Will my shoulder pain get better? - secondary analysis of data from a multi-arm randomised controlled trial.
Physiotherapy
; 124: 65-74, 2024 09.
Article
en En
| MEDLINE
| ID: mdl-38875839
ABSTRACT
OBJECTIVE:
To determine whether higher level or improvements over time in pain self-efficacy (PSE) and expectations of intervention effectiveness lead to better outcomes and whether the intervention used to manage rotator cuff related shoulder pain (RCRSP) impacts PSE and expectations over time.DESIGN:
Secondary analysis of data from a randomised controlled trial.PARTICIPANTS:
123 individuals (48 [15] years old; 51% female) with RCRSP.INTERVENTIONS:
Participants randomised into one of three 12-weeks interventions (education; education and motor control exercises; education and strengthening exercises). MAIN OUTCOMEMEASURES:
QuickDASH and Western Ontario Rotator Cuff Index (WORC) were administered at baseline and 12 weeks. Pain self-efficacy was assessed at 0 and 6 weeks. Patients' expectations regarding intervention effectiveness were assessed before randomisation and after the first and the last intervention sessions. NparLD were used for the analyses. A time effect indicated a significant change in patients' expectations or PSE over time, while a resolution effect indicated a significant difference in patients' expectations or PSE between those whose symptoms resolved and those whose did not.RESULTS:
Patients' expectations (-3 to 3) increased over time (0.33/3 [0.19 to 0.77]). Overall expectations were higher for those who experienced symptom resolution based on the WORC (0.19/3 [0.05 to 0.33]). PSE increased over time (5.5/60 [3.6 to 7.4]). Overall PSE was higher for those who experienced symptom resolution based on the WORC (7.0 [3.9 to 10.1]) and the QuickDASH (4.9 [1.7 to 8.2]).CONCLUSION:
Clinicians should consider monitoring PSE and patients' expectations as they are important indicators of outcome. CONTRIBUTION OF THE PAPER.Palabras clave
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Dolor de Hombro
/
Autoeficacia
Límite:
Adult
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Aged
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
Physiotherapy
Año:
2024
Tipo del documento:
Article