Occupation-based intervention for subacromial pain syndrome: A pilot randomized controlled trial

Ilkem Ceren Sigirtmac ¹, Nermin Ay Kiremitci ², Ozgur Bulbul ³

⁰Faculty of Health Sciences, Occupational Therapy Department, Cankiri Karatekin University, Cankiri, Turkey.

Journal of Back and Musculoskeletal Rehabilitation +

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December 22, 2025

View abstract on PubMed

Summary

An occupation-based intervention (OBI) significantly reduced pain and disability for subacromial pain syndrome (SAPS) patients. This four-week program improved function, sleep, and overall well-being, showing promise for SAPS rehabilitation.

Area Of Science

Rehabilitation Science
Occupational Therapy
Pain Management

Background

Subacromial pain syndrome (SAPS) is a common cause of functional limitation.
Conventional therapies focus on impairments, while occupation-based interventions (OBI) emphasize meaningful activity engagement for recovery.

Purpose Of The Study

To explore the feasibility and preliminary efficacy of an OBI for individuals with chronic SAPS.
To assess the impact of OBI on pain, disability, functional performance, sleep, and life satisfaction.

Main Methods

A pilot randomized controlled trial involving 30 adults with chronic SAPS.
Participants were assigned to either OBI (12 sessions over 4 weeks) or a no-treatment control group.
Outcomes included the Shoulder Pain and Disability Index (SPADI), Canadian Occupational Performance Measure (COPM), sleep quality, fatigue, and Satisfaction With Life Scale (SWLS).

Main Results

The OBI group demonstrated significant reductions in SPADI pain and disability.
Marked improvements were observed in COPM performance and satisfaction, alongside better sleep quality.
The no-treatment group showed no significant changes in outcomes.

Conclusions

A four-week OBI is feasible and provides clinically meaningful improvements for SAPS patients.
OBI positively impacts pain, disability, sleep, and occupation-centered outcomes.
Further large-scale trials are warranted to confirm OBI's efficacy against standard rehabilitation.

Keywords:

occupational performance pain shoulder upper limb