THE EFFECT OF PAIN EDUCATION AND EXERCISES IN PATIENT SUFFERING WITH SHOULDER PAIN.

Not yet recruiting

Conditions: Other disorders of the musculoskeletal system and connective tissue, Shoulder pain ,

Registration Number: CTRI/2018/07/014791

Lead Sponsor: Suresh Maity

Brief Summary: Shoulder pain is avery common musculoskeletal disorder. Thelifetime prevalence of shoulder pain in India is as high as 67%.The prevalence & incidence of shoulder pain varieslargely across age & population. It has been reported that it occurs mostcommonly in middle age adults, women are prone to develop shoulder painaccording to the literature. However, some prevalence studies did not find anysignificant difference in shoulder pain among men and women.The most common source of shoulderpain is the rotator cuff, accounting for over two-thirds of cases and age,gender, diabetes & alcoholism are considered as various risk factors for shoulder pain. Common conditionsthat can result in chronic shoulder pain include rotator cuff disorders,adhesive capsulitis, shoulder instability, shoulder arthritis.According to a study, prevalence of rotator cuff impingement is 31%,also in 15.7% patients no specific diagnosis could be made. The factors thatstart an episode of shoulder pain are not necessarily the same as those thatcontribute to persistent and chronic pain.

Pain is a complex experience thatincludes multiple dimensions but a recent definition of pain by Moseley (2003)defines pain as â€œa multiple system output that is activated by an individualâ€™sspecific neural signature.â€ A cognitive based education known as pain neuroscience education is used to treatboth the aspects of pain by helping patients gain an increased understanding ofthe biological processes underpinning their pain state and by focusing onneurophysiology, neurobiology and processing of pain. Studies that have usedpain neuroscience education in the treatment of chronic musculoskeletal pain& low back pain have been shown to decrease the fear, paincatastrophization, limitation in the movement.

Many treatmentoptions are available to treat chronic shoulder pain, but these treatment approachesonly focus on the physical aspect of pain rather than psychological aspect, aswell as there are limited studies done to see the effectiveness of PainNeuroscience Education on chronic shoulder pain whereas, further studies havebeen done to see the effectiveness of mirror therapy in patients with shoulderpain, which is also a part of pain neuroscience education.

Detailed Description: Not available

Recruitment & Eligibility

Status: Not Yet Recruiting

Sex: All

Target Recruitment: 99

Inclusion Criteria

Patients diagnosed as shoulder pain with duration more than 3 months by orthopedician.
Men / women aged between 30 to 70 years.
Unilateral shoulder pain.
Pain after shoulder surgery (more than 3 months).
Patient who agreed to sign the consent form.

Exclusion Criteria

Pain less than 3 months.
Shoulder pain considered to be originating from another region like cervical, thoracic spine.
Neurological conditions and multiple system disorder.
Subject with vision, auditory & speech problems.
Mental/psychological health issues.
Inability to provide informed consent and/or complete the written questionnaire.
Subjects not willing to participate.

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Visual analog scale	2 time assessment
SPADI	2 time assessment

Secondary Outcome Measures

Name	Time	Method
Tampa scale of kinesiophobia	SF-36 16

Trial Locations

Locations (1): SDM college of medical science and hospital
🇮🇳
Dharwad, KARNATAKA, India
SDM college of medical science and hospital
🇮🇳Dharwad, KARNATAKA, India
Suresh Maity
Principal investigator
9091858701
sureshmphysio@gmail.com