Introduction Frozen shoulder is a painful shoulder disease in which
glenohumeral joint movements are actively and passively restricted in all
directions. If not treated, it can cause various psychological diseases and
muscle and joint diseases. Kinesiophobia; this is defined as a fear of physical
activity resulting from excessive sensitivity and an uncomfortable feeling due
to painful or repeated injury. In this study, it was aimed to evaluate the
relationship of kinesiophobia to upper extremity disability, anxiety and quality
of life in patients with frozen shoulder.
Materials and methods Fırat University Faculty of Medicine,
Department of Physical Medicine and Rehabilitation, between September 2020 and
March 2021; As a result of clinical evaluation and radiological examinations,
patients were enrolled between the ages of 18–75 and who agreed to
participate in the study; 48 patients were diagnosed with frozen shoulder and
met the inclusion and exclusion criteria of the study and were included in the
patient group; Fourty healthy subjects aged between 18–75 years, who did
not have shoulder disease and who met the inclusion and exclusion criteria of
the study, were included in the control group. A total of 88 cases were included
in the study. The following scales were used. TAMPA kinesiophobia scale to
assess kinesiophobia in patients and control group, Beck Anxiety scale to assess
anxiety in patient group; The Disabilities of The Arm, Shoulder and Hand (DASH)
scale to assess upper extremity disability; Short Form (SF)-36 was used to
assess quality of life.
Results TAMPA kinesiophobia scale was found to be significantly different
in the patient group when the patient group and control group were compared.
According to the correlation analysis, the TAMPA kinesiophobia scale showed a
positive correlation with the Beck-Anxiety and DASH scales in the patient group,
while a negative correlation was found with the SF36-Physical function,
emotional role difficulty and social functionality.
Conclusion In patients with frozen shoulder, kinesiophobia seems to be
associated with increased anxiety and upper extremity disability, as well as low
quality of life. Structural disorders as well as psychological factors should be
taken into account among the reasons for the prolonged limitation of movement
and delayed recovery. When the physicians serving in the primary care are
experienced with patient management with frozen shoulder, as evaluated for
therapeutic purposes, planning psychological support treatments in addition to
medical and physical therapy will increase the quality of health care provided
to patients.