Tools
Tools
Dubé, Marc-Olivier, Desmeules, François, Lewis, Jeremy, Chester, Rachel 
ORCID: https://orcid.org/0000-0003-1979-0682 and Roy, Jean-Sébastien
(2024)
Will my shoulder pain get better? – secondary analysis of data from a multi-arm randomised controlled trial.
Physiotherapy, 124.
pp. 65-74.
ISSN 0031-9406
Preview |
PDF (Dube_etal_2024_Physiotherapy)
- Published Version
Available under License Creative Commons Attribution. Download (921kB) | Preview |
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 outcome measures: 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.
| Item Type: | Article |
|---|---|
| Additional Information: | Funding information: This work was supported by the Quebec Rehabilitation Research Network (REPAR). MOD received a Doctoral Training Scholarship from the Fonds de Recherche Québec-Santé (FRQ-S). JSR and FD are supported by salary awards from the FRQ-S. |
| Uncontrolled Keywords: | outcome,pain self-efficacy,patients' expectations,rotator cuff,shoulder,physical therapy, sports therapy and rehabilitation ,/dk/atira/pure/subjectarea/asjc/3600/3612 |
| Faculty \ School: | Faculty of Medicine and Health Sciences > School of Health Sciences |
| UEA Research Groups: | Faculty of Medicine and Health Sciences > Research Centres > Population Health Faculty of Medicine and Health Sciences > Research Groups > Rehabilitation |
| Related URLs: | |
| Depositing User: | LivePure Connector |
| Date Deposited: | 02 Feb 2024 02:19 |
| Last Modified: | 21 Jun 2024 08:30 |
| URI: | https://ueaeprints.uea.ac.uk/id/eprint/94355 |
| DOI: | 10.1016/j.physio.2024.01.003 |
Downloads
Downloads per month over past year
Actions (login required)
 |
View Item |