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This project aims to study the impacts of self-thoracic spine and rib mobilization on sleep quality in patients who present to UTSW physicians with shoulder pain. The investigators plan to randomize participants into treatment and control groups, but the investigators will provide education on sleep hygiene for each group. The treatment group will also receive instruction to mobilize their thoracic spine and ribs each night before going to sleep.
Subjects with a chief complaint of musculoskeletal pain will be recruited from clinics in the Departments of Internal Medicine, Family Medicine, and Orthopedic Surgery. Subjects will be randomized into either the intervention or control group. The intervention group will receive education on sleep hygiene and instruction to use a foam roller to mobilize the thoracic spine and ribs just before the subject goes to sleep. The control group will receive education on sleep hygiene. Valid and reliable measures will be used to assess sleep quality (Pittsburgh Sleep Quality Index), pain (Numeric Pain Rating Scale), and function (SF-36 and ASES), as well as a sleep diary. Measures will be taken at baseline as well as two weeks after the subject's enrollment in the study.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Self-mobilization | Experimental | Use of foam roller to mobilize thoracic spine and ribs every night before going to bed |
|
| Sleep Education | Active Comparator | Education on sleep hygiene with tips for improving sleep. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Self-mobilization | Procedure | Subjects will mobilize thoracic spine and ribs with a foam roller every night before going to bed. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Pittsburgh Sleep Index | Valid and reliable 19 item assessment of sleep quality, with higher scores indicating greater sleep disturbance | Baseline, 1 week, and 2 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Numeric Pain Rating Scale | Valid and reliable 11 point rating of pain, with higher scores indicating more pain | Baseline, 1 week, and 2 weeks |
| SF-36 | Valid and reliable 36 item assessment of quality of life, with higher scores indicating lower disability |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Tara Dickson, DPT | Assistant Professor | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Health Professions Physical Therapy Clinic | Dallas | Texas | 75390-8876 | United States |
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| Sleep Education | Procedure | Subjects will be educated on sleep hygiene in order to improve likelihood of having good sleep. |
|
| Baseline, 1 week, and 2 weeks |