Chronische pijn Repetitive Strain Injury (RSI) Work Related Upper Extremity Pain (WRUEP)
Conditions
Interventions
Subjects will be offered two treatments: stop-rule management (SRM,
experimental treatment) and regular rehabilitation (REV, controll treatment)
Sponsors
Universiteit Maastricht
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: 1) Non-specific pain or other symptoms in neck, shoulder, elbow, arm, wrist, hand (or combination) 2) The onset or ongoing of pain is related to work, household or other unpaid activities (for example study or education) 3) Patients experience: . complaints (pain, local tiredness, cramping, tingling or dull feeling) during activities, but decreasing when ending the activity. · complaints (pain, tendon-/muscle irritation, aggravated feeling, insomnia and reduced strength) after work, that decrease during evenings or weekends. · ongoing complaints (pain, swelling, pressure pain, loss of functional abilities, changes in skin colour, temperature, dull or tingling feeling) 4) Patients have complaints for at least 6 weeks. 5) Patients are aged between 18-65 years old and have an adequate ability to fill in Dutch questionnaires.
Exclusion criteria
Exclusion criteria: 1) Specific complaints (biceps tendinitis, bursitis around the elbow, carpal tunnel syndrome, cervical hernia, cubital tunnel syndrome, m. Dupuytren*s syndrome, epicondylitis lateralis cubiti, epicondylitis medialis cubiti, frozen shoulder, Guyon*s canal syndrome, instability of the shoulder or elbow, labrum glenoidale ruptures, local arthritis (no RA) in an upper extremity joint, Oarsman*s wrist, radial tunnel syndrome, Raynaud*s phenomena, rotator cuff ruptures, subacromial impingement syndrome (rotator cuff syndrome, tendonitis and bursitis around the shoulder), Complex Regional Pain Syndrome-I, suprascapulair compression, triggerfinger, Quervain*s syndrome) 2) Complaints caused by acute trauma. 3) Involvement in a law suit regarding work-disability. 4) Psychopathology, assessed with the Symptom Checklist (SCL-90). Scores on IN-SEN-HOS-PSNEUR should not be *high* or *very high* compared with the norms of the group outpatient psychiatric clients.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Functional disability (UEFS, DASH) Quality of life (SF-36) Participation and autonomy (IPA) | — |
Secondary
| Measure | Time frame |
|---|---|
| o Demographic variables (sex, age, education, onset of pain, smoking habits, previous treatments, co-morbidity) o Stop-rules (HASQ) o Pain related fear (TSK, PHODA-UE) o Pain catastrophizing (PCS) o Mood (PANAS) o Responsibility (RQ) o Physical activity in daily life (Actiwatch, PARQ) o Pain intensity (MPQ-SF) o Tenacious goal pursuing (TGPS) | — |
Countries
Netherlands
Outcome results
None listed