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BMC Musculoskeletal Disorders
Published in: BMC Musculoskeletal Disorders 1/2010

Open Access 01-12-2010 | Research article

Predictors of Shoulder Pain and Disability Index (SPADI) and work status after 1 year in patients with subacromial shoulder pain

Authors: Kaia Engebretsen, Margreth Grotle, Erik Bautz-Holter, Ole Marius Ekeberg, Jens Ivar Brox

Published in: BMC Musculoskeletal Disorders | Issue 1/2010

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Abstract

Background

Shoulder pain is a common complaint in primary health care and has an unfavourable outcome in many patients. The objectives were to identify predictors for pain and disability (SPADI) and work status in patients with subacromial shoulder pain.

Methods

Secondary analyses of data from a randomized clinical controlled trial were performed. Outcome measures were the absolute values of the combined Shoulder Pain and Disability Index (SPADI) and work status 1 year after treatment with supervised exercises (SE) or radial extracorporeal shockwave therapy (rESWT). Predictors of outcome were investigated using multiple linear regression (SPADI) and logistic regression (work status).

Results

104 patients were included. Low education (≤ 12 years), previous shoulder pain, and a high baseline SPADI score predicted poor results with these variables explaining 29.9% of the variance in SPADI score at 1 year. Low education and poor self-reported health status predicted a work status of "not working": Odds Ratio, OR = 4.3(95% CI (1.3 to 14.9)), p = 0.02 for education, and OR = 1.06 (95% CI (1.0 to 1.1)), p = 0.001 for self-reported health status, respectively. Adjustments for age, gender, and treatment group were performed, but did not change the results.

Conclusion

Education was the most consistent predictor of pain and disability, and work status at 1 year follow-up. Also, baseline SPADI score, previous shoulder pain and self-reported health status predicted outcome.

Trial registration

Clinical trials NCT00653081
Appendix
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Literature
1.
Luime JJ, Koes BW, Hendriksen IJ, Burdorf A, Verhagen AP, Miedema HS, Verhaar JA: Prevalence and incidence of shoulder pain in the general population; a systematic review. Scand J Rheumatol. 2004, 33: 73-81. 10.1080/03009740310004667.CrossRefPubMed
2.
3.
Kuijpers T, van der Heijden GJ, Vergouwe Y, Twisk JW, Boeke AJ, Bouter LM, van der Windt DA: Good generalizability of a prediction rule for prediction of persistent shoulder pain in the short term. J Clin Epidemiol. 2007, 60: 947-953. 10.1016/j.jclinepi.2006.11.015.CrossRefPubMed
4.
Croft P, Pope D, Silman A: The clinical course of shoulder pain: prospective cohort study in primary care. Primary Care Rheumatology Society Shoulder Study Group. BMJ. 1996, 313: 601-602.CrossRefPubMedPubMedCentral
5.
van der Windt DA, Koes BW, Boeke AJ, Deville W, De Jong BA, Bouter LM: Shoulder disorders in general practice: prognostic indicators of outcome. Br J Gen Pract. 1996, 46: 519-523.PubMedPubMedCentral
6.
Lakke SE, Soer R, Takken T, Reneman MF: Risk and prognostic factors for non-specific musculoskeletal pain: a synthesis of evidence from systematic reviews classified into ICF dimensions. Pain. 2009, 147: 153-164. 10.1016/j.pain.2009.08.032.CrossRefPubMed
7.
Mallen CD, Peat G, Thomas E, Dunn KM, Croft PR: Prognostic factors for musculoskeletal pain in primary care: a systematic review. Br J Gen Pract. 2007, 57: 655-661.PubMedPubMedCentral
8.
Miranda H, Viikari-Juntura E, Martikainen R, Takala EP, Riihimaki H: A prospective study of work related factors and physical exercise as predictors of shoulder pain. Occup Environ Med. 2001, 58: 528-534. 10.1136/oem.58.8.528.CrossRefPubMedPubMedCentral
9.
Kennedy CA, Manno M, Hogg-Johnson S, Haines T, Hurley L, McKenzie D, Beaton DE: Prognosis in soft tissue disorders of the shoulder: predicting both change in disability and level of disability after treatment. Phys Ther. 2006, 86: 1013-1032.PubMed
10.
Kuijpers T, van der Windt D, van der Heijden G: Systematic review of prognostic cohort studies on shoulder disorders. Spine. 2004, 109: 420-431.
11.
Kuijpers T, van der Windt DA, Boeke AJ, Twisk JW, Vergouwe Y, Bouter LM, van der Heijden GJ: Clinical prediction rules for the prognosis of shoulder pain in general practice. Pain. 2006, 120: 276-285. 10.1016/j.pain.2005.11.004.CrossRefPubMed
12.
Marhold C, Linton SJ, Melin L: Identification of obstacles for chronic pain patients to return to work: evaluation of a questionnaire. J Occup Rehabil. 2002, 12: 65-75. 10.1023/A:1015056429505.CrossRefPubMed
13.
Brox JI, Brevik JI: Prognostic factors in patients with rotator tendinosis (stage II impingement syndrome) of the shoulder. Scand J Prim Health Care. 1996, 14: 100-105. 10.3109/02813439608997078.CrossRefPubMed
14.
Brox JI, Gjengedal E, Uppheim G, Bohmer AS, Brevik JI, Ljunggren AE, Staff PH: Arthroscopic surgery versus supervised exercises in patients with rotator cuff disease (stage II impingement syndrome): a prospective, randomized, controlled study in 125 patients with a 2 1/2-year follow-up. J Shoulder Elbow Surg. 1999, 8: 102-111. 10.1016/S1058-2746(99)90001-0.CrossRefPubMed
15.
Engebretsen K, Grotle M, Bautz-Holter E, Sandvik L, Juel NG, Ekeberg OM, Brox JI: Radial extracorporeal shockwave treatment compared with supervised exercises in patients with subacromial pain syndrome: single blind randomised study. BMJ. 2009, 339: b3360-10.1136/bmj.b3360.CrossRefPubMedPubMedCentral
16.
Engebretsen K, Grotle M, Bautz-Holter E, Sandvik L, Juel NG, Ekeberg OM, Brox JI: Supervised Exercises (SE) compared with radial Extracorporeal Shockwave Therapy (rESWT) for patients with subacromial shoulder pain. 1-year results of a clinical controlled randomized study. 2010
17.
Bot SD, van der Waal JM, Terwee CB, van der Windt DA, Scholten RJ, Bouter LM, Dekker J: Predictors of outcome in neck and shoulder symptoms: a cohort study in general practice. Spine. 2005, 30: E459-E470. 10.1097/01.brs.0000174279.44855.02.CrossRefPubMed
18.
Beattie PF, Nelson RM: Evaluating research studies that address prognosis for patients receiving physical therapy care: a clinical update. Phys Ther. 2007, 87: 1527-1535. 10.2522/ptj.20060284.CrossRefPubMed
19.
Reilingh ML, Kuijpers T, Tanja-Harfterkamp AM, van der Windt DA: Course and prognosis of shoulder symptoms in general practice. Rheumatology (Oxford). 2008, 47: 724-730. 10.1093/rheumatology/ken044.CrossRef
20.
Derogatis LR, Lipman RS, Rickels K, Uhlenhuth EH, Covi L: The Hopkins Symptom Checklist (HSCL): a self-report symptom inventory. Behav Sci. 1974, 19: 1-15. 10.1002/bs.3830190102.CrossRefPubMed
21.
Brooks R: EuroQol: the current state of play. Health Policy. 1996, 37: 53-72. 10.1016/0168-8510(96)00822-6.CrossRefPubMed
22.
Lorig K, Chastain RL, Ung E, Shoor S, Holman HR: Development and evaluation of a scale to measure perceived self-efficacy in people with arthritis. Arthritis Rheum. 1989, 32: 37-44. 10.1002/anr.1780320107.CrossRefPubMed
23.
Brox JI, Staff PH, Ljunggren AE, Brevik JI: Artroscopic surgery compared with supervised exercises in patients with rotator cuff disease (stage II impingement syndrome). BMJ. 1993, 307: 899-903. 10.1136/bmj.307.6909.899.CrossRefPubMedPubMedCentral
24.
Triffitt PD, Wildin C, Hajioff D: The reproducibility of measurement of shoulder movement. Acta Orthop Scand. 1999, 70: 322-324. 10.3109/17453679908997817.CrossRefPubMed
25.
Paul A, Lewis M, Shadforth MF, Croft PR, van der Windt DA, Hay EM: A comparison of four shoulder-specific questionnaires in primary care. Ann Rheum Dis. 2004, 63: 1293-1299. 10.1136/ard.2003.012088.CrossRefPubMedPubMedCentral
26.
Ekeberg OM, Bautz-Holter E, Tveita EK, Keller A, Juel NG, Brox JI: Agreement, reliability and validity in 3 shoulder questionnaires in patients with rotator cuff disease. BMC Musculoskelet Disord. 2008, 9: 68-77. 10.1186/1471-2474-9-68.CrossRefPubMedPubMedCentral
27.
Roach KE, Budiman-Mak E, Songsiridej N, Lertratanakul Y: Development of a shoulder pain and disability index. Arthritis Care Res. 1991, 4: 143-149. 10.1002/art.1790040403.CrossRefPubMed
28.
Sauerbrei W, Royston P, Binder H: Selection of important variables and determination of functional form for continuous predictors in multivariable model building. Stat Med. 2007, 26: 5512-5528. 10.1002/sim.3148.CrossRefPubMed
29.
Pallant J: SPSS survival manual a step by step guide to data analysing using SPSS for Windows. 2007, Maidenhead: McGraw-Hill Open University Press
30.
Macfarlane GJ, Hunt IM, Silman AJ: Predictors of chronic shoulder pain: a population based prospective study. J Rheumatol. 1998, 25: 1612-1615.PubMed
31.
Furnee CA, Groot W, van den Brink HM: The health effects of education: a meta-analysis. Eur J Public Health. 2008, 18: 417-421. 10.1093/eurpub/ckn028.CrossRefPubMed
32.
Zheng Z, Simpson JA, van der Windt D, Elliott AM: Data from a study of effectiveness suggested potential prognostic factors related to the patterns of shoulder pain. Journal of Clinical Epidemiology. 2005, 58: 823-830. 10.1016/j.jclinepi.2005.01.011.CrossRefPubMed
33.
Hagen KB, Tambs K, Bjerkedal T: What mediates the inverse association between education and occupational disability from back pain?--A prospective cohort study from the Nord-Trondelag health study in Norway. Soc Sci Med. 2006, 63: 1267-1275. 10.1016/j.socscimed.2006.03.041.CrossRefPubMed
34.
Dionne CE, Von KM, Koepsell TD, Deyo RA, Barlow WE, Checkoway H: Formal education and back pain: a review. J Epidemiol Community Health. 2001, 55: 455-468. 10.1136/jech.55.7.455.CrossRefPubMedPubMedCentral
35.
Werner EL, Cote P: Low back pain and determinants of sickness absence. Eur J Gen Pract. 2009, 15: 74-79. 10.1080/13814780903051866.CrossRefPubMed
36.
Grooten WJ, Mulder M, Josephson M, Alfredsson L, Wiktorin C: The influence of work-related exposures on the prognosis of neck/shoulder pain. Eur Spine J. 2007, 16: 2083-2091. 10.1007/s00586-007-0481-0.CrossRefPubMedPubMedCentral
37.
Haldorsen EM, Grasdal AL, Skouen JS, Risa AE, Kronholm K, Ursin H: Is there a right treatment for a particular patient group? Comparison of ordinary treatment, light multidisciplinary treatment, and extensive multidisciplinary treatment for long-term sick-listed employees with musculoskeletal pain. Pain. 2002, 95: 49-63. 10.1016/S0304-3959(01)00374-8.CrossRefPubMed
38.
Holtermann A, Hansen JV, Burr H, Sogaard K: Prognostic factors for long-term sickness absence among employees with neck-shoulder and low-back pain. Scand J Work Environ Health. 2010, 36: 34-41.CrossRefPubMed
39.
Park HB, Yokota H, Gill HS, El Rassi G, McFarland EG: Diagnostic Accuracy of Clinical Tests for the Different Degrees of Subacromial Impingement Syndrome. Journal of Bone Joint Surgery. 2005, 87: 1446-1455. 10.2106/JBJS.D.02335.CrossRefPubMed
40.
Cloke D, Lynn S, Watson H: A comparison of functional, patient-based scores in subacromial impingement. Journal of Shoulder and Elbow Surgery. 2005, 14: 380-384. 10.1016/j.jse.2004.08.008.CrossRefPubMed
41.
MacDermid JC, Solomon P, Prkachin K: The Shoulder Pain and Disability Index demonstrates factor, construct and longitudinal validity. BMC Musculoskelet Disord. 2006, 7: 12-10.1186/1471-2474-7-12.CrossRefPubMedPubMedCentral
42.
Ostor AJ, Richards CA, Prevost AT, Hazleman BL, Speed CA: Interrater reproducibility of clinical tests for rotator cuff lesions. Ann Rheum Dis. 2004, 63: 1288-1292. 10.1136/ard.2003.014712.CrossRefPubMedPubMedCentral
43.
Royston P, Moons KG, Altman DG, Vergouwe Y: Prognosis and prognostic research: Developing a prognostic model. BMJ. 2009, 338: b604-10.1136/bmj.b604.CrossRefPubMed
44.
Altman DG, Vergouwe Y, Royston P, Moons KG: Prognosis and prognostic research: validating a prognostic model. BMJ. 2009, 338: b605-10.1136/bmj.b605.CrossRefPubMed
45.
Moons KG, Altman DG, Vergouwe Y, Royston P: Prognosis and prognostic research: application and impact of prognostic models in clinical practice. BMJ. 2009, 338: b606-10.1136/bmj.b606.CrossRefPubMed
46.
Hancock M, Herbert RD, Maher CG: A guide to interpretation of studies investigating subgroups of responders to physical therapy interventions. Phys Ther. 2009, 89: 698-704. 10.2522/ptj.20080351.CrossRefPubMed
47.
Moons KG, Royston P, Vergouwe Y, Grobbee DE, Altman DG: Prognosis and prognostic research: what, why, and how?. BMJ. 2009, 338: b375-10.1136/bmj.b375.CrossRefPubMed
48.
Grotle M, Vollestad NK, Veierod MB, Brox JI: Fear-avoidance beliefs and distress in relation to disability in acute and chronic low back pain. Pain. 2004, 112: 343-352. 10.1016/j.pain.2004.09.020.CrossRefPubMed
Metadata
Title
Predictors of Shoulder Pain and Disability Index (SPADI) and work status after 1 year in patients with subacromial shoulder pain
Authors
Kaia Engebretsen
Margreth Grotle
Erik Bautz-Holter
Ole Marius Ekeberg
Jens Ivar Brox
Publication date
01-12-2010
Publisher
BioMed Central
Published in
BMC Musculoskeletal Disorders / Issue 1/2010
Electronic ISSN: 1471-2474
DOI
https://doi.org/10.1186/1471-2474-11-218

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