Year: 2014
Type: dissertation
Study design: Observational Study
Abstract: Background: Little research has been done to investigate possible movement aberrations in patients with long-lasting (> 12 weeks) shoulder impingement syndrome (SIS). Focus so far has mainly been on possible somatic complaints of the shoulder joint and its surrounding tissues. This study examines if patients diagnosed with long-lasting SIS have only localized complaints or aberrations in movements and fear avoidance beliefs as possible perpetuating factors. Aim and objective: The objective was to explore possible movement aberrations in patients with SIS by using the movement items from Global Physiotherapy Examination (GPE-52), Tampa Scale of Kinesiophobia, Pain Drawing, and Shoulder Pain and Disability Index (SPADI). The aim of this study was to assess whether or not the pain in patients with complaints for longer than 12 weeks is related to a localized tissue specific reason or a general and possible central driven sensitization process. Method: The study has a non-experimental, descriptive cross-sectional design. The study was carried out in an outpatient clinic specialized in shoulder complaints. Patients (n=22) diagnosed with SIS filled in questionnaires and where subdued to the physical examination. The GPE movement scores were categorized into normal, moderately or highly aberrant. Results: Patients with long-lasting SIS was found to be highly aberrant in their movements in 64 % of the cases and moderately in 32 %. There was a tendency to high fear avoidance beliefs in 59 % of the subjects, and 36 % had widespread pain. No association between movement aberrations and fear avoidance or self-reported pain and dysfunction was found. Conclusion: In this sample of patients with long lasting SIS a majority had aberrance in movement and fear avoidance beliefs. Although the majority reported to have only localized pain, the high number having aberrations regarding general movements and fear of movement may indicate that there are other processes present than only local disturbances in patients with long-lasting SIS.
Author: Valborg Kristine Berg
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W2220028122