The Neuropathic Dimension of Shoulder Pain: The Effects of Neuropathic Pain on Shoulder Function and Functional Limitation Omuz Ağrısının Nöropatik Boyutu: Nöropatik Ağrının Omuz Fonksiyonu ve Fonksiyonel Kısıtlılık Üzerine Etkileri

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Kalaoğlu E., KESİKTAŞ F. N., Ahısha B. Ş., Bucak Ö. F.

Medical Journal of Bakirkoy, cilt.22, sa.1, ss.98-104, 2026 (ESCI, Scopus, TRDizin)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 22 Sayı: 1
  • Basım Tarihi: 2026
  • Doi Numarası: 10.4274/bmj.galenos.2025.2025.8-10
  • Dergi Adı: Medical Journal of Bakirkoy
  • Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus, CINAHL, EMBASE, TR DİZİN (ULAKBİM), Academic Search Ultimate (EBSCO), Biomedical Reference Collection: Corporate Edition (EBSCO), Health Research Premium Collection (ProQuest), Pharma Collection (ProQuest)
  • Sayfa Sayıları: ss.98-104
  • Anahtar Kelimeler: Shoulder pain, neuropathic pain, pain intensity, visual analogue pain scale
  • Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
  • Sağlık Bilimleri Üniversitesi Adresli: Evet

Özet

Objective: To determine the effects of neuropathic pain on pain intensity and shoulder function in patients with chronic shoulder pain. Methods: A total of 102 patients experiencing chronic shoulder pain were enrolled in this cross-sectional observational study. Neuropathic pain was assessed using the Douleur Neuropathique 4 (DN4) questionnaire. Patients were grouped according to DN4 cut-off scores into a neuropathic pain group (≥4) and a non-neuropathic pain group (<4). The visual analogue scale (VAS) and the shoulder pain and disability index (SPADI) were used to measure pain intensity and functional status, respectively. Results: No significant differences were observed between the groups with respect to demographic characteristics (p>0.05). The incidence of pain on the dominant side was significantly lower in the neuropathic pain group (p=0.022). The neuropathic pain group had significantly higher VAS and total SPADI scores (p≤0.001). The SPADI pain and disability subscores were also significantly higher in the neuropathic group (p=0.001 and p=0.002; respectively). DN4 scores correlated positively with VAS (r=0.383; p<0.001), SPADI pain subscores (r=0.393; p<0.001), SPADI disability subscores (r=0.333; p=0.001), and total SPADI scores (r=0.359; p<0.001). Conclusion: The presence of a neuropathic component in patients with chronic shoulder pain is associated with greater pain intensity and increased functional limitation. These findings suggest that neuropathic pain should be systematically assessed in this population.