Pain neuroscience education and graded motor imagery in patients with chronic shoulder pain

Completed

• Conditions: Shoulder lesion, unspecified,

• Registration Number: CTRI/2019/05/019301

Brief Summary

Shoulder pain is the third most common cause ofmusculoskeletal consultation in primary care, with prevalence rates varyingfrom 6.9% to 26% for point prevalence and up to 66.7% for lifetime prevalencein the general population Despite medical and physiotherapy treatment, a largepatient group reports persisting shoulder pain. The treatment of patients withchronic pain can be complex and challenging. This chronic pain is associatedwith increased medical costs, decrease income and huge economic burden and italso has a negative impact on the patient’s quality of life. The purpose ofthis study is to find the effect of Pain Neuroscience Education (PNE) andGraded Motor Imagery (GMI) on pain, function and quality of life in patientswith chronic shoulder.

Resultsshowed significant improvement in pre and post intervention in withingroup  (intra-group) analysis of PNEgroup and GMI group for all the variables. But it did not show any significantresults in pre and post intervention of conventional group for pain intensityat rest, kinesiophobia and physical and mental component summary of quality oflife.

Forbetween group (inter-group) analysis,a significant difference was seen betweenall the three groups when compared with each other. Hence, to find out whichgroup is more significant post hoc analysis was done where during pairwisecomparison, it was found that conventional group and GMI group showedsignificant results in all the variables. Conventional group and PNE group alsoshowed significant results in all variables except for external rotationcomponent. Also, when compared between PNE group and GMI group it did not showany significant results with each other.

Thus,we concluded that pain neuroscience education (PNE) and graded motor imagery (GMI)can be an effective intervention which can be used for the treatment ofpatients with chronic shoulder pain and provides a strong evidence in reducingpain, pain catastrophization, kinesiophobia and improves functions therebyimproving quality of life.

Detailed Description

Not available

Study Timeline

• Study Completion: 2019-05-12
• Study Start: 2019-06-06
• Last Update Posted: 2020-01-23

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 36

Inclusion Criteria

• Patients diagnosed with shoulder pain with duration of more than 3 months.
• Men / women aged between 18 to 65 years.
• Unilateral shoulder pain.
• Patient who agreed to sign the consent form.

Exclusion Criteria

• Patients unwilling to sign the consent form 2.
• Shoulder pain considered to be originating from another region like cervical, thoracic spine.
• Neurological conditions and multiple system disorder.
• Mental/psychological health issues.
• patients with any speech, vision or hearing issues.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Shoulder Pain and Disability Index (SPADI)	Pre intervention and Post Intervention after 4 weeks
Numerical Rating Scale	Pre intervention and Post Intervention after 4 weeks

Secondary Outcome Measures

Name	Time	Method
1.Pain Catastrophizing Scale (PCS)	2.Tampa Scale of Kinesiophobia

Trial Locations

Locations (1)

MGM College of Physiotherapy; 🇮🇳 Mumbai, MAHARASHTRA, India

MGM College of Physiotherapy

🇮🇳Mumbai, MAHARASHTRA, India

Vrushali Panhale

Principal investigator

9867679843

vrushali.d@rediffmail.com