Profiling the RCRSP Patient: a Pain Phenotype Classification Algorithm
Study Details
Study Description
Brief Summary
The aim of this study is to collect a sum of different characteristics that have been mentioned previously in people presenting with RCRSP and by clustering them to create a phenotype system which may assist the individualisation of their management
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
Detailed Description
This study will be conducted at a hospital environment by recruiting people that will seek help for their shoulder pain by a specialist upper- limb Orthopaedic Surgeon at the Department of Hand & Upper Limb Microsurgery of the 'KAT General Hospital' in Athens, Greece. Participants that will be diagnosed with RCRSP by the orthopaedic surgeon and fulfil the eligibility criteria will undergo a series of one-off measurements. Written consent will have to be obtained before a sum of self-reported outcome measures and objective testing will take place. The main categories for which outcome measures will be used are: pain, function, psychosocial and lifestyle factors.
Study Design
Outcome Measures
Primary Outcome Measures
- Numeric Pain Rating Scale (NPRS) [Once - Baseline]
Obtain a measurement of pain
- Western Ontario Rotator Cuff Index (WORC) [Once - Baseline]
Assess the self-reported functional ability of participants
- The Self-Report Leeds Assessment of Neuropathic Symptoms & Signs (SLANSS) [Once - Baseline]
Identify possible participants with neuropathic type of pain
- Central Sensitisation Inventory (CSI) [Once - Baseline]
Identify participants suspicious of central sensitisation symptoms
- Pain Drawings (PD) [Once - Baseline]
Capture painful body locations for participants with the spectrum of pathologies
- Nociplastic Pain Flow Chart by IASP [Once - Baseline]
Identification of Predominant Pain Mechanism, especially participants with possible nociplastic pain
- Quantitative Sensory Testing (QST) [Once - Baseline]
Assessment of Pressure Pain Threshold, Conditioned Pain Modulation & Temporal Summation
- Range of Motion (ROM) [Once - Baseline]
Assess Range of motion of the movements of interest
- Dynamometry [Once - Baseline]
Assess strength and explore pain provocation in participants
- Posterior Shoulder Endurance Test (PSET) [Once - Baseline]
Assess the endurance of the Rotator Cuff myotendinous unit
- Hospital Anxiety & Depression Scale (HADS) [Once - Baseline]
Obtain a score of Anxiety & Depression among participants
- Pain Catastrophising Scale (PCS) [Once - Baseline]
Explore how the pain experience is perceived by the individual
- Tampa Scale of Kinesiophobia (TSK) [Once - Baseline]
Explore fear of movement and avoidance of participants
- Pain Self-Efficacy Questionnaire (PSEQ) [Once - Baseline]
Assess the ability of the participant to cope with a spectrum of activities
- Allostatic Index-5 (ALI-5) [Once - Baseline]
Investigate psychosocial stressors reflective of chronc adaptive states for 'wear & tear' of the human body
- EuroQol-5Dimension (EQ-5D) [Once - Baseline]
Investigate quality of life levels of participants
- Pittsburgh Sleep Quality Index (PSQI) [Once - Baseline]
Assess sleep quality of participants
- Modified Baecke Physical Activity Questionnaire (MBPAQ) [Once - Baseline]
Evaluate Physical Activity levels of participants
Eligibility Criteria
Criteria
Inclusion Criteria:
Age: 18-65 Pain: >3 months, non-traumatic, unilateral or bilateral of anterolateral location ROM: >50% all planes, AROM painful in forward flexion and/or abduction Provocation testing: Hawkins-Kennedy, Neer, Painful Arc, Resisted ER, Empty Can (3 or more out of the 5 +ve)
Exclusion Criteria:
Pain < 3months History of neck or shoulder trauma Radicular signs, shoulder pain reproduced with neck movements GH OA, Frozen Shoulder, Tears >C3 according to Snyder Classification Fibromyalgia, neurological, systemic local or autoimmune inflammatory conditions Clinical depression No injected corticosteroids or physiotherapy the last 3/12
Contacts and Locations
Locations
No locations specified.Sponsors and Collaborators
- Clinical Exercise Physiology and Rehabilitation Reasearch Laboratory
Investigators
- Study Director: ELENI KAPRELI, PT, PROF, Clinical Exercise Physiology and Rehabilitation Reasearch Laboratory
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 9