Simple and Evidence-based Examination and Treatment of Shoulder Pain in General Practice

  • days left to enroll
  • participants needed
  • sponsor
    University of Oslo
Updated on 24 May 2021
shoulder pain


Previous research suggests that general practitioners find handling patients with shoulder pain difficult and that the current care for shoulder pain is not in line with the best available evidence (1).This project aims to assess the effectiveness, costs and implementation of an evidence-based guideline for shoulder pain in general practice.


A simplified and evidence-based algorithm for examination and treatment of patients with shoulder pain will be developed and implemented in general practice. The purpose is to improve quality of care and provide GPs with a simplified and efficient tool to handle patients with common shoulder- related pain. The study is a stepped-wedge, cluster-randomized trial with a hybrid design including a effectiveness, cost and implementation assessment of a guideline-based intervention in clinical practice (2). General practitioners in Norway will be recruited and the GP offices will be randomized to the time of crossover from current treatment as usual (TAU) to the implementation of the intervention. The intervention is a tailored strategy that includes workshops for general practitioners covering information and access to a decision support tool, an education program where the general practitioner learn an evidence-based approach to shoulder pain and access to patient information materials. Outcomes will be measured at patient and GP levels, using self-report questionnaires, focus group interviews and register based data.

Condition frozen shoulder, Rotator Cuff Tear or Rupture, Not Specified as Traumatic, Muscle Soreness, Muscle Pain, Chronic Leg Pain, Tendon Injuries, TENDON INJURY, Shoulder Impingement, muscle pains, Arthralgia, muscular pain, Frozen Shoulder (Adhesive Capsulitis), Shoulder Pain, pain, muscle, Bursitis, Rotator Cuff Impingement Syndrome, myalgias, Myalgia
Treatment Treatment as Usual (TAU), Evidence based treatment strategy, Targeted patient information package
Clinical Study IdentifierNCT04806191
SponsorUniversity of Oslo
Last Modified on24 May 2021


Yes No Not Sure

Inclusion Criteria

Pain in the shoulder region
Above 18 years

Exclusion Criteria

Unable to fill in self-report questionnaires or do not understand Norwegian
Acute injury with clinical suspicion of fracture, luxation of shoulder joints or large tendon ruptures
Clinical suspicion of referred pain to the shoulder area from other organs
Signs of inflammatory joint disease
Suspicion of malignant disease
Symptoms and signs of cervical radiculopathy
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Additional screening procedures may be conducted by the study team before you can be confirmed eligible to participate.

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If you are confirmed eligible after full screening, you will be required to understand and sign the informed consent if you decide to enroll in the study. Once enrolled you may be asked to make scheduled visits over a period of time.

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Complete your scheduled study participation activities and then you are done. You may receive summary of study results if provided by the sponsor.

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