Objective: Examine how rotator cuff (RC) tendinopathy differed from other shoulder problems (OSP) by measuring a variety of self-reported bio-psycho-social factors, and establish which explain severity.
Methods:A validated online survey battery was used to collect self-reported biopsychosocial variables in an international population. Diagnostic group and severity were the dependent variables. Multiple logistic and linear regression analyses were utilised to generate explanatory models for group differences and severity after group comparison and univariate regression analysis.Results: 82 people with RC tendinopathy (50 female, 42.8 � 13.9 years) and 54 with OSP (33 female, 40.2 � 14.1 years) were recruited. Both groups had comparable severity results (Shoulder Pain and Disability Index = 37.3 � 24.5 vs. 33.7 � 22.5).Seven factors individually differentiated RC tendinopathy from OSP. The multivariable model included 4 factors: activity effect on pain (OR(95%CI) = 2.24(1.02-4.90)), previous injury in the shoulder (OR(95% CI) = 0.30(0.13-0.69)), activity level (moderate OR(95% CI) = 3.97(1.29-12.18), high OR(95% CI) = 3.66(1.41-9.48)) and self-efficacy (OR(95%CI) = 1.12(1.02-1.22)) demonstrating acceptable accuracy.The second multivariable model for RC tendinopathy severity included one demographic, three psychological and two biomedical variables (β(range) = 0.19-0.38) and explained 68% of the variance.
Conclusion:Self-reported bio-psycho-social variables may be beneficial for further detailed clinical assessment as they partially distinguish RC tendinopathy from OSP, even when the groups have comparable overall pain and functional problems.Moreover, these variables were shown to be substantially associated with RC tendinopathy severity variance, implying that the clinical evaluation might be improved, perhaps by pre-consultation online data collection. The models should be This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
Bu çalışmanın amacı romatoid artrit (RA) tanısı olan kadın hastalarda skapular diskinezinin (SD) hastalık aktivitesi, yaşam kalitesi ve engel seviyesi üzerine etkisini araştırmaktır. Gereç ve Yöntem: Çalışmaya RA tanısı konmuş 52 kadın hasta dâhil edildi. Hastalar SD olan (Grup 1) ve olmayan (Grup 2) şeklinde 26'şar kişilik iki gruba ayrıldı. Hastaların hastalık aktivitesi Romatoid Artrit Hastalık Aktivitesi Endeksi-5 (T-RADAI-5) anketi, engel seviyesi Kol, Omuz ve El Engel Anketi (DASH-T), ağrı düzeyi Görsel Analog Skalası (VAS), omuz çevresi kas kuvveti manuel kas kuvveti testi, SD'leri gözlemsel skapular diskinezi değerlendirmesi ve Lateral skapular kaydırma testi (LSKT), yaşam kaliteleri Romatoid Artrit Yaşam Kalitesi Anketi (RAQoL-T) ile değerlendirildi. Tüm anketlerin Türkçe versiyonları kullanıldı. Sonuçlar: İki grup da demografik açıdan birbirine benzer bulundu. SD'si olan RA'lı hastaların DASH (p=0,001), RADAI-5 (p<0,001), RAQoL (p<0,001), VAS sağ (p=0,002) ve sol (p=0,001) skorları ile diğer grubun skorları arasında istatistiksel olarak Grup 2 lehine anlamlı fark bulundu. Grup 1 hastalarının SD'li taraf omuz eksternal rotasyon kas kuvveti, diğer omzun eksternal rotasyon kas kuvvetinden istatistiksel olarak anlamlı derecede düşük bulundu (p=0,046). Tartışma: SD'si olan RA hastalarında klinik bulguları SD'si olmayan gruba göre daha kötüdür. Bu nedenle SD bulgusu bu hastalarda klinik bulgulardaki kayıpların göstergesi olabilir. Klinisyenler tarafından SD gözardı edilmemelidir.
greater weekly mean NMT sessions [OR=0.282, (95%CI: 0.090-0.882)]. Conclusions Predictors of non-response to NMT in youth include being female, playing basketball, and history of injury. Better balance was associated with lower odds of injury. Higher weekly adherence was protective in female soccer players.
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