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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
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.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Quantitative Sensory Testing / Dynamometry / Goniometry | Device | Testing procedures that follow previously used protocols of the literature for all the Quantitative Sensory Testing, Dynamometry & Goniometry |
|
| Measure | Description | Time Frame |
|---|---|---|
| Numeric Pain Rating Scale (NPRS) | Obtain a measurement of pain Score: 0-10 Higher scores indicate more pain | Once - Baseline |
| Western Ontario Rotator Cuff Index (WORC) | Assess the self-reported functional ability of participants Score: 0-100 % Higher scores indicate higher functional status | Once - Baseline |
| The Self-Report Leeds Assessment of Neuropathic Symptoms & Signs (SLANSS) | Identify possible participants with neuropathic type of pain Score: 0-24 Score >12 indicates neuropathic pain | Once - Baseline |
| Central Sensitisation Inventory (CSI) | Identify participants suspicious of central sensitisation symptoms Score: 0-100 Score>40 indicates central sensitisation | Once - Baseline |
| Pain Drawings (PD) | Capture painful body locations for participants with the spectrum of pathologies | Once - Baseline |
| Nociplastic Pain Flow Chart by IASP | Identification of Predominant Pain Mechanism, especially participants with possible nociplastic pain | Once - Baseline |
| Quantitative Sensory Testing (QST) | Assessment of Pressure Pain Threshold, Conditioned Pain Modulation & Temporal Summation | Once - Baseline |
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Inclusion Criteria:
Exclusion Criteria:
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People in the 18-65 spectrum that have a gradual onset of shoulder pain without being able to recall any injuries to the area and pain to be present for at least three months
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| ACHILLEAS PALIOURAS, PT, MSc | Contact | 6975768673 | +30 | apaliouras@uth.gr |
| Name | Affiliation | Role |
|---|---|---|
| ELENI KAPRELI, PT, PROF | University of Thessaly | Study Director |
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| ID | Term |
|---|---|
| D000070636 | Rotator Cuff Injuries |
| D019534 | Shoulder Impingement Syndrome |
| D012421 | Rupture |
| D059350 | Chronic Pain |
| ID | Term |
|---|---|
| D014947 | Wounds and Injuries |
| D000070599 | Shoulder Injuries |
| D013708 | Tendon Injuries |
| D007592 | Joint Diseases |
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| ID | Term |
|---|---|
| D053587 | Arthrometry, Articular |
| ID | Term |
|---|---|
| D016059 | Range of Motion, Articular |
| D010808 | Physical Examination |
| D019937 | Diagnostic Techniques and Procedures |
| D003933 | Diagnosis |
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| Range of Motion (ROM) | Assess Range of motion of the movements of interest | Once - Baseline |
| Dynamometry | Assess strength and explore pain provocation in participants | Once - Baseline |
| Posterior Shoulder Endurance Test (PSET) | Assess the endurance of the Rotator Cuff myotendinous unit | Once - Baseline |
| Hospital Anxiety & Depression Scale (HADS) | Obtain a score of Anxiety & Depression among participants Score: 0-42 (Two scales between 0 & 21 each - one for anxiety and 1 for depression) Higher Scores indicate higher anxiety & depression | Once - Baseline |
| Pain Catastrophising Scale (PCS) | Explore how the pain experience is perceived by the individual Scale: 0-52 Higher scores indicate higher levels of catastrophising | Once - Baseline |
| Tampa Scale of Kinesiophobia (TSK) | Explore fear of movement and avoidance of participants Score: 17-68 Higher scores indicate higher levels of Kinesiophobia, cut-off point: scores >37 are indicative of kinesiophobia | Once - Baseline |
| Pain Self-Efficacy Questionnaire (PSEQ) | Assess the ability of the participant to cope with a spectrum of activities Score: 0-60 Lower scores indicate less self-efficacy | Once - Baseline |
| Allostatic Index-5 (ALI-5) | Investigate psychosocial stressors reflective of chronc adaptive states for 'wear & tear' of the human body Score: 0-5 Higher score indicating higher allostatic load | Once - Baseline |
| EuroQol-5Dimension (EQ-5D) | Investigate quality of life levels of participants Score: 5-likert with no problem, slight, moderate, severe and extreme in each of the dimensions plus the 0-100 VAS as a global rating of self-perceived health with higher scores indcating better health | Once - Baseline |
| Pittsburgh Sleep Quality Index (PSQI) | Assess sleep quality of participants Score: 0-21 Higher scores indicate worse sleep quality | Once - Baseline |
| Modified Baecke Physical Activity Questionnaire (MBPAQ) | Evaluate Physical Activity levels of participants Score: low - moderate - high Higher scores indicate higher activity levels | Once - Baseline |
| D009140 |
| Musculoskeletal Diseases |
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D009142 | Musculoskeletal Physiological Phenomena |
| D055687 | Musculoskeletal and Neural Physiological Phenomena |