Surgeons Can Avoid Lasting Pain Through Exercise Literacy

NCT ID: NCT05175443

Last Updated: 2023-01-25

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

41 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-04-08

Study Completion Date

2022-12-31

Brief Summary

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The physical demands of surgery are in many ways similar to those of high-performance athletes. No professional athlete would consider performing without careful attention to strengthening and physical preparedness, yet surgeons routinely place rigorous demands on their bodies without any training plan specific to their work demands. A series of exercises were developed to help stretch and strengthen the key core muscles to support surgeons during operating to prevent neck pain. This study hypothesizes that Neck pain discomfort will decrease following an 8-week intervention program compared to baseline reported scores.

Detailed Description

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Participant will be asked to fill out a series 5 questionnaires at beginning of the study, end of the 8-week intervention and 1 month later to determine how the exercise program affected their general health, neck pain, and function.

1. Demographic information about their age, height, weight, sex, surgical experience, surgical frequency, level of pain, and exercise frequency and types. (21 items)
2. A questionnaire about neck pain (10 items)
3. A questionnaire about how pain interferes with their life (8 items)
4. A questionnaire about general health (10 items)
5. A questionnaire about how much the participant typically exercise. (4 items) All these questionnaires can be completed on a computer or tablet and the data will be stored on a secure site (RedCap). This should be completed in approximately 20 minutes at each assessment.

Next participants will be instructed how to perform a series of 4 exercises described in the intervention

Every week the participant will be sent a 3-item questionnaire to report their level of pain, surgical burden, and exercise compliance for the week. There are only 3 multiple choice questions which should take approximately 1 minute to complete per week.

Conditions

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Neck Pain Shoulder Pain

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Repeated Measure
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Exercise Intervention

1. Wall Angels:Stretching tight anterior shoulder musculature Participants will assume this position and slide their arms up and down the wall for 2 minutes.
2. Cervical Spine Mobility: will be accomplished by having the participant stabilize their shoulders and side bend their head in various positions to stretch each side of their next for 2 minutes with 10-15 second holds in each position.
3. Posterior shoulder strengthening: will be performed with shoulder externally rotating and squeezing the scapular with 5 second holds for 2 minutes.
4. Thoracic Spinal mobility: to improve thoracic extension participants will use a strap or tennis ball and perform thoracic extension with 10 second holds for 2 minutes.

Group Type EXPERIMENTAL

Exercise

Intervention Type OTHER

Participants will be trained, by a physical therapist, to perform a set of four daily exercises requiring 1 sets of 2 minutes for each exercise totaling 8 minutes of targeted exercise per day for 8 weeks of the intervention. These exercises will be progressed or modified every 2-4 weeks to assure the participant is receiving maximal benefit for their exercise intervention.

Interventions

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Exercise

Participants will be trained, by a physical therapist, to perform a set of four daily exercises requiring 1 sets of 2 minutes for each exercise totaling 8 minutes of targeted exercise per day for 8 weeks of the intervention. These exercises will be progressed or modified every 2-4 weeks to assure the participant is receiving maximal benefit for their exercise intervention.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* must be an actively operating surgeon either faculty, fellow, or resident.
* Must report at least 4 out of 10 with pain at worst over the previous week at intake that is attributed to operating.

Exclusion Criteria

* Participants will be excluded if they have prior neck or upper back surgery within the last year.
* If the participant has any other medical condition that would prevent the participant from performing shoulder and neck strengthening and stretching exercises.
Minimum Eligible Age

18 Years

Maximum Eligible Age

99 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Timothy Uhl

OTHER

Sponsor Role lead

Responsible Party

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Timothy Uhl

Professor

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Tim L Uhl, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Kentucky

Locations

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University of Kentucky

Lexington, Kentucky, United States

Site Status

Countries

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United States

References

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Alhusuny A, Cook M, Khalil A, Xie Y, Johnston V. Neck/Shoulder Problems and Visual Disturbances Among Surgeons: A Scoping Review. J Surg Res. 2020 Mar;247:413-428. doi: 10.1016/j.jss.2019.09.064. Epub 2019 Oct 31.

Reference Type BACKGROUND
PMID: 31679800 (View on PubMed)

Daher A, Carel RS, Tzipi K, Esther H, Dar G. The effectiveness of an aerobic exercise training on patients with neck pain during a short- and long-term follow-up: a prospective double-blind randomized controlled trial. Clin Rehabil. 2020 May;34(5):617-629. doi: 10.1177/0269215520912000. Epub 2020 Mar 17.

Reference Type BACKGROUND
PMID: 32183555 (View on PubMed)

Vernon H, Mior S. The Neck Disability Index: a study of reliability and validity. J Manipulative Physiol Ther. 1991 Sep;14(7):409-15.

Reference Type BACKGROUND
PMID: 1834753 (View on PubMed)

Cleland JA, Childs JD, Whitman JM. Psychometric properties of the Neck Disability Index and Numeric Pain Rating Scale in patients with mechanical neck pain. Arch Phys Med Rehabil. 2008 Jan;89(1):69-74. doi: 10.1016/j.apmr.2007.08.126.

Reference Type BACKGROUND
PMID: 18164333 (View on PubMed)

Lee PH, Macfarlane DJ, Lam TH, Stewart SM. Validity of the International Physical Activity Questionnaire Short Form (IPAQ-SF): a systematic review. Int J Behav Nutr Phys Act. 2011 Oct 21;8:115. doi: 10.1186/1479-5868-8-115.

Reference Type BACKGROUND
PMID: 22018588 (View on PubMed)

Other Identifiers

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72626

Identifier Type: -

Identifier Source: org_study_id

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