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Title: A central nervous system-focused treatment approach for people with frozen shoulder: protocol for a randomized clinical trial
Authors: Lluch-Girbés, Enrique
Dueñas, Lirios
Mena-del Horno, Silvia
Luque-Suarez, Alejandro
Navarro-Ledesma, Santiago
Louw, Adriaan
metadata.dc.contributor.authoraffiliation: [Lluch-Girbés,E; Dueñas,L; Mena-del Horno,S] Department of Physiotherapy, University of Valencia, Valencia, Spain. [Lluch-Girbés,E] Department of Physiotherapy, Human Physiology and Anatomy, Faculty of Physical Education & Physiotherapy, Vrije Universiteit Brussel, Brussels, Belgium. [Lluch-Girbés,E] Pain in Motion International Research Group. [Lluch-Girbés,E; Dueñas,L] Physiotherapy in Motion, Multi speciality Research Group (PTinMOTION), Malaga, Spain. [Luque-Suarez,A] Department of Physiotherapy, Universidad de Malaga, Andalucia TECH, Malaga, Spain. [Luque-Suarez,A] Instituto de la Investigacion Biomedica de Malaga (IBIMA), Malaga, Spain. [Navarro-Ledesma,S] Department of Physiotherapy, University of Granada, Malaga, Spain. [Louw,A] International Spine and Pain Institute, Story City, Iowa, USA.
Keywords: Shoulder pain;Shoulder adhesive;Capsulitis;Central nervous system;Physiotherapy;Dolor de hombro;Bursitis;Sistema nervioso central;Fisioterapia
metadata.dc.subject.mesh: Medical Subject Headings::Diseases::Musculoskeletal Diseases::Joint Diseases::Bursitis
Medical Subject Headings::Anatomy::Nervous System::Central Nervous System
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Diagnosis::Diagnostic Techniques and Procedures::Disability Evaluation
Medical Subject Headings::Phenomena and Processes::Physiological Phenomena::Physiological Processes::Homeostasis::Feedback, Physiological::Feedback, Sensory
Medical Subject Headings::Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::Humans
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Epidemiologic Study Characteristics as Topic::Clinical Trials as Topic::Controlled Clinical Trials as Topic::Randomized Controlled Trials as Topic
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Diagnosis::Diagnostic Techniques and Procedures::Physical Examination::Range of Motion, Articular
Medical Subject Headings::Phenomena and Processes::Biological Phenomena::Recovery of Function
Medical Subject Headings::Anatomy::Musculoskeletal System::Skeleton::Joints::Shoulder Joint
Medical Subject Headings::Geographical Locations::Geographic Locations::Europe::Spain
Medical Subject Headings::Phenomena and Processes::Physical Phenomena::Time::Time Factors
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Diagnosis::Prognosis::Treatment Outcome
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Therapeutics::Physical Therapy Modalities
Medical Subject Headings::Phenomena and Processes::Musculoskeletal and Neural Physiological Phenomena::Nervous System Physiological Phenomena::Nervous System Physiological Processes::Sensation
Issue Date: 13-Aug-2019
Abstract: Background: Frozen shoulder (FS) is a musculoskeletal condition of poorly understood etiology that results in shoulder pain and large mobility deficits. Despite some physical therapy interventions, such as joint mobilization and exercise, having shown therapeutic benefit, a definitive treatment does not currently exist. The aim of this study will be to compare the effectiveness of a central nervous system (CNS)-directed treatment program versus a standard medical and physical therapy care program on outcomes in participants with FS. Methods/design: The study is a two-group, randomized clinical trial with blinding of participants and assessors. Participants will be recruited via referrals from orthopedic surgeons and physical therapists, community-based advertisements, private care practices and hospitals. Participants will be randomized to receive either a CNS-focused treatment program or standard medical and physical therapy care. The Shoulder Pain And Disability Index (SPADI) will be the primary outcome, while the Numeric Pain Rating Scale (NPRS), shoulder range of movement (ROM), The Patient Specific Functional Scale, two-point discrimination threshold and laterality judgement accuracy will be the secondary outcomes. Assessment will occur at baseline, at the end of the treatment program (week 10), and at 3 and 6 months' follow-up. Discussion: Preliminary data suggest that treatments that target CNS function are a promising approach to the treatment of people with shoulder pain including patients with FS. In the context of modest effects from most available physical therapy treatments for FS, this CNS-focused approach may lead to improved clinical outcomes. The trial should determine if the CNS-directed program is more effective than traditional interventions at reducing pain intensity and improving function in a FS cohort and will follow up participants for 6 months, providing important information on the persistence of any treatment effects.
metadata.dc.identifier.doi: 10.1186/s13063-019-3585-z
ISSN: 1745-6215
Appears in Collections:01- Artículos - IBIMA. Instituto de Investigación Biomédica de Málaga

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