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

Autor: Annett Dalbøge, Mette Terp Høybye, Jeanette Trøstrup, Susanne Wulff Svendsen, Poul Frost, Lone Ramer Mikkelsen, Thomas Martin Klebe, Lene Bastrup Jørgensen, Sven Dalgas Casper
Rok vydání: 2019
Předmět:
Psychological intervention
Medicine (miscellaneous)
Occupational safety and health
law.invention
Study Protocol
0302 clinical medicine
Randomized controlled trial
law
Outcome Assessment
Health Care
occupation
Cluster Analysis
Pharmacology (medical)
Oxford shoulder score
030212 general & internal medicine
mechanical exposure
intervention
Randomized Controlled Trials as Topic
Randomised controlled trial
Occupation
lcsh:R5-920
exercise
Mechanical exposure
Middle Aged
030210 environmental & occupational health
Exercise Therapy
Occupational Diseases
Shoulder anatomy
Research Design
lcsh:Medicine (General)
Adult
musculoskeletal diseases
Shoulder
medicine.medical_specialty
Adolescent
Intervention
training programme
Young Adult
03 medical and health sciences
Shoulder Pain
Intervention (counseling)
medicine
Humans
Exercise
Aged
Protocol (science)
business.industry
Exercise therapy
Training programme
Physical therapy
business
human activities
Zdroj: Trials, Vol 20, Iss 1, Pp 1-13 (2019)
Trials
Trøstrup, J, Mikkelsen, L R, Frost, P, Dalbøge, A, Høybye, M T, Casper, S D, Bastrup, L, Klebe, T M & Svendsen, S W 2019, ' Reducing shoulder complaints in employees with high occupational shoulder exposures : study protocol for a cluster-randomised controlled study (The Shoulder-Café Study) ', Trials, vol. 20, no. 1, 627 . https://doi.org/10.1186/s13063-019-3703-y
ISSN: 1745-6215
Popis: BackgroundIn 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).MethodsA 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.DiscussionPersons 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 registrationClinicaltrials.gov, ID:NCT03159910. Registered on 18 May 2017
Databáze: OpenAIRE
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