Evaluation and Treatment of Shoulder Pain

Greenberg, Deborah L.

doi:10.1016/j.mcna.2014.01.016

Cited by 101 publications

(89 citation statements)

References 33 publications

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“…Genel olarak glenohumeral artrittte omuz ekleminin aktif ve pasif hareketleri azalmıştır ve kompanzatuar olarak skapulotorasik hareketler artmıştır, hareket esnasında sürtünme hissedilir ve krepitasyon duyulabilir. [13,14] …”

Section: Hasta Değerlendirmesiunclassified

Arthritis of the Glenohumeral Joint

Güzel¹

2015

Orthopaedics and Sports Medicine Guide for Researchers

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GirişGlenohumeral eklem dejenerasyonun seyri ve nedenleri vücuttaki diğer diartrodiyal eklemlerde olan osteoartrit ile benzerdir. Ancak glenohumeral eklem yük taşıyan bir eklem olmadığı için diz ve kalça eklemlerine kıyasla primer osteoartrit daha nadir gö-rülmektedir, diz ve kalça eklemlerinden sonra dejeneratif hastalıklardan üçüncü sık-lıkta etkilenen büyük eklemdir. [1,2] Epidemiyoloji, Etyoloji ve Patoanatomi Omuz eklemi diz ekleminden sonra en çok kronik ağrı rapor edilen ikinci eklem olmasına rağmen (sırayla %30.6 ve %63.4), klinik olarak önemli derecede artrit nadir olarak görülmektedir.[3] Omuz artroskopisi uygulanan hastalarda %4 ile %17 arasında kartilaj hasarı görülmekle beraber, gerçek sıklığında belirsizlikler vardır ve bu asemptomatik kartilaj hasarının prognozu hakkında yeterli bilgi bulunmamaktadır. Genel olarak omuz ağrısı ile değerlendirilen hastalarda %5-10 arasında dejeneratif glenohumeral artrit tespit edilmektedir. İnsidans bayanlarda yüksektir ve 60-70 yaş aralı-ğında artmaktadır. [4,5] Glenohumeral artritin etyolojisi primer ve sekonder nedenler olarak iki gruba ayrıl-maktadır, ancak primer artritte birtakım çevresel ve genetik faktörler rol alsa da etkenler çok faktörlü olabilir ve artritin nedenini bulmak zor olabilmektedir. Primer glenohumeral artritin en sık etyolojisinde rotator manşet yırtığı artropatisi, travma sonrası artrit ve romatoid artrit yer alırken, postoperatif artrit, kondrolizis ve osteonekrozis sekonder osteoartrit nedenleri arasında sayılmaktadır. [6,7] Humerus başı merkezindeki kıkırdak periferinden daha kalındır ve perifere gidildikçe kıkırdak kalınlığı azalır, bunun tam tersi yönünde glenoid merkezindeki kıkırdak periferinden daha incedir ve bu durum glenohumeral eklem uyumunu sağlar. Aşırı kullan-

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Section: Hasta Değerlendirmesiunclassified

Arthritis of the Glenohumeral Joint

Güzel¹

2015

Orthopaedics and Sports Medicine Guide for Researchers

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“…18 Despite the large group of individuals seeking for primary-care services, about 50% of patients with shoulder pain still report persistent pain after 12 months. 9 16 18 19 As a result, socioeconomic burdens are considerable due to extensive use of heath care services, sickness absence, disability pension and loss of productivity, [20][21][22][23][24] as well as patient's suffering.…”

Section: Introductionmentioning

confidence: 99%

Influence of psychological factors on the prognosis of chronic shoulder pain: protocol for a prospective cohort study

et al. 2017

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IntroductionShoulder pain is a highly prevalent condition. Psychological factors could play an essential role in the prognosis of chronic shoulder pain (CSP). The aims of the study will be to analyse the level of association between psychological factors and pain-disability at baseline and prospectively to assess their prognostic role; to evaluate the association of pain catastrophising and kinesiophobia at baseline and prospectively in the relationship between pain intensity and disability, or between self-efficacy and disability in patients with CSP; to explore the association of self-efficacy at baseline and prospectively in the relationship between pain intensity and disability, in comparison with kinesiophobia and pain catastrophising.Methods and analysisThe study is a longitudinal, prospective cohort study with a 12-month follow-up. It will be conducted in 4 primary-care centres and one hospital of the province of Malaga, Spain. 307 participants aged between 18 and 70 years suffering from CSP (3 months or more) will be included. Primary outcomes will include pain, disability and self-efficacy, whereas kinesiophobia, pain-related fear, pain catastrophising, anxiety, depression, patient expectations of recovery, age, gender, duration/intensity of symptoms, educational level and other factors will be predictive measures. Follow-up: baseline, 3, 6 and 12 months.Ethics and disseminationThe local ethics committee (The Costa del Sol Ethics Committee, Malaga, 28042016) has approved this protocol. Dissemination will occur through presentations at National and International conferences and publications in international peer-reviewed journals.Trial registration numberNCT02738372; pre-results

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“…Shoulder pain is the third most common musculoskeletal condition, with enormous social-economic costs, resulting from a significant effect on the patient's ability to work and perform activities of daily living (Greenberg 2014). The lifetime prevalence of shoulder pain in the general population is as high as 67 % (Luime et al 2004(Luime et al , 2005Ryall et al 2006).…”

Section: Introductionmentioning

confidence: 99%

Influence of shoulder pain on muscle function: implications for the assessment and therapy of shoulder disorders

et al. 2014

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Shoulder pain is often a challenging clinical phenomenon because of the potential mismatch between pathology and the perception of pain. Current evidence clearly emphasizes an incomplete understanding of the nature of shoulder pain. Indeed, the effective diagnosis and treatment of shoulder pain should not only rely upon a detailed knowledge of the peripheral pathologies that may be present in the shoulder, but also on current knowledge of pain neurophysiology. To assess and treat shoulder pain, a comprehensive understanding of the way in which pain is processed is essential. This review reflects modern pain neurophysiology to the shoulder and aims to answer the following questions: why does my shoulder hurt? What is the impact of shoulder pain on muscle function? What are the implications for the clinical examination of the shoulder? And finally, what are the clinical implications for therapy? Despite the increasing amount of research in this area, an in-depth understanding of the bidirectional nociception-motor interaction is still far from being achieved. Many questions remain, especially related to the treatment of nociception-motor interactions

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Evaluation and Treatment of Shoulder Pain

Cited by 101 publications

References 33 publications

Arthritis of the Glenohumeral Joint

Arthritis of the Glenohumeral Joint

Influence of psychological factors on the prognosis of chronic shoulder pain: protocol for a prospective cohort study

Influence of shoulder pain on muscle function: implications for the assessment and therapy of shoulder disorders

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