Shoulder Pain Clinical Trial
Official title:
Reducing Shoulder Complaints in Employees With High Occupational Shoulder Exposures: a Cluster-randomised Controlled Study (The Shoulder-Café Study)
Aim: To evaluate the effectiveness of Shoulder-Café (intervention) compared to
Shoulder-Guidance (control intervention) with respect to shoulder exposures and shoulder
complaints.
Hypothesis: The Shoulder-Café, which unifies education, diagnostic clarification, supervised
and home-based shoulder exercises, and advice from a health and safety consultant on
workplace interventions, will reduce shoulder exposures and shoulder complaints more
effectively than an individual-oriented control intervention with home-based shoulder
exercises and written general advice on workplace interventions.
Introduction:
Shoulder complaints prevail in the working age population and constitute a common cause of
contacts with general practitioners. In occupations with high mechanical shoulder exposures,
these complaints are especially frequent. Persons with high occupational mechanical shoulder
exposures and shoulder complaints seem an obvious target group for secondary prevention
efforts, and more research on interventions targeting shoulder complaints in occupations with
high shoulder exposures is needed.
The aim is to develop and evaluate a Shoulder-Café intervention to reduce high occupational
mechanical shoulder exposures and prolonged shoulder complaints.
The specific objectives are:
I. To evaluate the effectiveness of the Shoulder-Café as compared to the
control-intervention, the Shoulder-Guidance, measured on reductions in shoulder complaints.
II. To evaluate the effectiveness of the Shoulder-Café as compared to the Shoulder-Guidance
measured on reductions in occupational mechanical shoulder exposures.
III. To identify the influence of shoulder exercises and reduced occupational mechanical
shoulder exposures, respectively, on shoulder complaints.
The hypothesis is that the Shoulder-Café will reduce shoulder exposures and shoulder
complaints more effectively than the Shoulder-Guidance. Furthermore, a hypothesis is that
fear avoidance beliefs is reduced and the degree to which the participants feel informed
about the nature of their complaints and their remedies is increased more effectively with
the Shoulder-Café compared to the control intervention.
Method:
The project consists of a two-armed, cluster-randomised controlled trial with randomisation
at company level (objectives I and II) and a prospective cohort study based on the
cluster-randomised study (objective III).
Follow-up: A questionnaire 3 and 9 months after end of intervention with e.g. OSS.
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