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. .
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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
180
Group- based physiotherapy-led exercise rehabilitation
Individual physiotherapy-led exercise rehabilitation
Supervised home exercise
David H Christiansen
Herning, Central Jutland, Denmark
Disability wil be assessed by The Disabilities of the Arm, Shoulder and Hand questionnaire - shortened version (Quick DASH)
Sum score 0-100
Time frame: 6 monhts
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
Time frame: 6 months
Time off work (weeks) assessed by the Danish Register of Sickness absence compensation benefits and Social transfer payments
Register
Time frame: 6 months
Pain intensity
Numeric scale (0-10)
Time frame: 6 months
Patients impression of change of overall shoulder condition
Single item question
Time frame: 6 months
Patient Acceptable Symptom State (PASS)
Single item question. The highest level of symptom at which patients find their condition acceptable
Time frame: 6 months
Well-being wil be assessed by the WHO-5 Well-being Index questionnaire
Sum score of 5 items 0-100
Time frame: 6 months
Re-presentations after discharge from rehabilitation will be obtained by Danish National Rehabilitation
Register number of contacts
Time frame: 6 months
Fear avoidance Beliefs and risk of chronicity the Orebro Musculoskeletal Pain Screening Questionnaire
Sumscore 0-20
Time frame: 6 months
Confidence will be assessed by one item from the Danish Cancer Society PREM (Barometer) Questionnaire
Single item question.
Time frame: 3 months
Safety will be assessed by one item from the Danish Cancer Society PREM (Barometer) Questionnaire
Single item question.
Time frame: 3 months
Satisfaction will be assessed by one item from the Danish Cancer Society PREM (Barometer) Questionnaire
Single item question.
Time frame: 3 months
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