Central Sensitization Presence on the Results of Shoulder Adhesive Capsulitis

Ankara City Hospital Bilkent32 enrolled

Overview

Patients with adhesive capulitis longlasting more than 3 months were participated in the study. they were divided into two groups whether they have central sensitizaiton or not. Conventional physical therapy responses were measured and compared between two groups.

Adhesive capsulitis is a well known musculoskeletal syndrome that effects daily living activities and patiemts suffer from chronic shoulder pain. Central sensitization has been defined in patients with chronic pain due to amplified neuronal connections and signals in the central nervous system. Previously, it was shown that refractory long lasting musculoskeletal disorders may show challenging treatment process and decreased outcome due to central sensitization. However to the best of our knowledge there was not any study that evaluates the treatment response of presence of central sensitization in adhesive capsulitis patients. Total of 32 adhesive capsulitis patients were particapted in the study. Sixteen patients with adhesive capsulitis with (Group 1) and without central sensitization (Group 2) were received conventional physical therapy and exercise. Treatment response were evaluated with Visual Analog Scale (VAS), Shoulder pain and disability index (SPADI) Tampa Kinesiophobia Scale (TKS) and Pain Catastrophizing Scale (PCS). Additionally shoulder range of motion was measured at baseline (T0), after treatment (T1) and at 2nd week after completion of conventional rehabilitation program (T2).

Study Type

OBSERVATIONAL

Enrollment

Conditions

Adhesive Capsulitis of the Shoulder

Eligibility

Sex: ALLMin age: 18 YearsMax age: 80 Years

Medical Language ↔ Plain English

Inclusion Criteria: 1)patients with adhesive capsulitis between 18-80 years old 2) symptoms ongoing more than 3 months 3) willing to participated in the study Exclusion Criteria: 1\) patients with cervical radiculopathy 2) Patients with predisposing factors to adhesive capsulitis, such as diabetes mellitus, thyroid disease, coronary artery disease, lung pathologies or tuberculosis 3) any defined central sensitization syndrome such as fibromiyalgia before 4) presence of rheumatologic diseases 5) pregnancy 6) patients underwent bypass surgery or who have cardiac pacemaker 7) patients with septic arthritis or sepsis 8) malignancy 9) patients that underwent surgery through the shoulder region or had injection through the shoulder joint in the last 3 months. \-

Locations (1)

Ankara Bilkent City Hospital

Ankara, Turkey (Türkiye)

Outcomes

Primary Outcomes

Visual Analog Scale

A 10 cm VAS, with known validity and reliability, was used as a self-reported measure for the severity of joint pain.

Time frame: at baseline (T0), after treatment (T1) and at 2nd week after completion of conventional rehabilitation program (T2)

Shoulder Pain Disability Index (SPADI)

This questionnaire was developed to assess shoulder joint pain and disability. The SPADI has two sections; first section contains 5 questions to evaluate pain, whereas second item contains 8 questions to evaluate disability. Scores vary 0-130 and higher scores indicates high disability rates and pain

Time frame: at baseline (T0), after treatment (T1) and at 2nd week after completion of conventional rehabilitation program (T2)

Measurement of Shoulder range of motion

The same physician performed the measurement for the joint ranges in each plane of the joint with a goniometer. The goniometer's pivot point was positioned on the lateral projection of the shoulder joint while subjects in supine position. The fixed arm aligned parallel to the axillary lateral midline , while the movable arm tracked the humerus' lateral midline movement towards the axilla. The joint was passively forced to the end of the direction of range and measured twice and the average was taken

Time frame: at baseline (T0), after treatment (T1) and at 2nd week after completion of conventional rehabilitation program (T2)

Secondary Outcomes

Tampa Kinesiophobia Scale (TKS)

It was used to measure pain and the resulting fear and avoidance of moving the painful body part. TKS contains 17 questions assess parameters of injury/re-injury and fear or avoidance in work-related activities. Scores vary 17-68 and higher scores indicates higher kinseiophobia levels

Time frame: at baseline (T0), after treatment (T1) and at 2nd week after completion of conventional rehabilitation program (T2)

Data from ClinicalTrials.gov

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