Increased shoulder pain across an exercise session and subsequent shoulder exercise: a prospective cohort study
Abstract Background Shoulder complaints are common and the recommended first-line treatment is exercise therapy. However, it remains unknown if increased shoulder pain after an exercise session is a barrier for subsequent exercise dose, particularly in people with high fear-avoidance beliefs. Such k...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-07-01
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| Series: | BMC Musculoskeletal Disorders |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12891-022-05674-2 |
| _version_ | 1811223036579282944 |
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| author | Jeanette Trøstrup Susanne Wulff Svendsen Annett Dalbøge Lone Ramer Mikkelsen Mette Terp Høybye Lene Bastrup Jørgensen Thomas Martin Klebe Poul Frost |
| author_facet | Jeanette Trøstrup Susanne Wulff Svendsen Annett Dalbøge Lone Ramer Mikkelsen Mette Terp Høybye Lene Bastrup Jørgensen Thomas Martin Klebe Poul Frost |
| author_sort | Jeanette Trøstrup |
| collection | DOAJ |
| description | Abstract Background Shoulder complaints are common and the recommended first-line treatment is exercise therapy. However, it remains unknown if increased shoulder pain after an exercise session is a barrier for subsequent exercise dose, particularly in people with high fear-avoidance beliefs. Such knowledge could indicate ways to optimise shoulder rehabilitation. The aim was to examine whether increased shoulder pain across an exercise session was associated with a lower subsequent exercise dose, and if high fear-avoidance beliefs exaggerated this association. Methods We conducted a prospective cohort study using data from a randomised controlled trial in Central Denmark Region 2017–2019. Participants were employees (n = 79) with shoulder complaints and high occupational shoulder exposures. The intervention was a home-based or partly supervised exercise programme lasting 2–3 months. Linear mixed models were used to examine the associations between change in shoulder pain and exercise dose (number of repetitions, progression level (1–3), resistance level (1–3), and time until next exercise session [days]). Results At baseline, the participants had a median pain intensity at rest of 2 on a numerical rating scale (0–10). For a 1-cm increase in pain on a visual analogue scale (0–10 cm) during an exercise session, the subsequent number of repetitions, progression level and resistance level were − 1.3 (95% confidence interval [CI] − 3.4 to 0.9), 0.0 (95% CI − 0.1 to 0.0) and − 0.0 (95% CI − 0.1 to 0.0), respectively. Likewise, the time until next exercise session was − 0.6 (95% CI − 2.4 to 1.3) days for a 1-cm increase. There were no interactions with fear-avoidance beliefs. Conclusion Increased pain across an exercise session was not associated with subsequent exercise dose, regardless of fear-avoidance beliefs, among employees with shoulder complaints and high occupational shoulder exposures. Trial registration The trial was registered at Clinicaltrials.gov 19/05/2017 (ID: NCT03159910). |
| first_indexed | 2024-04-12T08:26:06Z |
| format | Article |
| id | doaj.art-1223bb658af14cf88858803593ba4c22 |
| institution | Directory Open Access Journal |
| issn | 1471-2474 |
| language | English |
| last_indexed | 2024-04-12T08:26:06Z |
| publishDate | 2022-07-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj.art-1223bb658af14cf88858803593ba4c222022-12-22T03:40:23ZengBMCBMC Musculoskeletal Disorders1471-24742022-07-012311910.1186/s12891-022-05674-2Increased shoulder pain across an exercise session and subsequent shoulder exercise: a prospective cohort studyJeanette Trøstrup0Susanne Wulff Svendsen1Annett Dalbøge2Lone Ramer Mikkelsen3Mette Terp Høybye4Lene Bastrup Jørgensen5Thomas Martin Klebe6Poul Frost7Elective Surgery Centre, Silkeborg Regional HospitalDanish Ramazzini Centre, Department of Occupational Medicine, Gødstrup Hospital – University Research ClinicDepartment of Clinical Medicine, Aarhus UniversityElective Surgery Centre, Silkeborg Regional HospitalElective Surgery Centre, Silkeborg Regional HospitalDepartment of Clinical Medicine, Aarhus UniversityElective Surgery Centre, Silkeborg Regional HospitalDanish Ramazzini Centre, Department of Occupational Medicine, Aarhus University HospitalAbstract Background Shoulder complaints are common and the recommended first-line treatment is exercise therapy. However, it remains unknown if increased shoulder pain after an exercise session is a barrier for subsequent exercise dose, particularly in people with high fear-avoidance beliefs. Such knowledge could indicate ways to optimise shoulder rehabilitation. The aim was to examine whether increased shoulder pain across an exercise session was associated with a lower subsequent exercise dose, and if high fear-avoidance beliefs exaggerated this association. Methods We conducted a prospective cohort study using data from a randomised controlled trial in Central Denmark Region 2017–2019. Participants were employees (n = 79) with shoulder complaints and high occupational shoulder exposures. The intervention was a home-based or partly supervised exercise programme lasting 2–3 months. Linear mixed models were used to examine the associations between change in shoulder pain and exercise dose (number of repetitions, progression level (1–3), resistance level (1–3), and time until next exercise session [days]). Results At baseline, the participants had a median pain intensity at rest of 2 on a numerical rating scale (0–10). For a 1-cm increase in pain on a visual analogue scale (0–10 cm) during an exercise session, the subsequent number of repetitions, progression level and resistance level were − 1.3 (95% confidence interval [CI] − 3.4 to 0.9), 0.0 (95% CI − 0.1 to 0.0) and − 0.0 (95% CI − 0.1 to 0.0), respectively. Likewise, the time until next exercise session was − 0.6 (95% CI − 2.4 to 1.3) days for a 1-cm increase. There were no interactions with fear-avoidance beliefs. Conclusion Increased pain across an exercise session was not associated with subsequent exercise dose, regardless of fear-avoidance beliefs, among employees with shoulder complaints and high occupational shoulder exposures. Trial registration The trial was registered at Clinicaltrials.gov 19/05/2017 (ID: NCT03159910).https://doi.org/10.1186/s12891-022-05674-2AdherenceFear-avoidance beliefsRehabilitation |
| spellingShingle | Jeanette Trøstrup Susanne Wulff Svendsen Annett Dalbøge Lone Ramer Mikkelsen Mette Terp Høybye Lene Bastrup Jørgensen Thomas Martin Klebe Poul Frost Increased shoulder pain across an exercise session and subsequent shoulder exercise: a prospective cohort study BMC Musculoskeletal Disorders Adherence Fear-avoidance beliefs Rehabilitation |
| title | Increased shoulder pain across an exercise session and subsequent shoulder exercise: a prospective cohort study |
| title_full | Increased shoulder pain across an exercise session and subsequent shoulder exercise: a prospective cohort study |
| title_fullStr | Increased shoulder pain across an exercise session and subsequent shoulder exercise: a prospective cohort study |
| title_full_unstemmed | Increased shoulder pain across an exercise session and subsequent shoulder exercise: a prospective cohort study |
| title_short | Increased shoulder pain across an exercise session and subsequent shoulder exercise: a prospective cohort study |
| title_sort | increased shoulder pain across an exercise session and subsequent shoulder exercise a prospective cohort study |
| topic | Adherence Fear-avoidance beliefs Rehabilitation |
| url | https://doi.org/10.1186/s12891-022-05674-2 |
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