Assessment of factors affecting shoulder disability in patients with adhesive capsulitis Adeziv kapsülitli hastalarda omuz dizabilitesinde etkili faktörlerin deǧerlendirilmesi
Journal of Rheumatology and Medical Rehabilitation, cilt.18, sa.1, ss.10-12, 2007 (Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 18 Sayı: 1
- Basım Tarihi: 2007
- Dergi Adı: Journal of Rheumatology and Medical Rehabilitation
- Derginin Tarandığı İndeksler: Scopus
- Sayfa Sayıları: ss.10-12
- Anahtar Kelimeler: Adhesive capsulitis, Shoulder disability
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Objective: Adhesive capsulitis (AC) is a condition characterized by spontaneous onset of shoulder pain and gradual loss of active and passive shoulder motions. There is little data in the literature about shoulder disability and factors affecting disability in AC. To evaluate the shoulder disability in patients with AC and to determine any factors that affect the disability. Material and Methods: Sixty-four patients with AC were examined. AC was defined as the presence of shoulder pain with limitation of both active and passive movements of the glenohumeral joint of > 25% in at least two directions. All patients' demographic data, affected shoulder, dominant hand, history of relevant co-morbid diseases were noted. Patients' shoulders were examined in detail and passive flexion, abduction, and external and internal rotation range of motions (ROM) were measured. Shoulder Pain and Disability Index (SPADI) was used for assessment of shoulder disability. Results: Median SPADI score was 70.0 (min: 10.75, max:90.8). Correlation analyses performed between SPADI scores and restrictions of ROMs in all directions demonstrated positive correlation between abduction restriction and the SPADI score. There was a negative correlation between age and the SPADI score. Analyses of SPADI scores in groups according to gender, related occupation, affected shoulder, involvement of dominant side and related co-morbid diseases revealed a statistically significant difference only with regard to gender, with females having a higher SPADI score. Conclusion: AC leads to severe shoulder disability mainly in female and younger subjects. The disability is found to be affected mostly by restriction of abduction. In the treatment of AC, rehabilitation of abduction ROM should be particularly addressed. Copyright © 2007 by Türk Tibbi Rehabilitasyon Kurumu Derneǧi.