Exercise into pain in chronic rotator cuff related shoulder pain: a prospective single-group feasibility study.
musculoskeletal disorders
rehabilitation medicine
shoulder
Journal
BMJ open
ISSN: 2044-6055
Titre abrégé: BMJ Open
Pays: England
ID NLM: 101552874
Informations de publication
Date de publication:
06 10 2023
06 10 2023
Historique:
medline:
10
10
2023
pubmed:
7
10
2023
entrez:
6
10
2023
Statut:
epublish
Résumé
This study evaluated the feasibility of exercising into pain in rotator cuff related shoulder pain (RCRSP), data collection procedures, feedback from physiotherapists and patients, and clinically important changes in patient-reported outcome measures (PROMs). Unblinded non-randomised single-group study. Physiotherapy clinic in Belgium. Twelve patients with unilateral RCRSP for minimum 3 months, aged 18-65 years. Twelve weeks of four individualised exercises, with nine physiotherapist-led sessions with pain ratings 4-7 out of 10 on a verbal Numeric Pain Rating Scale for 9 weeks and then pain ratings 0-2 for 3 weeks. Every physiotherapy session included 15 min of manual therapy. Non-supervised exercises were: 2×/week in weeks with physiotherapy session, 3×/week in weeks without physiotherapy session. Primary: adherence, where patients were considered adherent with 78% (7/9 sessions) attendance for supervised sessions and 81% (22/27 sessions) completion for non-supervised exercises, and Shoulder Pain and Disability Index (SPADI); secondary: fear-avoidance behaviour, fear of pain, physical outcomes (strength, range of motion, scapular dyskinesis); others: ultrasound (US) imaging outcomes (acromionhumeral distance, supraspinatus tendon thickness, occupation ratio), global perceived effect (GPE). PROMs were collected via online survey, except for the GPE (via closed envelope). US measures were taken after physical measures. Adherence and adverse effects were analysed in patients who had the possibility to attend minimum seven supervised sessions (n=8): 88% of them adhered to supervised sessions, 50% to non-supervised exercises; none of them withdrew from the study, three of them obtained individual clinically important improvements in SPADI score above 20 points. The measurement protocol of physical and ultrasonographic outcomes took around 60 min. Adherence to supervised sessions was satisfactory, the adherence to non-supervised exercises must be improved. Data collection procedures were feasible to perform, but some changes are recommended. NCT04154345.
Identifiants
pubmed: 37802620
pii: bmjopen-2022-070698
doi: 10.1136/bmjopen-2022-070698
pmc: PMC10565173
doi:
Banques de données
ClinicalTrials.gov
['NCT04154345']
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
e070698Informations de copyright
© Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: None declared.
Références
Clin Rehabil. 2016 Jul;30(7):686-96
pubmed: 26160149
J Pain. 2014 Dec;15(12):1294-1304
pubmed: 25261342
Ann Rheum Dis. 1998 Nov;57(11):649-55
pubmed: 9924205
J Orthop Sports Phys Ther. 2017 Apr;47(4):278-286
pubmed: 28158958
Phys Ther. 2015 May;95(5):791-800
pubmed: 25504491
Br J Sports Med. 2019 Jul;53(13):825-834
pubmed: 30626599
Pilot Feasibility Stud. 2021 Jan 25;7(1):31
pubmed: 33494821
BMJ Open Sport Exerc Med. 2017 Dec 26;3(1):e000279
pubmed: 29333279
Osteoarthritis Cartilage. 2021 Mar;29(3):297-299
pubmed: 33429055
Scand J Rheumatol. 2004;33(2):73-81
pubmed: 15163107
Man Ther. 2016 Jun;23:57-68
pubmed: 27083390
Knee Surg Sports Traumatol Arthrosc. 2006 Jan;14(1):76-81
pubmed: 15877219
Arthritis Rheum. 2009 May 15;61(5):623-32
pubmed: 19405008
BMC Musculoskelet Disord. 2012 Feb 10;13:17
pubmed: 22325050
J Orthop Sports Phys Ther. 2020 Mar;50(3):131-141
pubmed: 31726927
Knee Surg Sports Traumatol Arthrosc. 2013 May;21(5):1158-67
pubmed: 22581193
Br J Sports Med. 2017 Mar;51(5):416-417
pubmed: 27806952
Man Ther. 2013 Dec;18(6):468-72
pubmed: 23932100
Br J Sports Med. 2014 Apr;48(8):692-7
pubmed: 23687006
Musculoskelet Sci Pract. 2019 Oct;43:45-51
pubmed: 31228812
BMJ. 2016 Oct 24;355:i5239
pubmed: 27777223
Stat Med. 1998 Apr 30;17(8):857-72
pubmed: 9595616
Int J Rehabil Res. 2015 Jun;38(2):95-106
pubmed: 25715230
Br J Sports Med. 2017 Dec;51(23):1679-1687
pubmed: 28596288
Open Orthop J. 2010 Jan 05;4:1-6
pubmed: 20148093
J Hand Ther. 2018 Apr - Jun;31(2):227-237
pubmed: 29329890
J Orthop Sports Phys Ther. 2009 Feb;39(2):135-48
pubmed: 19194024
BMJ. 2012 Feb 20;344:e787
pubmed: 22349588
Arch Phys Med Rehabil. 2009 Nov;90(11):1898-903
pubmed: 19887215
J Back Musculoskelet Rehabil. 2017;30(2):187-193
pubmed: 27392845
Physiotherapy. 2012 Jun;98(2):101-9
pubmed: 22507359
JMIR Mhealth Uhealth. 2020 Nov 18;8(11):e24311
pubmed: 33206059
Br J Sports Med. 2016 Dec;50(23):1428-1437
pubmed: 27707738
Phys Ther. 2021 Mar 3;101(3):
pubmed: 33481995
Br J Sports Med. 2019 Jul;53(14):907-912
pubmed: 29925503
Arthritis Care Res. 1991 Dec;4(4):143-9
pubmed: 11188601