The Effectiveness of Self-thoracic Spine Mobilization on Improving Sleep Quality in Patients Who Have Shoulder Pain

The University of Texas System (UT)

Status

Completed

Conditions

Shoulder Pain Chronic

Treatments

Procedure: Sleep Education

Procedure: Self-mobilization

Study type

Interventional

Funder types

Other

Identifiers

NCT03088085

STU 092016-072

Details and patient eligibility

About

This project aims to study the impacts of self-thoracic spine and rib mobilization on sleep quality in patients who present to UTSW physicians with shoulder pain. The investigators plan to randomize participants into treatment and control groups, but the investigators will provide education on sleep hygiene for each group. The treatment group will also receive instruction to mobilize their thoracic spine and ribs each night before going to sleep.

Full description

Subjects with a chief complaint of musculoskeletal pain will be recruited from clinics in the Departments of Internal Medicine, Family Medicine, and Orthopedic Surgery. Subjects will be randomized into either the intervention or control group. The intervention group will receive education on sleep hygiene and instruction to use a foam roller to mobilize the thoracic spine and ribs just before the subject goes to sleep. The control group will receive education on sleep hygiene. Valid and reliable measures will be used to assess sleep quality (Pittsburgh Sleep Quality Index), pain (Numeric Pain Rating Scale), and function (SF-36 and ASES), as well as a sleep diary. Measures will be taken at baseline as well as two weeks after the subject's enrollment in the study.

Enrollment

48 patients

Sex

All

Ages

18 to 89 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Shoulder pain with associated sleeping disturbance
Between the ages of 18-89
Present to the clinics in the Departments of Internal Medicine, Family Medicine, and Orthopedic Surgery at UTSW

Exclusion criteria

non-English speakers
chronic pain or rheumatic disorders
unstable psychopathology, cognitive impairment (including dementia)
current or recent history (within 6 months) of substance abuse disorders
recent history of surgery or fracture to the cervical spine, thoracic spine, ribs, or shoulders (within 6 months)
metabolic bone disease (including osteoporosis)
fusion or ankyloses
osteomyelitis, pregnancy, vertebral basilar insufficiency, neoplastic disease, malignancy in the area of treatment
actively treated for sleep disorders (including insomnia)
uncontrolled congestive heart failure, COPD, hypertension, or other serious medical illness