Does Shoulder Impingement Syndrome Beiıng on the Dominant or Non-Dominant Side Affect Upper Extremity Function And Pain?

Year 2023, , 264 - 271, 28.12.2023

Gülhan Yılmaz Gökmen , Şule Keçelioğlu

https://doi.org/10.46413/boneyusbad.1396920

Abstract

Aim: It was aimed to examine the effect of Shoulder Impingement Syndrome on the dominant or non-dominant side on upper extremity functionality, functionality at work, and the severity of pain at rest, activity, and at night, and to investigate the relationship between each other.
Materials and Method: 81 volunteers aged 18-75 were included the study. There were 44 people whose dominant side was affected and 37 whose non-dominant side was affected. Participants' upper extremity function was assessed by Disabilities of the Arm, Shoulder and Hand questionnaire; shoulder pain at rest, activity and night was evaluated with the Visual Analog Scale.
Results: There was no statistically significant difference in functionality and pain parameters between the groups (p>0.05). In all patients' data, there was a correlation between The Disabilities of the Arm, Shoulder, and Hand questionnaire-Function/Symptom part and rest, activity and night pain (p<0.001, p=0.001, p<0.001) and between the work model of the questionnaire and pain (p=0.005, p=0.002, p<0.001). In the dominant group, there was a correlation between the Function/Symptom part and rest, activity and night pain (p<0.001, p=0.014, p<0.001), and between the work model and rest and night pain (p=0.016, p=0.003). In the non-dominanat group, there was a correlation between the Function/Symptom model and activity and night pain (p=0.016, p=0.020), and between work model and activity and night pain (p=0.003, p= 0.005).
Conclusion: Regardless of whether the dominant or non-dominant side of the patients is affected, the increase in pain intensity reduces the upper extremity functionality and functionality at work.

Keywords

Impingement, Upper extremity, Functionality, Pain

Omuz Sıkışma Sendromu’nun Dominant ya da Non-Dominant Tarafta Olması Üst Ekstremite Fonksiyonunu ve Ağrıyı Etkiliyor mu?

Abstract

Amaç: Omuz Sıkışma Sendromu’nun dominant veya non-dominant tarafta olmasının üst ekstremite fonksiyonelliğine, işteki fonksiyonelliğe ve istirahatte, aktivite sırasında ve gece oluşan ağrı şiddetine etkisini inceleyerek birbirleriyle ilişkisini araştırmak amaçlanmıştır.
Gereç ve Yöntem: 18-75 yaş arasında 81 gönüllü çalışmaya dahil edildi. Dominant tarafı etkilenen 44, non-dominant tarafı etkilenen 37 kişi vardı. Katılımcıların üst ekstremite fonksiyonu Kol-Omuz-El Sorunları Anketi ile; istirahatte, aktivite ve gece oluşan omuz ağrısı Görsel Analog Skalası ile değerlendirildi.
Bulgular: Gruplar arasında fonksiyonellik ve ağrı parametreleri arasında istatistiksel olarak anlamlı fark yoktu (p>0.05). Bütün hastaların verilerinin korelasyonunda Kol-Omuz-El Sorunları Anketi-Fonksiyon/Semptom ile istirahat, aktivite ve gece ağrısı arasında (sırasıyla p<0.001 p=0.001, p<0.001) ve anketin iş modeli ile de ağrı arasında korelasyon vardı (sırasıyla p=0.005, p=0.002, p<0.001). Dominant tarafı etkilenen hastaların Kol-Omuz-El Sorunları Anketi-Fonksiyon/Semptom bölümü ile istirahat, aktivite ve gece ağrısı arasında (sırasıyla p<0.001, p=0.014, p<0.001) ve iş modeli ile istirahat ve gece ağrıları arasında korelasyon vardı (p=0.016, p=0.003). Non-dominant tarafı etkilenen hastaların Kol-Omuz-El Sorunları Anketi-Fonksiyon/Semptom ile aktivite ve gece ağrısı arasında (p=0.016, p=0.020) ve iş modeli ile aktivite ve gece ağrısı arasında korelasyon vardı (p=0.003, p=0.005).
Sonuç: Hastaların dominant ya da non-dominant taraflardan hangisi etkilenirse etkilensin ağrı şiddetindeki artış üst ekstremite fonksiyonunu ve işteki fonksiyonelliği azaltmaktadır.

Keywords

Üst ekstremite, İmpingement, Ağrı, Fonksiyonellik

References

• Alburquerque-Sendín, F., Camargo, P. R., Vieira, A., Salvini, T. F. (2013). Bilateral myofascial trigger points and pressure pain thresholds in the shoulder muscles in patients with unilateral shoulder impingement syndrome: a blinded, controlled study. The Clinical journal of pain, 29(6), 478-486. https://doi.org/10.1097/AJP.0b013e3182652d65
• Algina, J., Olejnik, S. (2003). Sample size tables for correlation analysis with applications in partial correlation and multiple regression analysis. Multivariate Behavioral Research, 38(3), 309-323. https://doi.org/10.1207/S15327906MBR3803_02
• Belzer, J. P., Durkin, R. C. (1996). Common disorders of the shoulder. Primary Care: Clinics in Office Practice, 23(2), 365-388. https://doi.org/10.1016/S0095-4543(05)70283-9
• Christiansen, D. H., Michener, L. A., Roy, J.-S. (2018). Influence of dominant-as compared with nondominant-side symptoms on Disabilities of the Arm, Shoulder and Hand and Western Ontario Rotator Cuff scores in patients with rotator cuff tendinopathy. Journal of shoulder and elbow surgery, 27(6), 1112-1116. https://doi.org/10.1016/j.jse.2017.12.031
• GBD 2017 Disease and Injury Incidence and Prevalence Collaborators., G. D. a. I. I. a. P. (2018). Global, regional, and national incidence, prevalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017. https://doi.org/10.1016/S0140-6736(18)32279-7
• Conroy, D. E., Hayes, K. W. (1998). The effect of joint mobilization as a component of comprehensive treatment for primary shoulder impingement syndrome. Journal of Orthopaedic & Sports Physical Therapy, 28(1), 3-14. https://www.jospt.org/doi/10.2519/jospt.1998.28.1.3
• Consigliere, P., Haddo, O., Levy, O., Sforza, G. (2018). Subacromial impingement syndrome: management challenges. Orthopedic research and reviews, 83-91. https://doi.org/10.2147/ORR.S157864
• Diederichsen, L. P., Nørregaard, J., Dyhre-Poulsen, P., Winther, A., Tufekovic, G., Bandholm, T., . . . Krogsgaard, M. (2009). The activity pattern of shoulder muscles in subjects with and without subacromial impingement. Journal of Electromyography and kinesiology, 19(5), 789-799. https://doi.org/10.1016/j.jelekin.2008.08.006
• Düger, T., Yakut, E., Öksüz, Ç., Yörükan, S., Bilgütay, B. S., Ayhan, Ç., . . . Yakut, Y. (2006). Kol, omuz ve el sorunları (disabilities of the arm, shoulder and hand-DASH) anketi Türkçe uyarlamasının güvenirliği ve geçerliği. Fizyoterapi Rehabilitasyon, 17(3), 99-107.
• Fatoye, F. (2018). The economic impact of musculoskeletal pain. Pain and Rehabilitation-the Journal of Physiotherapy Pain Association, 2018(44), 3-4.
• George, D., & Mallery, P. (2019). IBM SPSS statistics 26 step by step: A simple guide and reference: Routledge. https://doi.org/10.4324/9780429056765
• Hawker, G. A., Mian, S., Kendzerska, T., French, M. (2011). Measures of adult pain: Visual analog scale for pain (vas pain), numeric rating scale for pain (nrs pain), mcgill pain questionnaire (mpq), short‐form mcgill pain questionnaire (sf‐mpq), chronic pain grade scale (cpgs), short form‐36 bodily pain scale (sf‐36 bps), and measure of intermittent and constant osteoarthritis pain (icoap). Arthritis care & research, 63(S11), S240-S252. https://doi.org/10.1002/acr.20543
• Houglum Peggy, A. (2013). Rehabilitation for subacromial impingement starts at the scapula. Journal of Orthopaedics, Trauma and Rehabilitation, 17(2), 54-60. https://doi.org/10.1016/j.jotr.2013.05.001
• Hudak, P. L., Amadio, P. C., Bombardier, C., Beaton, D., Cole, D., Davis, A., . . . Marx, R. G. (1996). Development of an upper extremity outcome measure: the DASH (disabilities of the arm, shoulder, and head). American journal of industrial medicine, 29(6), 602-608. https://doi.org/10.1002/(SICI)1097-0274(199606)29:6<602::AID-AJIM4>3.0.CO;2-L
• Jester, A., Harth, A., Wind, G., Germann, G., Sauerbier, M. (2005). Disabilities of the arm, shoulder and hand (DASH) questionnaire: determining functional activity profiles in patients with upper extremity disorders. Journal of hand surgery, 30(1), 23-28. https://doi.org/10.1016/J.JHSB.2004.08.008
• Lewis, J. S., Green, A. S., Dekel, S. (2001). The aetiology of subacromial impingement syndrome. Physiotherapy, 87(9), 458-469. https://doi.org/10.1016/S0031-9406(05)60693-1
• Linaker, C. H., Walker-Bone, K. (2015). Shoulder disorders and occupation. Best practice & research Clinical rheumatology, 29(3), 405-423. https://doi.org/10.1016/j.berh.2015.04.001
• Noés, G. R., Haik, M. N., Pott-Junior, H., Barreto, R. P. G., Ribeiro, L. P., Rosa, D. P., & Camargo, P. R. (2022). Is the angular onset of pain during arm elevation associated to functioning in individuals with rotator cuff related shoulder pain? Brazilian Journal of Physical Therapy, 26(3), 100403. https://doi.org/10.1016/j.bjpt.2022.100403
• Ozaras, N., Cidem, M., Demir, S., Suyabatmaz, O., Solak, O., Esenyel, M. (2009). Shoulder pain and functional consequences: does it differ when it is at dominant side or not? Journal of Back and Musculoskeletal Rehabilitation, 22(4), 223-225. 100403. https://doi.org/10.3233/BMR-2009-0240
• Ratner, B. (2009). The correlation coefficient: Its values range between+ 1/− 1, or do they? Journal of targeting, measurement and analysis for marketing, 17(2), 139-142. https://doi.org/10.1057/jt.2009.5
• Razmjou, H., Dwyer, T., Holtby, R. (2018). Impact of symptom bilaterality and hand dominance on patient-reported disability outcomes. SAGE Open Medicine, 6, 2050312118797566. https://doi.org/10.1177/2050312118797566
• Seitz, A. L., McClure, P. W., Finucane, S., Boardman III, N. D., Michener, L. A. (2011). Mechanisms of rotator cuff tendinopathy: intrinsic, extrinsic, or both? Clinical biomechanics, 26(1), 1-12. https://doi.org/10.1177/2050312118797566
• van der Windt, D. A., Burke, D. L., Babatunde, O., Hattle, M., McRobert, C., Littlewood, C., . . . Winters, J. C. (2019). Predictors of the effects of treatment for shoulder pain: protocol of an individual participant data meta-analysis. Diagnostic and prognostic research, 3(1), 1-11. https://doi.org/10.1186/s41512-019-0061-x
• Zenian, J. (2010). Sleep position and shoulder pain. Medical hypotheses, 74(4), 639-643. https://doi.org/10.1016/j.mehy.2009.11.013