TY - JOUR
T1 - A behavioural treatment for chronic shoulder complaints
T2 - concepts, development, and study design
AU - Geraets, Jacques J X R
AU - Goossens, Mariëlle E J B
AU - de Bruijn, Camiel P C
AU - Köke, Albère J A
AU - de Bie, Rob A
AU - Pelt, Rob A G B
AU - van den Heuvel, Wim J A
AU - van der Heijden, Geert J M G
PY - 2004
Y1 - 2004
N2 - This paper discusses the rationale for and content of a newly developed treatment for shoulder complaints, and describes a randomised study which is currently being conducted to test effectiveness of the treatment. In current practice, approximately 50% of all patients with shoulder complaints mention limitations in the performance of daily activities and persisting pain after six months. To improve the functional ability of patients with chronic shoulder complaints, despite their pain, we have developed an operant behavioural and time-contingent graded exercise therapy programme for use in a primary care setting. We present the theory and conceptual model underlying this programme, report on its development and content, and describe the design of a randomised clinical trial to evaluate the programme's effectiveness and cost-effectiveness. One hundred and thirty-two patients who suffer from shoulder complaints for at least 3 months are being recruited in general practice. After inclusion in the study, patients are allocated randomly to the graded exercise therapy programme or to usual care. Questionnaires will be used to measure factors like severity of the main complaint, functional limitations of daily activities, perceived recovery, global health status, shoulder pain, generic health-related quality of life, and costs. These factors will be assessed at baseline, during treatment (6 weeks), and after treatment (12, 26, and 52 weeks).
AB - This paper discusses the rationale for and content of a newly developed treatment for shoulder complaints, and describes a randomised study which is currently being conducted to test effectiveness of the treatment. In current practice, approximately 50% of all patients with shoulder complaints mention limitations in the performance of daily activities and persisting pain after six months. To improve the functional ability of patients with chronic shoulder complaints, despite their pain, we have developed an operant behavioural and time-contingent graded exercise therapy programme for use in a primary care setting. We present the theory and conceptual model underlying this programme, report on its development and content, and describe the design of a randomised clinical trial to evaluate the programme's effectiveness and cost-effectiveness. One hundred and thirty-two patients who suffer from shoulder complaints for at least 3 months are being recruited in general practice. After inclusion in the study, patients are allocated randomly to the graded exercise therapy programme or to usual care. Questionnaires will be used to measure factors like severity of the main complaint, functional limitations of daily activities, perceived recovery, global health status, shoulder pain, generic health-related quality of life, and costs. These factors will be assessed at baseline, during treatment (6 weeks), and after treatment (12, 26, and 52 weeks).
KW - Behavior Therapy/methods
KW - Conditioning, Operant
KW - Exercise Therapy/methods
KW - Humans
KW - Outcome and Process Assessment, Health Care
KW - Shoulder Pain/psychology
KW - Treatment Outcome
U2 - 10.1016/s0004-9514(14)60246-4
DO - 10.1016/s0004-9514(14)60246-4
M3 - Article
C2 - 14987190
SN - 0004-9514
VL - 50
SP - 33
EP - 38
JO - Australian journal of physiotherapy
JF - Australian journal of physiotherapy
IS - 1
ER -