Central Sensitization and Functional Outcomes in Chronic Shoulder Pain

ConditionChronic Shoulder Pain

Trial statusNot yet recruiting

Trial phaseNot listed

Trial typeObservational

Biological sexAll

Age18+

SponsorPamukkale University

About this trial

This prospective observational cohort study aims to investigate whether baseline central sensitization and psychological factors predict functional outcomes following rehabilitation in individuals with chronic shoulder pain. Participants with chronic shoulder pain will receive a standardized 6-week physiotherapy and rehabilitation program routinely applied in the clinic. Assessments will be performed before and after treatment, including pain severity, shoulder function, central sensitization symptoms, and psychological factors such as pain catastrophizing. The findings of this study may contribute to a better understanding of biopsychosocial factors affecting rehabilitation outcomes in chronic shoulder pain and help improve individualized rehabilitation approaches.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Adults aged 18 years and older

Presence of chronic shoulder pain lasting at least 3 months

Clinical findings consistent with shoulder-related pain

Willingness to participate in a 6-week physiotherapy rehabilitation program

Disqualifiers

History of shoulder surgery within the previous 6 months

Major shoulder trauma within the previous 6 months

Serious pathology affecting the shoulder (e.g., infection, tumor, systemic inflammatory disease)

Neurological disorders affecting the upper extremity (e.g., cervical radiculopathy, myelopathy, peripheral nerve injury)

Trial population

Adults with chronic shoulder pain who are referred to physiotherapy and rehabilitation clinics and scheduled to receive a standardized 6-week physiotherapy rehabilitation program. Participants will include individuals with shoulder pain associated with conditions such as rotator cuff-related shoulder pain, subacromial pain syndrome, and adhesive capsulitis.

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

Physiotherapy Rehabilitation Program
Other intervention
A standardized 6-week exercise-based physiotherapy and rehabilitation program routinely applied in clinical practice, including patient education, scapular stabilization exercises, strengthening exercises, range of motion exercises, functional training, and home exercise recommendations for individuals with chronic shoulder pain.

Treatment groups

59 Participants

are divided into 1 treatment group

Group A: Physiotherapy Rehabilitation Program1 intervention

Trial outcomes

Primary outcomes

Shoulder Pain and Disability Index (SPADI)

The Shoulder Pain and Disability Index (SPADI) is a validated questionnaire used to assess shoulder pain and disability. Total scores range from 0 to 100, with higher scores indicating greater pain and disability.

Time frame