Self-Management for Persistent Subacromial Pain

Summary

Physiotherapy-led exercises is the first line treatment for patients with subacromial pain. However, current evidence report that most treatment programmes only show a short-term benefit. There seem to be a potential for enhancing the effectiveness of exercise interventions by improving adherence to self-managed exercises, but there is lack of knowledge about adherence to exercise programmes in shoulder pain. Before conducting a planned randomised controlled trial on the clinical effectiveness of an intervention focusing on adherence to a self-managed exercise strategy (the Ad-Shoulder intervention), it is necessary to run a feasibility study in order to establish whether such a resource-demanding trial is worthwhile. Feasibility studies are designed to answer the key question "Can it work?" The main objectives of the present study was to assess the feasibility in terms of recruitment capability, data collection procedures and acceptability of the Ad-Shoulder intervention in patients with subacromial pain receiving treatment in primary or secondary health care.

Conditions

• Shoulder Pain Chronic

Interventions

BEHAVIORAL

Self-Managed Exercise Strategy

The intervention is a personalised supported self-management intervention which emphasises dynamic, progressively loaded exercises for the shoulder. The intervention consisted of 1-5 individual sessions provided over 3 months, with a duration of 1 hour for the first session and 45 minutes for the following. The participants will have the opportunity to contact the physiotherapist by phone, text message or e-mail for advice during the treatment period (12 weeks). The personalised supported self-management intervention will be based on the components of the self-management framework, provided by Lorig and Holman (2003). The five self-management skills and the operationalization of these will be described when publishing the study. For specific content reporting of the self managed exercises we will follow the Consensus on Exercise Reporting Template.

Sponsors & Collaborators

• Oslo University Hospital

  collaborator OTHER

• Keele University

  collaborator OTHER

• National Institute of Occupational Health

  collaborator UNKNOWN

• Diakonhjemmet Hospital

  collaborator OTHER

• Oslo Metropolitan University

  lead OTHER

Principal Investigators

• Daniel Major, MSc · Oslo Metropolitan University

• Yngve Røe, PhD · Oslo Metropolitan University

• Margreth Grotle, PhD · Oslo Metropolitan University

• Chris Littlewood, PhD · Keele University

• Dagfinn Matre, PhD · National Institute of Occupational Health, Norway

• Heidi V Gallet, MSc · Diakonhjemmet Hospital

• Hege Bentzen, PhD · Oslo Metropolitan University

Study Design

Allocation

NA

Purpose

TREATMENT

Masking

NONE

Model

SINGLE_GROUP

Eligibility

Min Age

18 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2017-11-01

Primary Completion

2018-09-12

Completion

2018-09-12

Countries

• Norway

Study Locations