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| Name | Class |
|---|---|
| University of Aarhus | OTHER |
| Central Denmark Region | OTHER |
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Degenerative shoulder disorders are frequent in the Danish population and often cause disability and sick leave. After hospital discharge patients are often referred to physiotherapy rehabilitation as part of the treatment, and it is often assumed that one-on-one sessions will yield better results than group-based sessions, because individual needs can be better meet and targeted
The project aims to evaluate the effect and cost-effectiveness of group- based exercise rehabilitation as compared to individual exercise rehabilitation in patients with degenerative shoulder disorders.
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The study is a three-armed controlled randomized trial in which a total of 180 patients referred to the municipal rehabilitation after hospital treatment due to shoulder disorders in 6 municipalities in Region Midtjylland expected to participate. Patients will be allocated to either 1) Group-based rehabilitation 2) Individual rehabilitation or 3) Home exercise.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group-based exercise rehabilitation | Experimental | Group-based rehabilitation: Group-based sessions (4-8 patients per group) with physiotherapist and home training for 8 weeks (maximum of 12 training sessions). |
|
| Individual exercise rehabilitation | Active Comparator | Individual rehabilitation: One-on-one sessions with physiotherapist and home training for 8 weeks (maximum of 12 training sessions). |
|
| Home exercise | Active Comparator | Home exercise: Instruction in home exercise by physiotherapist, with maximum of 4 follow-up consultations over a period of 8 weeks. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Group-based exercise rehabilitation | Behavioral | Group- based physiotherapy-led exercise rehabilitation |
|
| Measure | Description | Time Frame |
|---|---|---|
| Disability wil be assessed by The Disabilities of the Arm, Shoulder and Hand questionnaire - shortened version (Quick DASH) | Sum score 0-100 | 6 monhts |
| Measure | Description | Time Frame |
|---|---|---|
| Cost-effectiveness across study arms measured by the EuroQol (EQ-5D) questionnaire | Quality of life scale EQ-5D-5L will be used to calculate quality adjusted life years (QALYs) used in the health economic evaluation | 6 months |
| Time off work (weeks) assessed by the Danish Register of Sickness absence compensation benefits and Social transfer payments |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| David H Christiansen, PhD | Occupational Medicine Regional Hospital West Jutland University Research Clinic | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| David H Christiansen | Herning | Central Jutland | 7400 | Denmark |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 33744191 | Derived | Christiansen DH, Hjort J. Group-based exercise, individually supervised exercise and home-based exercise have similar clinical effects and cost-effectiveness in people with subacromial pain: a randomised trial. J Physiother. 2021 Apr;67(2):124-131. doi: 10.1016/j.jphys.2021.02.015. Epub 2021 Mar 17. |
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| ID | Term |
|---|---|
| D020069 | Shoulder Pain |
| D009043 | Motor Activity |
| ID | Term |
|---|---|
| D018771 | Arthralgia |
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
| D010146 | Pain |
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| Individual exercise rehabilitation | Behavioral | Individual physiotherapy-led exercise rehabilitation |
|
| Home exercise | Behavioral | Supervised home exercise |
|
Register |
| 6 months |
| Pain intensity | Numeric scale (0-10) | 6 months |
| Patients impression of change of overall shoulder condition | Single item question | 6 months |
| Patient Acceptable Symptom State (PASS) | Single item question. The highest level of symptom at which patients find their condition acceptable | 6 months |
| Well-being wil be assessed by the WHO-5 Well-being Index questionnaire | Sum score of 5 items 0-100 | 6 months |
| Re-presentations after discharge from rehabilitation will be obtained by Danish National Rehabilitation | Register number of contacts | 6 months |
| Fear avoidance Beliefs and risk of chronicity the Orebro Musculoskeletal Pain Screening Questionnaire | Sumscore 0-20 | 6 months |
| Confidence will be assessed by one item from the Danish Cancer Society PREM (Barometer) Questionnaire | Single item question. | 3 months |
| Safety will be assessed by one item from the Danish Cancer Society PREM (Barometer) Questionnaire | Single item question. | 3 months |
| Satisfaction will be assessed by one item from the Danish Cancer Society PREM (Barometer) Questionnaire | Single item question. | 3 months |
| D009461 |
| Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D001519 | Behavior |