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IRCT20231118060102N1 IRCT 2024-09-26 kharazmi University "Effect of adding pain neuroscience education to high-load strengthening exercises on clinical and functional outcomes of participants with hyper mobility spectrum disorder" Pain Neuroscience Education (PNE) ,Hyper mobility spectrum disorder (HSD) Comparison of the effect of adding pain neuroscience education to high-load strengthening exercises on clinical and functional outcomes of participants with hyper mobility spectrum disorder 2024-11-09 anticipated 47 Complete https://irct.ir/trial/79146 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Factorial, Purpose: Treatment, Other design features: The sample size is divided using G-POWER software - randomization method by choosing numbers from 1 to 45 (prepared by the trainer in advance and placed in sealed envelopes in the box) - research The present semi-experimental study was conducted in three groups - one blind strain - with a pre-test-post-test research design with two intervention groups and one control group, Randomization description: The method of randomly selecting participants involves choosing numbers from 1 to 45, which are prepared in advance by the instructor and placed in sealed envelopes in a box. The randomization sequence remains concealed until the completion of the baseline assessments of the patients, Blinding description: The evaluator (Outcome Assessor) is blinded to the allocation of groups so that the results are unbiased and accurate.The three groups in the study are supervised by a corrective movement instructor. N/A Shoulder hypermobility disorder. Intervention 1: Intervention group: high-threshold strengthening exercises with pain neuroscience training. Three familiarization sessions (two weeks) with training approaches to deal with pain and how to implement exercises will be held in approximately three months. The first session is a group session for a duration of 30 minutes to an hour with a maximum of six participants in each group using a PowerPoint. The second session, which includes three explanatory videos (online). The third session includes a 30-minute one-on-one conversation that relates the personal needs of the participants and the content to the pain neuroscience education. The contents of this group are about the physiology of pain and the nerve endings of pain. Intervention 2: Control group: Control group: The subjects of this group receive information on anatomy, physiology, the importance of self-care and ergonomic recommendations of Pasture. Intervention 3: Intervention group: High-threshold strength training: weight training for 16 weeks, training twice a week (individually supervised) in a fitness center, consisting of 60 minutes of training for the first session, 30 minutes for subsequent sessions, and once a week (unsupervised) is done in one's own home. Their training program includes five exercises for shoulder muscles. The exercise intensity model is progressive with decreasing patterns between increasing periods. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is There is no further information.
public Pardis Garouee
Iman Junubi St, 19 Alley, No. 158
Shiraz Iran (Islamic Republic of) 7185994343 +98 938 413 4786 pgarouee@gmail.com kharazmi University scientific Pardis Garouee
Iman Junubi St,19 Alley, No. 158
Shiraz Iran (Islamic Republic of) 7185994343 +98 71 3632 7162 pgarouee@gmail.com Kharazmi University Iran (Islamic Republic of) Men and women aged 18 - 65 Generalized HSD (G-HSD) defined with Beighton score cut-off ≥ 5 for women up to the age of 50 years and ≥ 4 for those above 50 years and all men, if the Beighton score was 1 point below the age and sex-specific cut-off AND the five-part questionnaire (5PQ) was positive (= at least two positive items). Present with one or more secondary symptomatic musculoskeletal manifestations, defined as either musculoskeletal pain in minimum one shoulder for at least three months and/or recurrent joint dislocations or joint instability without a reported history of trauma defined as either a) minimum three atraumatic dislocations in same shoulder, b) minimum two atraumatic dislocations in two different joints (minimum one in the shoulder) occurring at different times, or c) medical confirmation of joint instability in minimum two joints (minimum one in the shoulder) not related to trauma. 18 years 65 years Both Clinically suspected referred pain from the cervical spine Systemic inflammatory rheumatic diseases Connective tissue diseases (e.g. Marfans, Stickler's or Loeys Dietz syndromes, Ehlers-Danlos Syndromes except hypermobile type) Neurological diseases Pregnancy or childbirth within the past year or planning to get pregnant during the study period Shoulder surgery within the past year Steroid injection in the affected shoulder within three months Inability to speak Unable to comply with protocol Other diso XIII Diseases of the musculoskeletal system and connective tissue Rehabilitation Other Rehabilitation Intervention group: high-threshold strengthening exercises with pain neuroscience training. Three familiarization sessions (two weeks) with training approaches to deal with pain and how to implement exercises will be held in approximately three months. The first session is a group session for a duration of 30 minutes to an hour with a maximum of six participants in each group using a PowerPoint. The second session, which includes three explanatory videos (online). The third session includes a 30-minute one-on-one conversation that relates the personal needs of the participants and the content to the pain neuroscience education. The contents of this group are about the physiology of pain and the nerve endings of pain. Control group: Control group: The subjects of this group receive information on anatomy, physiology, the importance of self-care and ergonomic recommendations of Pasture. Intervention group: High-threshold strength training: weight training for 16 weeks, training twice a week (individually supervised) in a fitness center, consisting of 60 minutes of training for the first session, 30 minutes for subsequent sessions, and once a week (unsupervised) is done in one's own home. Their training program includes five exercises for shoulder muscles. The exercise intensity model is progressive with decreasing patterns between increasing periods. Adding pain neuroscience education to high-load strengthening exercises - clinical and functional variables (pain, strength, range of motion, fear of movement, shoulder function) in shoulder hyper mobility spectrum disorder. Timepoint: It is measured before the start and after 16 weeks. Method of measurement: Western Ontario Questionnaire to assess the individual's self-report of joint laxity and instability - Hand-held dynamometer to measure muscle strength - Numerical pain rating scale to assess pain intensity - Goniometer to measure range of motion - Fear of movement questionnaire to assess fear of movement. Pardis Garouee Approved 2023-09-28 Ethics Committee of Iran Sports Science Research Institute Iman Junubi Street - 19 Alley - No. 158 Shiraz Fars Iran (Islamic Republic of)