Prognostic Indicators for ASAD Outcome
Research type
Research Study
Full title
A Prospective Exploratory Investigation of Musculoskeletal Comorbidity as a Prognostic Indicator of Short-term Outcome Following Arthroscopic Subacromial Decompression.
IRAS ID
151488
Contact name
Denise Prescott
Contact email
Sponsor organisation
University of Liverpool
Research summary
Arthroscopic subacromial decompression (ASAD) is performed for patients with subacromial impingement that doesn’t resolve with conservative treatment. It is the most common shoulder surgery performed however outcomes can be variable. It is thought that pain and problems in other body parts may have led to the original onset of shoulder impingement and it is suggested that this musculoskeletal comorbidity may impact on recovery after ASAD.
This study aims to explore the relationship between pain and problems in other body regions and functional outcomes and pain scores before and after this type of shoulder surgery.
Patients undergoing ASAD routinely undergo pre-operative physiotherapy assessment, where details of all musculoskeletal problems are recorded. They also complete a pain score, the Oxford Shoulder Score and the QuickDASH, two measures of functional ability related to the shoulder. These scores are all repeated routinely at 6 and 12 weeks post-operatively.
Patients will be recruited from four specialist upper limb orthopaedic consultants in one large teaching hospital. All patients undergoing primary ASAD except those that have evidence of other shoulder pathology not related to subacromial impingement, will be invited to permit their data to be used for the purposes of this study. The data will then be anonymised and analysed. The study will have no impact on the routine care of the patient.
Patients will be recruited over a 3 month period, allowing for the 3 month follow-up period, within the time constraints of a Master’s degree project. It is an exploratory study that hopes to inform further research to establish which patients will respond best to ASAD.REC name
East Midlands - Nottingham 1 Research Ethics Committee
REC reference
14/EM/0125
Date of REC Opinion
10 Mar 2014
REC opinion
Favourable Opinion