Evidence map›Paper›PMID 35906579›Full record

Trial reportBMC musculoskeletal disorders2022

Increased shoulder pain across an exercise session and subsequent shoulder exercise: a prospective cohort study.

Jeanette Trøstrup, Susanne Wulff Svendsen, Annett Dalbøge, Lone Ramer Mikkelsen, Mette Terp Høybye, Lene Bastrup Jørgensen, Thomas Martin Klebe, Poul Frost

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC musculoskeletal disorders, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03159910 (Reducing Shoulder Complaints in Employees With High Occupational Shoulder Exposures), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 37% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03159910 nacompletednot on this map

Reducing Shoulder Complaints in Employees With High Occupational Shoulder Exposures: a Cluster-randomised Controlled Study (The Shoulder-Café Study)

TypeinterventionalSponsorCentral Jutland Regional HospitalRan2017 to 2020Enrolled110ConditionsShoulder PainArmsShoulder-Café, Shoulder-Guidance
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Trial
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 1 country.

Jeanette TrøstrupElective Surgery Centre, Silkeborg Regional Hospital, 8600, Silkeborg, Denmark. jeatro@rm.dk.
Susanne Wulff SvendsenDanish Ramazzini Centre, Department of Occupational Medicine, Gødstrup Hospital - University Research Clinic, 7400, Herning, Denmark.
Annett DalbøgeDepartment of Clinical Medicine, Aarhus University, 8200, Aarhus N, Denmark.
Lone Ramer MikkelsenElective Surgery Centre, Silkeborg Regional Hospital, 8600, Silkeborg, Denmark.
Mette Terp HøybyeElective Surgery Centre, Silkeborg Regional Hospital, 8600, Silkeborg, Denmark.
Lene Bastrup JørgensenDepartment of Clinical Medicine, Aarhus University, 8200, Aarhus N, Denmark.
Thomas Martin KlebeElective Surgery Centre, Silkeborg Regional Hospital, 8600, Silkeborg, Denmark.
Poul FrostDanish Ramazzini Centre, Department of Occupational Medicine, Aarhus University Hospital, 8200, Aarhus N, Denmark.
Regionshospitalet Silkeborg · DKDanish Ramazzini Center · DKAarhus University · DKAarhus University Hospital · DKRegional Hospital Central Jutland · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundShoulder complaints are common and the recommended first-line treatment is exercise therapy. However, it remains unknown if increased shoulder pain after an exercise session is a barrier for subsequent exercise dose, particularly in people with high fear-avoidance beliefs. Such knowledge could indicate ways to optimise shoulder rehabilitation. The aim was to examine whether increased shoulder pain across an exercise session was associated with a lower subsequent exercise dose, and if high fear-avoidance beliefs exaggerated this association.

methodsWe conducted a prospective cohort study using data from a randomised controlled trial in Central Denmark Region 2017-2019. Participants were employees (n = 79) with shoulder complaints and high occupational shoulder exposures. The intervention was a home-based or partly supervised exercise programme lasting 2-3 months. Linear mixed models were used to examine the associations between change in shoulder pain and exercise dose (number of repetitions, progression level (1-3), resistance level (1-3), and time until next exercise session [days]).

resultsAt baseline, the participants had a median pain intensity at rest of 2 on a numerical rating scale (0-10). For a 1-cm increase in pain on a visual analogue scale (0-10 cm) during an exercise session, the subsequent number of repetitions, progression level and resistance level were - 1.3 (95% confidence interval [CI] - 3.4 to 0.9), 0.0 (95% CI - 0.1 to 0.0) and - 0.0 (95% CI - 0.1 to 0.0), respectively. Likewise, the time until next exercise session was - 0.6 (95% CI - 2.4 to 1.3) days for a 1-cm increase. There were no interactions with fear-avoidance beliefs.

conclusionIncreased pain across an exercise session was not associated with subsequent exercise dose, regardless of fear-avoidance beliefs, among employees with shoulder complaints and high occupational shoulder exposures.

trial registrationThe trial was registered at Clinicaltrials.gov 19/05/2017 (ID: NCT03159910).

Indexed as

ShoulderShoulder PainExercise TherapyHumansPain MeasurementProspective StudiesAdherenceFear-avoidance beliefsRehabilitation

Identifiers

PMID35906579
PMCPMC9336042
OpenAlexW4288424221

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.