Development and implementation of the physiotherapy-led exercise interventions for the treatment of rotator cuff disorders for the ‘Getting it Right: Addressing Shoulder Pain’ (GRASP) trial
<p><strong>Objectives</strong></p> <p>The Getting it Right: Addressing Shoulder Pain (GRASP) trial is a large-scale, multicentre, 2 × 2 factorial randomised controlled trial investigating clinical and cost-effectiveness of a progressive exercise programme versus best-pr...
| Main Authors: | , , , , , , , , , , |
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| Format: | Journal article |
| Published: |
Elsevier
2019
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| _version_ | 1797078470750109696 |
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| author | Keene, D Soutakbar, H Hopewell, S Heine, P Jaggi, A Littlewood, C Hansen, Z Barker, K Hamilton, W Carr, A Lamb, S |
| author_facet | Keene, D Soutakbar, H Hopewell, S Heine, P Jaggi, A Littlewood, C Hansen, Z Barker, K Hamilton, W Carr, A Lamb, S |
| author_sort | Keene, D |
| collection | OXFORD |
| description | <p><strong>Objectives</strong></p> <p>The Getting it Right: Addressing Shoulder Pain (GRASP) trial is a large-scale, multicentre, 2 × 2 factorial randomised controlled trial investigating clinical and cost-effectiveness of a progressive exercise programme versus best-practice advice, with or without corticosteroid injection, for treating people with rotator cuff disorders. Here we describe the development, implementation and details of the physiotherapy-led interventions.</p> <p><strong>Methods</strong></p> <p>Medical Research Council guidance for developing complex interventions were used, taking into account clinical guidelines, expert and patient opinion, research evidence, current practice variation, and deliverability. A stakeholder meeting of 26 experts, clinicians, researchers, and patient representatives was used to design key components of the interventions. Stakeholders prioritised strengthening posterior rotator cuff muscles and using practical, easy-to-do exercises. The interventions were designed to be deliverable across the UK National Health Service.</p> <p><strong>Results</strong></p> <p>Progressive exercise consists of up to six sessions with a physiotherapist over 16 weeks. The best-practice advice consists of one face-to-face session with a physiotherapist with substantially greater reliance on self-management. Both interventions include self-management advice, home-exercise instruction, and behaviour-change strategies to target exercise adherence. All participants receive a Participant Information Booklet. The best-practice advice intervention is a self-guided system of progressively challenging exercises, with demonstration videos and written materials. The progressive exercise intervention has a wider range of exercise options, and greater flexibility for tailoring, progression, supervised practice and feedback.</p> <p><strong>Conclusion</strong></p> <p>GRASP has recruited 708 participants and will provide high quality evidence to inform management of people with shoulder pain due to a rotator cuff disorder. Results are anticipated in 2020.</p> |
| first_indexed | 2024-03-07T00:32:18Z |
| format | Journal article |
| id | oxford-uuid:803dbbe8-4983-4753-b6da-e3d27e5fd069 |
| institution | University of Oxford |
| last_indexed | 2024-03-07T00:32:18Z |
| publishDate | 2019 |
| publisher | Elsevier |
| record_format | dspace |
| spelling | oxford-uuid:803dbbe8-4983-4753-b6da-e3d27e5fd0692022-03-26T21:22:05ZDevelopment and implementation of the physiotherapy-led exercise interventions for the treatment of rotator cuff disorders for the ‘Getting it Right: Addressing Shoulder Pain’ (GRASP) trialJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:803dbbe8-4983-4753-b6da-e3d27e5fd069Symplectic Elements at OxfordElsevier2019Keene, DSoutakbar, HHopewell, SHeine, PJaggi, ALittlewood, CHansen, ZBarker, KHamilton, WCarr, ALamb, S<p><strong>Objectives</strong></p> <p>The Getting it Right: Addressing Shoulder Pain (GRASP) trial is a large-scale, multicentre, 2 × 2 factorial randomised controlled trial investigating clinical and cost-effectiveness of a progressive exercise programme versus best-practice advice, with or without corticosteroid injection, for treating people with rotator cuff disorders. Here we describe the development, implementation and details of the physiotherapy-led interventions.</p> <p><strong>Methods</strong></p> <p>Medical Research Council guidance for developing complex interventions were used, taking into account clinical guidelines, expert and patient opinion, research evidence, current practice variation, and deliverability. A stakeholder meeting of 26 experts, clinicians, researchers, and patient representatives was used to design key components of the interventions. Stakeholders prioritised strengthening posterior rotator cuff muscles and using practical, easy-to-do exercises. The interventions were designed to be deliverable across the UK National Health Service.</p> <p><strong>Results</strong></p> <p>Progressive exercise consists of up to six sessions with a physiotherapist over 16 weeks. The best-practice advice consists of one face-to-face session with a physiotherapist with substantially greater reliance on self-management. Both interventions include self-management advice, home-exercise instruction, and behaviour-change strategies to target exercise adherence. All participants receive a Participant Information Booklet. The best-practice advice intervention is a self-guided system of progressively challenging exercises, with demonstration videos and written materials. The progressive exercise intervention has a wider range of exercise options, and greater flexibility for tailoring, progression, supervised practice and feedback.</p> <p><strong>Conclusion</strong></p> <p>GRASP has recruited 708 participants and will provide high quality evidence to inform management of people with shoulder pain due to a rotator cuff disorder. Results are anticipated in 2020.</p> |
| spellingShingle | Keene, D Soutakbar, H Hopewell, S Heine, P Jaggi, A Littlewood, C Hansen, Z Barker, K Hamilton, W Carr, A Lamb, S Development and implementation of the physiotherapy-led exercise interventions for the treatment of rotator cuff disorders for the ‘Getting it Right: Addressing Shoulder Pain’ (GRASP) trial |
| title | Development and implementation of the physiotherapy-led exercise interventions for the treatment of rotator cuff disorders for the ‘Getting it Right: Addressing Shoulder Pain’ (GRASP) trial |
| title_full | Development and implementation of the physiotherapy-led exercise interventions for the treatment of rotator cuff disorders for the ‘Getting it Right: Addressing Shoulder Pain’ (GRASP) trial |
| title_fullStr | Development and implementation of the physiotherapy-led exercise interventions for the treatment of rotator cuff disorders for the ‘Getting it Right: Addressing Shoulder Pain’ (GRASP) trial |
| title_full_unstemmed | Development and implementation of the physiotherapy-led exercise interventions for the treatment of rotator cuff disorders for the ‘Getting it Right: Addressing Shoulder Pain’ (GRASP) trial |
| title_short | Development and implementation of the physiotherapy-led exercise interventions for the treatment of rotator cuff disorders for the ‘Getting it Right: Addressing Shoulder Pain’ (GRASP) trial |
| title_sort | development and implementation of the physiotherapy led exercise interventions for the treatment of rotator cuff disorders for the getting it right addressing shoulder pain grasp trial |
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