Cognitive Functional Therapy for chronic shoulder pain

Cognitive Functional Therapy Versus Therapeutic Exercises for the Treatment of Individuals With Chronic Shoulder Pain: A Randomized Controlled Trial

This study tests if Cognitive Functional Therapy can help people with chronic shoulder pain feel better compared to regular exercise over eight weeks.

Quick facts

• Phase: Not applicable
• Study type: Interventional
• Enrollment: 72 (estimated)
• Ages: 18 Years to 60 Years
• Sex: All
• Sponsor: Federal University of Paraíba (Academic / other)
• Locations: 1 site (João Pessoa, Paraíba)
• Trial ID: NCT06661681 on ClinicalTrials.gov

What this trial studies

This trial investigates the effectiveness of Cognitive Functional Therapy (CFT) compared to therapeutic exercise in treating chronic shoulder pain. It employs a randomized controlled design with two groups: one receiving CFT and the other engaging in therapeutic exercises over eight weeks. The study aims to assess both biological outcomes, such as pain intensity and disability, and psychosocial factors, including sleep quality and self-efficacy. By addressing the multifaceted nature of pain, the trial seeks to determine if CFT can provide superior results compared to traditional exercise therapy.

Who should consider this trial

Good fit: Ideal candidates are men and women aged 18 to 60 with chronic shoulder pain lasting more than three months and a pain intensity rating of 4 or higher.

Not a fit: Patients with a history of shoulder surgery, dislocation, or certain systemic diseases may not benefit from this study.

Why it matters

Potential benefit: If successful, this approach could significantly improve pain management and functional outcomes for patients with chronic shoulder pain.

How similar studies have performed: Previous studies have shown promise for Cognitive Functional Therapy in managing chronic pain, suggesting potential success for this approach.

Eligibility criteria

Inclusion Criteria:

* Men or women;
* Age between 18 and 60 years;
* Presence of shoulder pain for more than 3 months;
* Pain intensity of 4 points or more on the 11-point Numeric Pain Rating Scale.
* High level of disability or moderate level of irritability.

Exclusion Criteria:

* History of fracture or surgery of the clavicle, scapula, and/or humerus, surgical stabilization or rotator cuff repair;
* History of dislocation, instability (positive sulcus sign or apprehension test), and/or rotator cuff tear (positive drop arm test);
* Adhesive capsulitis verified by the presence of gradual onset pain associated with stiffness and reduced passive and active mobility;
* Ongoing pregnancy;
* Reproduction of shoulder pain radiating to the entire upper limb during cervical or thoracic spine tests (positive Spurling test);
* Neurological or systemic diseases that may alter muscle strength and sensitivity such as rheumatoid arthritis, fibromyalgia, lupus, gout, and diabetes;
* Corticosteroid injection in the shoulder region in the last 3 months;
* Physiotherapy treatment in the last 6 months.
* Active treatment for cancer

Where this trial is running

João Pessoa, Paraíba

• Federal University of Paraíba — João Pessoa, Paraíba, Brazil (Recruiting)

Study contacts

• Principal investigator: Danilo H Kamonseki, PhD — Universidade Federal da Paraíba
• Study coordinator: Danilo H Kamonseki, PhD

Conditions Chronic Shoulder Pain; Exercise Therapy; Psychosocial Rehabilitation; Shoulder pain; Subacromial pain; Rotator cuff related shoulder pain; Shoulder Impingement; Chronic pain