The Relationship between Self-Perceived Health and Clinical Symptoms in Patients with Frozen Shoulders

Abstract

Current healthcare is centered on the perception of people’s health. The purpose of this study was to investigate the relationship between self-perceived health (physical, psychological, social, and environmental dimensions) and two main clinical symptoms (shoulder pain and restricted shoulder motion) in patients with frozen shoulders. A total of 49 patients diagnosed with frozen shoulders were recruited and divided into high- and low-disability groups according to the severity of their frozen shoulders. Participants were measured for shoulder passive range of motion, pain intensity, and self-perceived health, using a brief version of the World Health Organization Quality of Life questionnaire. The results showed that the high-disability group had poorer self-perceived health (lower quality of life scores) than the low-disability group (p < 0.05). There was no significant correlation between the quality of life scores and the two clinical symptoms in either the high- or low-disability group. Our findings revealed that the multidimensional self-perceived health of frozen shoulder patients could not be inferred from the severity of shoulder pain and restricted shoulder motions. This study suggests that healthcare providers should pay more attention to patients’ self-perceived health needs while addressing the clinical symptoms in patients with frozen shoulders.

Effects of Tai Chi Chuan training on the QoL and psychological well-being in female patients with breast cancer: a systematic review of randomized controlled trials

“…Although shoulder function was not a concern for us at the beginning, we finally found that this outcome measure including shoulder pain is an important issue for breast cancer patients. Shoulder function (including localized pain) should be considered an outcome that is not related to overall self-perceived health ( 90 ), so we included shoulder function as the outcome of the post-hoc analysis. We did not analyze safety outcomes because such outcomes are rarely reported in TCC trials.…”

Effective Management of Frozen Shoulder: A Case Report

“…Moreover, other Systemic clinical conditions such as Diabetes, Hypothyroidism, Hyperthyroidism, Cardiovascular diseases, Tuberculosis, and Parkinson's disease are also responsible for exaggerating this clinical condition 9 .Pain that worsens at night, stiffness & difficulty while the movement of affected shoulder joint with dull and achy pain is specific prodromal features of a frozen shoulder. It presents with clinical features such as the restricted motion of the joint or stiffnesswith or without pain while the motion of the shoulder joint on the affected side, slight wasting of muscles, tenderness (sometimes), or decrease in motion 10 . External rotation is most severely inhibited.…”