Evidence map›Paper›PMID 37802620›Full record

ArticleBMJ open2023

Exercise into pain in chronic rotator cuff related shoulder pain: a prospective single-group feasibility study.

Claudia Cavaggion, Birgit Juul-Kristensen, Alejandro Luque-Suarez, Lennard Voogt, Guy Wollants, Eoin Ó Conaire, Filip Struyf

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04154345 (Exercise Into Pain in Chronic Rotator Cuff Related Shoulder Pain), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.5field-weighted citation impact, top 10% 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.

NCT04154345 nacompletednot on this map

Exercise Into Pain in Chronic Rotator Cuff Related Shoulder Pain: a Prospective Single-Group Feasibility Study

TypeinterventionalSponsorUniversiteit AntwerpenRan2019 to 2020Enrolled12ConditionsShoulder Impingement SyndromeArmsExercise therapy (exercising into pain)
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 8 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Article
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

7 authors at 4 institutions in 4 countries.

Claudia CavaggionResearch Group MOVANT, Department of Rehabilitation Sciences and Physiotherapy (REVAKI), University of Antwerp, Wilrijk, Belgium.ORCID 0000-0001-8215-342X
Birgit Juul-KristensenDepartment of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense M, Denmark.
Alejandro Luque-SuarezDepartment of Physiotherapy, Universidad de Malaga, Malaga, Spain aluques@uma.es.
Lennard VoogtDepartment of Physical Therapy Studies and Research Centre for Health Care Innovations, Rotterdam University of Applied Sciences, Rotterdam, The Netherlands.
Guy WollantsGroepspraktijk Beke & Wollants, Hove, Belgium.
Eoin Ó ConaireResearch Group MOVANT, Department of Rehabilitation Sciences and Physiotherapy (REVAKI), University of Antwerp, Wilrijk, Belgium.
Filip StruyfResearch Group MOVANT, Department of Rehabilitation Sciences and Physiotherapy (REVAKI), University of Antwerp, Wilrijk, Belgium.ORCID 0000-0002-9128-9684
University of Antwerp · BEInstituto de Investigación Biomédica de Málaga · ESUniversity of Southern Denmark · DKVrije Universiteit Brussel · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study evaluated the feasibility of exercising into pain in rotator cuff related shoulder pain (RCRSP), data collection procedures, feedback from physiotherapists and patients, and clinically important changes in patient-reported outcome measures (PROMs).

designUnblinded non-randomised single-group study.

settingPhysiotherapy clinic in Belgium.

participantsTwelve patients with unilateral RCRSP for minimum 3 months, aged 18-65 years.

interventionsTwelve weeks of four individualised exercises, with nine physiotherapist-led sessions with pain ratings 4-7 out of 10 on a verbal Numeric Pain Rating Scale for 9 weeks and then pain ratings 0-2 for 3 weeks. Every physiotherapy session included 15 min of manual therapy. Non-supervised exercises were: 2×/week in weeks with physiotherapy session, 3×/week in weeks without physiotherapy session. OUTCOME MEASURES: Primary: adherence, where patients were considered adherent with 78% (7/9 sessions) attendance for supervised sessions and 81% (22/27 sessions) completion for non-supervised exercises, and Shoulder Pain and Disability Index (SPADI); secondary: fear-avoidance behaviour, fear of pain, physical outcomes (strength, range of motion, scapular dyskinesis); others: ultrasound (US) imaging outcomes (acromionhumeral distance, supraspinatus tendon thickness, occupation ratio), global perceived effect (GPE). PROMs were collected via online survey, except for the GPE (via closed envelope). US measures were taken after physical measures.

resultsAdherence and adverse effects were analysed in patients who had the possibility to attend minimum seven supervised sessions (n=8): 88% of them adhered to supervised sessions, 50% to non-supervised exercises; none of them withdrew from the study, three of them obtained individual clinically important improvements in SPADI score above 20 points. The measurement protocol of physical and ultrasonographic outcomes took around 60 min.

conclusionsAdherence to supervised sessions was satisfactory, the adherence to non-supervised exercises must be improved. Data collection procedures were feasible to perform, but some changes are recommended. TRIAL REGISTRATION NUMBER: NCT04154345.

Indexed as

Rotator CuffShoulder PainExercise TherapyFeasibility StudiesHumansProspective StudiesSurveys and QuestionnairesTreatment Outcomemusculoskeletal disordersrehabilitation medicineshoulder

Identifiers

PMID37802620
PMCPMC10565173
OpenAlexW4387439703

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.