To test if a new intervention, aimed at learning to use stop-rules in a flexible way(Stop Rule Management, SRM), has a more positive effect on the disability and quality of life of patient with non specific WREUP, than a regular rehabilitation…
ID
Source
Brief title
Condition
- Other condition
Synonym
Health condition
Chronische pijn
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
Functional disability (UEFS, DASH)
Quality of life (SF-36)
Participation and autonomy (IPA)
Secondary outcome
o Demographic variables (sex, age, education, onset of pain, smoking habits,
previous treatments, co-morbidity)
o Stop-rules (HASQ)
o Pain related fear (TSK, PHODA-UE)
o Pain catastrophizing (PCS)
o Mood (PANAS)
o Responsibility (RQ)
o Physical activity in daily life (Actiwatch, PARQ)
o Pain intensity (MPQ-SF)
o Tenacious goal pursuing (TGPS)
Background summary
Chronic musculoskeletal pain comprises an important problem in health care and
society. The fear-avoidance model has been successfully tested in chronic pain
patients with avoidance behaviour, but this model appears less applicable in
pain disability associated with task persistence and overuse often seen in
patients with non-specific Work Related Upper Extremity Pain (WREUP). The aim
of the present study is to test a novel integrative model that is based on the
*mood as input* paradigm, which may account for both pain responses: task
escape/avoidance and task persistence, both within and between individuals.
*Mood as input* theory assumes that the informational value of the mood, rather
than the mood itself, determines whether participants persist at a certain
task. The basic tenet is that escape/avoidance or persistence during a task is
a function of the interaction between two relatively independent factors: mood
and stop-rule.
Study objective
To test if a new intervention, aimed at learning to use stop-rules in a
flexible way(Stop Rule Management, SRM), has a more positive effect on the
disability and quality of life of patient with non specific WREUP, than a
regular rehabilitation program (REV).
Study design
A randomized controlled and replicated single case experimnetal ABCD design (A:
pretest, B and C: SRM and REV, in order determined by randomization, D: follow
up).
Intervention
Subjects will be offered two treatments: stop-rule management (SRM,
experimental treatment) and regular rehabilitation (REV, controll treatment)
Study burden and risks
Subjects will complete a set of questionnaires (4 times) and wear an Actiwatch
during 1 week (4 times). Treatment consists of 20 hour Stop Rule Management and
22 hour regular rehabilitation. Both treatments are aimed to reduce disability
and increase quality of life. During treatments, activities will be performed
(work, leisure, household), in which the risks are similar to those experienced
life.
Universiteitssingel 50
6229 ER Maastricht
NL
Universiteitssingel 50
6229 ER Maastricht
NL
Listed location countries
Age
Inclusion criteria
1) Non-specific pain or other symptoms in neck, shoulder, elbow, arm, wrist, hand (or combination)
2) The onset or ongoing of pain is related to work, household or other unpaid activities (for example study or education)
3) Patients experience:
. complaints (pain, local tiredness, cramping, tingling or dull feeling) during activities, but decreasing when ending the activity.
· complaints (pain, tendon-/muscle irritation, aggravated feeling, insomnia and reduced strength) after work, that decrease during evenings or weekends.
· ongoing complaints (pain, swelling, pressure pain, loss of functional abilities, changes in skin colour, temperature, dull or tingling feeling)
4) Patients have complaints for at least 6 weeks.
5) Patients are aged between 18-65 years old and have an adequate ability to fill in Dutch questionnaires.
Exclusion criteria
1) Specific complaints (biceps tendinitis, bursitis around the elbow, carpal tunnel syndrome, cervical hernia, cubital tunnel syndrome, m. Dupuytren*s syndrome, epicondylitis lateralis cubiti, epicondylitis medialis cubiti, frozen shoulder, Guyon*s canal syndrome, instability of the shoulder or elbow, labrum glenoidale ruptures, local arthritis (no RA) in an upper extremity joint, Oarsman*s wrist, radial tunnel syndrome, Raynaud*s phenomena, rotator cuff ruptures, subacromial impingement syndrome (rotator cuff syndrome, tendonitis and bursitis around the shoulder), Complex Regional Pain Syndrome-I, suprascapulair compression, triggerfinger, Quervain*s syndrome)
2) Complaints caused by acute trauma.
3) Involvement in a law suit regarding work-disability.
4) Psychopathology, assessed with the Symptom Checklist (SCL-90). Scores on IN-SEN-HOS-PSNEUR should not be *high* or *very high* compared with the norms of the group outpatient psychiatric clients.
Design
Recruitment
Medical products/devices used
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| Other | candidatenumber 4326 |
| CCMO | NL24339.068.08 |