Development of the Photographic Shoulder Scale
ConditionShoulder Pain
Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18-64
SponsorIstanbul University - Cerrahpasa
About this trial
Shoulder pain is a common cause of musculoskeletal complaints that affects home and work activities, as well as quality of life. It is the third most common musculoskeletal issue after spinal and knee pathologies. The prognosis for individuals with shoulder pain can vary, with approximately 50% still reporting symptoms six months after seeking primary care. In addition to pain, functional limitations can occur, interfering with work, hobbies, and social or sports activities. A large group of patients report persistent shoulder pain with a high rate of sick leave. As a result, the total economic cost associated with shoulder pain also becomes a significant concern.
The most frequently reported clinical pathologies associated with chronic shoulder pain are rotator cuff disorders, adhesive capsulitis, and glenohumeral osteoarthritis, which collectively constitute the largest portion of all shoulder pain pathologies. Patient-reported outcome measures (PROMs) are often used to assess functional loss and disability in patients. These outcome measures provide evidence about patients' perceptions of treatment and offer data on the long-term effectiveness of interventions. For this purpose, many shoulder-specific questionnaires have been developed.
Developing a tool that uses photographs representing activities to measure how much patients struggle with daily life activities could be an important alternative for shoulder patients. An example of such a scale is the Photograph Series of Daily Activities-Short Electronic Version (PHODA-SeV), which was developed for low back pain. A different photographic scale has also been developed to assess avoidance behavior in patients with shoulder pain. Similarly, developing a specific photographic scale to assess daily life activities in patients with shoulder pain could be useful in clinical practice, as it would help patients better understand the scope of the questions.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Individuals with traumatic or non-traumatic shoulder pain lasting for more than 3 months
Disqualifiers
Individuals with neurological and/or rheumatological diseases
Active local or systemic infections
A history of cancer
Severe visual impairments
Trial population
Individuals who are being followed at the Orthopedics and Traumatology Department of Başakşehir Çam and Sakura City Hospital and meet the inclusion criteria will be included in the study.
Trial design
Design model
Other
Time perspective
Cross-sectional
Treatments tested in this trial
Not listed
Trial groups
100 Participants
are grouped into 1 trial groupGroup A: Study group
Trial outcomes
Primary outcomes
1
Photographic Shoulder Scale
In the rehabilitation of the upper extremity musculoskeletal system, a 4-person team consisting of physiotherapists and orthopedists with theoretical and practical experience has prepared 30 activities consisting of movements commonly used in daily life. The team asked 3 specialists, "How important do you think it is to ask patients with shoulder pain about this activity?" and removed activities that the specialists deemed inappropriate, resulting in 16 activities. Photos were taken for these activities, and a scale consisting of 16 photos was applied as a pilot test to a group of 15 patients with shoulder pain. A question was asked, "Does this photo represent the activity as described?" Feedback on the topic was gathered. A scale was also added for pain assessment, using a rating from 0 to 10. The designed scale consists of two sections: the first section assesses pain, and the second section contains photo-based questions measuring daily life activities.
Time frame
1 daySecondary outcomes
1
Quick DASH
It was designed to differentiate and assess the physical disability and symptoms in patients with musculoskeletal disorders of the upper extremity. The primary component of the questionnaire, Quick DASH, consists of 11 items, each of which is rated on a 5-point ordinal scale (17). To calculate the total DASH score, all responses are summed and averaged. This value is then subtracted by 1, multiplied by 25, and provides a total score between 0-100 (with 100 being the worst score).
Time frame
1 day2
SF-12
The Short Form 12 (SF-12) scale will be used to assess health-related quality of life. The SF-12 is a shortened version of the SF-36 Health Quality Scale. It consists of 2 components: physical and mental health. The scale includes 12 questions that assess physical, social, and mental health. A higher score indicates a better state of health and improved quality of life, while a lower score indicates a deterioration in health.
Time frame
1 day3
ASES
The ASES (American Shoulder and Elbow Surgeons) Scale consists of two sections: pain and functionality. The pain assessment includes one question, while the functionality assessment consists of 10 questions. The pain question is rated from 0 (no pain) to 10 (the worst pain imaginable). The functionality questions use a four-point Likert scale, ranging from 0 (cannot do) to 3 (not difficult). The total score ranges from 0 to 100.
Time frame
1 daySponsors and contacts
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Source ClinicalTrials.gov