Cargando…

Reducing shoulder complaints in employees with high occupational shoulder exposures: study protocol for a cluster-randomised controlled study (The Shoulder-Café Study)

BACKGROUND: In Denmark, exercise therapy in combination with work modification is the first-choice treatment for persons with shoulder complaints and high occupational shoulder exposures. To obtain this treatment they must visit several healthcare providers, which makes usual care fragmented and unc...

Descripción completa

Detalles Bibliográficos
Autores principales: Trøstrup, Jeanette, Mikkelsen, Lone Ramer, Frost, Poul, Dalbøge, Annett, Høybye, Mette Terp, Casper, Sven Dalgas, Jørgensen, Lene Bastrup, Klebe, Thomas Martin, Svendsen, Susanne Wulff
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6852773/
https://www.ncbi.nlm.nih.gov/pubmed/31718683
http://dx.doi.org/10.1186/s13063-019-3703-y
_version_ 1783469911449796608
author Trøstrup, Jeanette
Mikkelsen, Lone Ramer
Frost, Poul
Dalbøge, Annett
Høybye, Mette Terp
Casper, Sven Dalgas
Jørgensen, Lene Bastrup
Klebe, Thomas Martin
Svendsen, Susanne Wulff
author_facet Trøstrup, Jeanette
Mikkelsen, Lone Ramer
Frost, Poul
Dalbøge, Annett
Høybye, Mette Terp
Casper, Sven Dalgas
Jørgensen, Lene Bastrup
Klebe, Thomas Martin
Svendsen, Susanne Wulff
author_sort Trøstrup, Jeanette
collection PubMed
description BACKGROUND: In Denmark, exercise therapy in combination with work modification is the first-choice treatment for persons with shoulder complaints and high occupational shoulder exposures. To obtain this treatment they must visit several healthcare providers, which makes usual care fragmented and uncoordinated. Therefore, we developed a new intervention which unifies the expertise that is needed. The main hypotheses are that a group-based Shoulder-Café intervention will more effectively reduce (1) shoulder complaints and (2) occupational shoulder exposures than an individual-based Shoulder-Guidance intervention (active control – enhanced usual care). METHODS: A cluster-randomised trial is conducted including 120 employees with high occupational shoulder exposures. Companies (clusters) are randomised to either Shoulder-Café or Shoulder-Guidance with a 1:1 allocation ratio. Participants are 18–65 years old and have an Oxford Shoulder Score (OSS) ≤ 40. Both interventions include a home-based shoulder-exercise programme, assessment of shoulder exposures by technical measurements and self-report, and general information on how to reduce shoulder exposures. The Shoulder-Café course also includes three café meetings with physiotherapist-supervised exercises, clinical shoulder evaluation, education on shoulder anatomy, workplace-orientated counselling, and an opportunity for a workplace visit by a health and safety consultant. The primary outcomes are the OSS at 6-month follow-up (hypothesis I), and the mean number of min/day with the arm elevated > 60° shortly after the end of the intervention (hypothesis II). We will use a mixed-model analysis that allows for company clustering, and data will be analysed according to the intention-to-treat principle. DISCUSSION: Persons with shoulder complaints and high occupational shoulder exposures are an obvious target group for secondary prevention efforts. We developed the Shoulder-Café to reduce shoulder complaints and shoulder exposures while unifying the expertise that is needed to evaluate and treat shoulder complaints. If the intervention is effective, it would warrant widespread implementation. TRIAL REGISTRATION: Clinicaltrials.gov, ID: NCT03159910. Registered on 18 May 2017
format Online
Article
Text
id pubmed-6852773
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-68527732019-11-20 Reducing shoulder complaints in employees with high occupational shoulder exposures: study protocol for a cluster-randomised controlled study (The Shoulder-Café Study) Trøstrup, Jeanette Mikkelsen, Lone Ramer Frost, Poul Dalbøge, Annett Høybye, Mette Terp Casper, Sven Dalgas Jørgensen, Lene Bastrup Klebe, Thomas Martin Svendsen, Susanne Wulff Trials Study Protocol BACKGROUND: In Denmark, exercise therapy in combination with work modification is the first-choice treatment for persons with shoulder complaints and high occupational shoulder exposures. To obtain this treatment they must visit several healthcare providers, which makes usual care fragmented and uncoordinated. Therefore, we developed a new intervention which unifies the expertise that is needed. The main hypotheses are that a group-based Shoulder-Café intervention will more effectively reduce (1) shoulder complaints and (2) occupational shoulder exposures than an individual-based Shoulder-Guidance intervention (active control – enhanced usual care). METHODS: A cluster-randomised trial is conducted including 120 employees with high occupational shoulder exposures. Companies (clusters) are randomised to either Shoulder-Café or Shoulder-Guidance with a 1:1 allocation ratio. Participants are 18–65 years old and have an Oxford Shoulder Score (OSS) ≤ 40. Both interventions include a home-based shoulder-exercise programme, assessment of shoulder exposures by technical measurements and self-report, and general information on how to reduce shoulder exposures. The Shoulder-Café course also includes three café meetings with physiotherapist-supervised exercises, clinical shoulder evaluation, education on shoulder anatomy, workplace-orientated counselling, and an opportunity for a workplace visit by a health and safety consultant. The primary outcomes are the OSS at 6-month follow-up (hypothesis I), and the mean number of min/day with the arm elevated > 60° shortly after the end of the intervention (hypothesis II). We will use a mixed-model analysis that allows for company clustering, and data will be analysed according to the intention-to-treat principle. DISCUSSION: Persons with shoulder complaints and high occupational shoulder exposures are an obvious target group for secondary prevention efforts. We developed the Shoulder-Café to reduce shoulder complaints and shoulder exposures while unifying the expertise that is needed to evaluate and treat shoulder complaints. If the intervention is effective, it would warrant widespread implementation. TRIAL REGISTRATION: Clinicaltrials.gov, ID: NCT03159910. Registered on 18 May 2017 BioMed Central 2019-11-12 /pmc/articles/PMC6852773/ /pubmed/31718683 http://dx.doi.org/10.1186/s13063-019-3703-y Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Study Protocol
Trøstrup, Jeanette
Mikkelsen, Lone Ramer
Frost, Poul
Dalbøge, Annett
Høybye, Mette Terp
Casper, Sven Dalgas
Jørgensen, Lene Bastrup
Klebe, Thomas Martin
Svendsen, Susanne Wulff
Reducing shoulder complaints in employees with high occupational shoulder exposures: study protocol for a cluster-randomised controlled study (The Shoulder-Café Study)
title Reducing shoulder complaints in employees with high occupational shoulder exposures: study protocol for a cluster-randomised controlled study (The Shoulder-Café Study)
title_full Reducing shoulder complaints in employees with high occupational shoulder exposures: study protocol for a cluster-randomised controlled study (The Shoulder-Café Study)
title_fullStr Reducing shoulder complaints in employees with high occupational shoulder exposures: study protocol for a cluster-randomised controlled study (The Shoulder-Café Study)
title_full_unstemmed Reducing shoulder complaints in employees with high occupational shoulder exposures: study protocol for a cluster-randomised controlled study (The Shoulder-Café Study)
title_short Reducing shoulder complaints in employees with high occupational shoulder exposures: study protocol for a cluster-randomised controlled study (The Shoulder-Café Study)
title_sort reducing shoulder complaints in employees with high occupational shoulder exposures: study protocol for a cluster-randomised controlled study (the shoulder-café study)
topic Study Protocol
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6852773/
https://www.ncbi.nlm.nih.gov/pubmed/31718683
http://dx.doi.org/10.1186/s13063-019-3703-y
work_keys_str_mv AT trøstrupjeanette reducingshouldercomplaintsinemployeeswithhighoccupationalshoulderexposuresstudyprotocolforaclusterrandomisedcontrolledstudytheshouldercafestudy
AT mikkelsenloneramer reducingshouldercomplaintsinemployeeswithhighoccupationalshoulderexposuresstudyprotocolforaclusterrandomisedcontrolledstudytheshouldercafestudy
AT frostpoul reducingshouldercomplaintsinemployeeswithhighoccupationalshoulderexposuresstudyprotocolforaclusterrandomisedcontrolledstudytheshouldercafestudy
AT dalbøgeannett reducingshouldercomplaintsinemployeeswithhighoccupationalshoulderexposuresstudyprotocolforaclusterrandomisedcontrolledstudytheshouldercafestudy
AT høybyemetteterp reducingshouldercomplaintsinemployeeswithhighoccupationalshoulderexposuresstudyprotocolforaclusterrandomisedcontrolledstudytheshouldercafestudy
AT caspersvendalgas reducingshouldercomplaintsinemployeeswithhighoccupationalshoulderexposuresstudyprotocolforaclusterrandomisedcontrolledstudytheshouldercafestudy
AT jørgensenlenebastrup reducingshouldercomplaintsinemployeeswithhighoccupationalshoulderexposuresstudyprotocolforaclusterrandomisedcontrolledstudytheshouldercafestudy
AT klebethomasmartin reducingshouldercomplaintsinemployeeswithhighoccupationalshoulderexposuresstudyprotocolforaclusterrandomisedcontrolledstudytheshouldercafestudy
AT svendsensusannewulff reducingshouldercomplaintsinemployeeswithhighoccupationalshoulderexposuresstudyprotocolforaclusterrandomisedcontrolledstudytheshouldercafestudy