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Trial registered on ANZCTR
Registration number
ACTRN12608000185369
Ethics application status
Approved
Date submitted
6/04/2008
Date registered
10/04/2008
Date last updated
23/01/2018
Type of registration
Retrospectively registered
Titles & IDs
Public title
Prevalence of Musculoskeletal Pain and Shoulder Disability in Open Heart Surgical Patients pre-operatively and at six and twelve weeks post-operatively: a prospective longitudinal observation study.
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Scientific title
Prevalence of Musculoskeletal Pain and Shoulder Disability in Open Heart Surgical Patients pre-operatively and at six and twelve weeks post-operatively: a prospective longitudinal observation study.
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Secondary ID [1]
288363
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nil known
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Open Heart Surgery
3007
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Condition category
Condition code
Cardiovascular
3157
3157
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0
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Coronary heart disease
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Musculoskeletal
3158
3158
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0
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Other muscular and skeletal disorders
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Intervention/exposure
Study type
Observational
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Patient registry
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
A written survey was conducted pre-operatively, at six and 12 weeks post-open heart surgery. Questions related to postoperative musculoskeletal pain of the spine, thoracic cage and shoulder, sternal clicking, a disability scale and compliance with the home exercise and walking program.
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Intervention code [1]
2772
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Not applicable
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Comparator / control treatment
Nil
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Visual Analogue Scale for pain for each of the following nine areas of the body: neck, left shoulder, right shoulder, upper back, front of chest, ribcage, lower back, left elbow/hand and right elbow/hand. These values were then added for each patient to give a total pain score (on a scale of 0?90). A higher score indicated greater pain.
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Assessment method [1]
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Timepoint [1]
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pre-operatively, 6 weeks post-operatively and 12 weeks post-operatively
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Secondary outcome [1]
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Closed Questions included age, sex, hand dominance, pre-existing musculoskeletal pain and conditions
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Assessment method [1]
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Timepoint [1]
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pre-operatively
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Secondary outcome [2]
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Shoulder Disability Scale -obtained on a scale of 0?80. A higher score indicated more disability.
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Assessment method [2]
6804
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Timepoint [2]
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pre-operatively, 6 weeks post-operatively and 12 weeks post-operatively
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Secondary outcome [3]
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Closed Questions on distance walked and use of anti-inflammatory/pain medication.
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Assessment method [3]
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Timepoint [3]
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pre-operatively, 6 weeks post-operatively and 12 weeks post-operatively
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Secondary outcome [4]
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Data collected from the medical record: included patient demographics, a locally devised pre-operative surgical risk score, surgery type and details, complications and length of stay
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Assessment method [4]
6842
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Timepoint [4]
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pre-operatively and immediately post-operatively.
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Eligibility
Key inclusion criteria
Subjects awaiting elective open-heart surgery attending pre-admission clinic following informed consent.
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Minimum age
No limit
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Exclusions: if subjects unable to understand written or spoken English, had a history of cerebral vascular accident with resultant upper limb neurological dysfunction, or development of significant complications preventing participation in usual postoperative physiotherapy.
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Study design
Purpose
Natural history
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Duration
Longitudinal
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Selection
Convenience sample
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Timing
Prospective
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
30/04/2004
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Actual
5/05/2004
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Date of last participant enrolment
Anticipated
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Actual
8/03/2005
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Date of last data collection
Anticipated
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Actual
7/06/2005
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Sample size
Target
100
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Accrual to date
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Final
114
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
3266
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Self funded/Unfunded
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Name [1]
3266
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R Nicole Bellet
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Address [1]
3266
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Physiotherapy Department
The Prince Charles Hospital
Rode Rd
Chermside 4032
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Country [1]
3266
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Australia
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Primary sponsor type
Hospital
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Name
Physiotherapy Department The Prince Charles Hospital
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Address
Physiotherapy Department
The Prince Charles Hospital
Rode Rd
Chermside 4032
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Country
Australia
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Secondary sponsor category [1]
2920
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None
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Name [1]
2920
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Address [1]
2920
0
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Country [1]
2920
0
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
5252
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Human Research Ethics Committee
The Prince Charles Hospital Health Service District
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Ethics committee address [1]
5252
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The Prince Charles Hospital Rode Rd Chermside 4032
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Ethics committee country [1]
5252
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Australia
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Date submitted for ethics approval [1]
5252
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Approval date [1]
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26/02/2004
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Ethics approval number [1]
5252
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EC2373
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Summary
Brief summary
This study aims to determine the extent of muscular and joint pain and shoulder disability in patients who have undergone open-heart surgery. Resarch questions are: what is the prevalence, type and area of musculsoskeletal pain, and shoulder disability pre-operatively, at six and at 12 weeks post-operatively? What is the prevalence of sternal clicking at 6 and 12 weeks post-operation. What is the level of patient compliance with home exercise advice? What are the variables associated with the development of post-operative musculoskeletal complications? Hypothesis is that 30% patients develop new musculoskeletal pain post-open heart surgery which is apparent at 6 weeks post operation and that this pain will return to pre-operative levels by 12 weeks post-operation.
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Trial website
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Trial related presentations / publications
Bellet, R. N., Lamb, R.L., Gould, T,D., Bartlett, H.J. "Prevalence of neuro-musculoskeletal pain and dysfunction in open-heart surgical patients preoperatively and at 6 and 12 weeks postoperatively: a prospective longitudinal observation study." Pragmatic and Observational Research 2017 Oct 10; 8: 211-222. doi: 10.2147/POR.S131060. eCollection 2017
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Public notes
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Contacts
Principal investigator
Name
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Dr R. Nicole Bellet
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Address
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Physiotherapy Department
The Prince Charles Hospital
Rode Rd
Chermside 4032
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Country
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Australia
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Phone
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61 7 31395445
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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R Nicole Bellet
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Address
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Physiotherapy Department
The Prince Charles Hospital
Rode Rd
Chermside 4032
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Country
11655
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Australia
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Phone
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07 3139 4445
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Fax
11655
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Email
11655
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[email protected]
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Contact person for scientific queries
Name
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R Nicole Bellet
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Address
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Physiotherapy Department
The Prince Charles Hospital
Rode Rd
Chermside 4032
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Country
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Australia
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Phone
2583
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07 3139 4445
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Fax
2583
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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