An interventional study of Motor Imaginery and Action Observation in Shoulder Pain, sponsored by Universidad Autonoma de Madrid. Not yet recruiting. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2025-03-20.
Sponsored by Universidad Autonoma de Madrid · Not applicable, Interventional, and Treatment
Objective: to evaluate the effectiveness of an action observation program (OA) and motor imagery (MI) -integrated into routine physiotherapy practice- to reduce disability associated with chronic shoulder pain in primary care, after 8 weeks of intervention and with follow-ups at 3 and 6 months with blind evaluation of the response variable. Design: randomized controlled clinical trial. Population: Patients with chronic shoulder pain diagnosed and referred by their family doctors to the physiotherapy service will be included. Intervention: Group: experimental: MI+OA+ multicomponent exercises or control group: multicomponent exercises. 100 patients (50 per group) will be included. Variables: sociodemographic and clinical variables will be collected.
Primary variable: Disability related to pain in the shoulder region; Secondary variables: Intensity of perceived pain, Shoulder Joint Range of Motion, Hand and shoulder strength, Fear of movement, Catastrophizing in the face of pain, Quality of life of patients, Global Perception of Change, and adherence to exercise. Statistical analysis: Descriptive. Main effectiveness analysis by intention to treat comparing the difference between groups in the average disability for the different intervention times.
Multivariate analysis considers the influence of psychological variables on pain and on the therapeutic response. An analysis segmented by sex will be carried out, and the influence of psychological variables on pain and on the therapeutic response will be analyzed.
The aim of this project is to investigate a new conservative therapeutic approach for patients with chronic shoulder pain, a highly prevalent condition in primary care, and with a significant percentage of patients experiencing persistent pain. The proposed intervention combines Action Observation (AO) and Motor Imagery (MI) techniques with the usual based on exercises, with the aim of enhancing its effects by reducing disability, improving adherence to treatment and reducing the impact of pain on recovery. Although these techniques have been little explored in shoulder rehabilitation, they have scientific evidence in other areas of neuromusculoskeletal rehabilitation.
The study will be carried out in primary care, with the aim of improving the quality of the treatments available in these centers. The intervention will facilitate compliance with home treatment guidelines, which will shorten recovery times and sick leave, thus optimizing access to rehabilitation services for new patients.
A key component of the project will be the dissemination of results, both in the scientific community and in society. In addition to scientific publications and conference presentations, various dissemination strategies will be implemented: 1) Social networks social networks: Publication of summaries, graphics and explanatory videos about the project and its findings. 2) Teaching materials and practical guides : Development of resources aimed specifically at primary care physiotherapists to facilitate the implementation of the techniques in clinical practice. 3) Public awareness: Dissemination of information about chronic shoulder pain and advances in its treatment, through articles, press releases and interviews in specialized and general media.
This comprehensive approach will not only scientifically validate the intervention, but also transfer knowledge to health professionals and society, promoting a more accessible and effective treatment for patients with chronic shoulder pain
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735 studies on the registry are indexed under Shoulder Pain; 167 are open to participants now.
This study's planned enrollment of 100 is above the median of 60 across 587 interventional studies indexed under Shoulder Pain.
Browse Shoulder Pain studies →Universidad Autonoma de Madrid is the lead sponsor of 51 studies on the registry; 7 are open to participants now.
Counted across the registry records on this site, refreshed daily.
Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.
Exclusion Criteria:
Patients allocated in this arm will recieve a training on the first day after recruitment on a motor imaginery task and will be asked to do the task every day during 30 days until they start the usual care. Then after the physical therapy treatment with a pragmatic perspective will be meassured just inthe last session, after 1 month an.d after 3 moths of the treatment for the follow up
Other: Motor Imaginery and Action Observation
Patients allocated in this arm will be meassured at the start, again after 30 days and at the end of the physical therapy usual care with a pragmatic perspective. Then will be meassured again after 1 and 3 months.
A set of tasks done with the shoulder, first with an Action Observation perspective and then asked to perform this tasks with motor imaginery
Pain Intensity
Pain Intensity with Visual Analogue Scale (range: 0-10). Higher scores mean more intensity
Time frame: Previous the intervention
Change in Pain Intensity
Pain Intensity with Visual Analogue Scale (range: 0-10). Higher scores mean more intensity
Time frame: At 30 days from the begining finishing the intervention
Change in Pain Intensity
Pain Intensity with Visual Analogue Scale (range: 0-10). Higher scores mean more intensity
Time frame: At the end of the usual care period of 4 weeks
Change in Pain Intensity
Pain Intensity with Visual Analogue Scale (range: 0-10). Higher scores mean more intensity
Time frame: Up to 12 weeks
Shoulder Disability: SPADI questionnaire
Shoulder Disability with SPADI questionnaire (range: 0-100). Higher scores mean more disability
Time frame: Previous the intervention
Change in Shoulder Disability
Shoulder Disability with SPADI questionnaire (range: 0-100). Higher scores mean more disability
Time frame: Up to 12 weeks
Health Related Quality of Live
Health Related Quality of Live with EuroQoL-5D-5L (range 11111 - 55555). Higher scores mean worst Quality of Life
Time frame: Previous the intervention
Change in Health Related Quality of Live
Health Related Quality of Live with EuroQoL-5D-5L (range 11111 - 55555). Higher scores mean worst Quality of Life
Time frame: Up to 12 weeks
Pain Catastrophizing
Pain Catastrophizing with Pain Catastrophizing Scale (range 0-52). Higher scores mean more catastrophizing
Time frame: Previous the intervention
Change in Pain Catastrophizing
Pain Catastrophizing with Pain Catastrophizing Scale (range 0-52). Higher scores mean more Catastrophizing
Time frame: Up to 12 weeks
Pain Severity
Pain Severity with Graded Chonic Pain Scale (rango 0-70). Higher scores mean more severity
Time frame: Previous the intervention
Change in Pain Severity
Pain Severity with Graded Chonic Pain Scale (rango 0-70). Higher scores mean more severity
Time frame: Up to 12 weeks
Change Perception
Change Perception with Global Rating of Change Scale (range -5 to + 5). - 5 means worst than before and +5 means Completely recovered
Time frame: At 12 weeks from the end of the intervention
No study locations are listed for this record.
Plan to share: No
Start is estimated for Jun 2025; primary completion for Dec 2026, 18 months later.
Of 349 non-industry interventional studies with no phase under Shoulder Pain, half reached primary completion within 11 months of starting (the median), counting those still running; a quarter within 4 and three quarters within 27. This study's planned 18 months is above that.
Counting every sponsor, half of 354 studies reached it within 11 months; a quarter within 4 and three quarters within 27.
How these figures are worked out, and which studies are left out of them.
This study is not yet recruiting, as verified in Mar 2025. You cannot join it, but the record below documents what was studied.
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Universidad Autonoma de Madrid