for the experimental group for a whole period of 4 weeks (1 session/week, 75mins per session).
5 sessions of Mulligan´s Mobilization with Movement and 4 sessions of strenght exercises
Sponsors
Study design
Eligibility
Inclusion criteria
* Being 18-70 years of age. * History of shoulder pain of more than 3 months duration. * Presence of a painful arc * Medical diagnosis of shoulder pain with at least 2 positive impingement tests including Neer, Hawkins, or Jobe test
Exclusion criteria
* Diagnosis of fibromyalgia. * Pregnancy. * A history of traumatic onset of shoulder pain. * Other histories of shoulder injury. * Torn tendons. * Ligamentous laxity based on a positive Sulcus and apprehension tests. * Numbness or tingling in the upper extremity. * Previous shoulder or cervical spine surgery. * Systemic illness. * Corticosteroid injection on the shoulder within 1 year of the study. * Physical therapy 6 months before the study.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Disability | Baseline and five weeks. | Improving functionality using the Shoulder Pain and Disability Index (SPADI) |
| Pain | Baseline and 5 weeks. | Reduction in pain intensity using the Shoulder Pain and Disability Index (SPADI) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| kinesiophobia | Baseline and 5 weeks. | Tampa Scale of Kinesiophobia (TSK11) |
Other
| Measure | Time frame | Description |
|---|---|---|
| catastrophizing | Baseline and 5 weeks. | Pain catastrophizing scale (PCS) |
Countries
Spain