Polymyalgia rheumatica (PMR) is a condition that causes joint pain and stiffness, making it hard for people to do everyday tasks. Movement pattern training is a special, personalized rehabilitation program that aims to reduce pain by improving how people move during their daily activities. The investigators plan to test if it's possible to conduct a detailed study to find out how effective Movement pattern training is for people with PMR. The investigators will look at whether it helps them perform activities they want to do, reduce their use of certain medications, and strengthen their muscles. The investigators will also gather feedback from patients about their experience with Movement pattern training. This study will help us understand if carrying out a larger study on Movement pattern training's effectiveness is practical.
Patient reports a diagnosis or flare of polymyalgia rheumatica (PMR) < 5 months before the screening contact
Age ≥50 years at time of diagnosis
Presence of bilateral shoulder pain
Elevated acute phase reactants C-reactive protein (CRP) >10 milligram/Liter and/or Erythrocyte Sedimentation Rate (ESR) >30 millimeters/hour*
Diagnosis of fibromyalgia, neuropathic muscular disease, complex regional pain syndrome, or small fiber neuropathy
planned major surgical procedure during the study
Current active uncontrolled infection
Parallel
Movement Pattern Training (MoveTrain)
Behavioral6 individualized treatment sessions over 10 weeks * Motivational interviewing to determine personal goals and strengthen motivation and commitment to change * Activity-specific training to practice modified motion during patient-specific tasks, defined as activities reported by each patient as pain-provoking * Home exercise program 3 times/week consisting of activities or exercises assigned in the supervised sessions * Patient's independence and adherence in performing home exercise program will be documented * Patients are encouraged to use modified motion during daily and physical activities * Based on patient performance, activity difficulty is progressed by increasing repetitions performed or increasing load or speed
Usual Care
Other intervention* Basic education about polymyalgia rheumatica, benefits of physical activity * Patients will be encouraged to participate in physical activity as tolerated * Medication as prescribed by their physician
Number of potential participants accessed.
The total number of people with Polymyalgia rheumatica (PMR) who were recruited each week
Percent of eligible participants who were willing to be randomized
Percent of eligible participants are willing to be randomized during the study
Preliminary estimates of change in polymyalgia rheumatica impact scale (PMR-IS)
The change in polymyalgia rheumatica impact scale (PMR-IS), a self-report questionnaire specific to polymyalgia rheumatica, that represents the patients symptoms and functional ability.
Preliminary estimates of change in physical activity
The change in physical activity as represented by the Stanford 7-DAy Physical Activity Recall survey
Preliminary estimates of change in cumulative glucocorticoid dose
Change in cumulative glucocorticoid dose assessed by patient's self-report logs
Preliminary estimates of change in muscle strength
change in muscle strength of the hips and shoulders, assessed using a hand dynamometer
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