Quality of Life in Patients with Shoulder Pain and the Effect of Physical Therapy on Quality of Life

Year 2022, Volume: 9 Issue: 2, 45 - 55, 31.08.2022

Derya Çırakoğlu , Turan Uslu

Abstract

Objective: We aimed to investigate to what extent the quality of life of people is affected by shoulder pain originating from the shoulder joint and the contribution of physical therapy to the quality of life in our study.
Methods: In our study, a total of 30 patients who applied to our outpatient clinic with the complaint of shoulder pain were evaluated. A physical therapy program consisting of 10 sessions of hot pack, transcutaneous electrical nerve stimulation (TENS) and ultrasound (US) was applied to the patients for 2 weeks. During the treatment, the patients were included in an exercise program and used nonsteroidal anti-inflammatory drugs (NSAID). Evaluation was performed three times in total, before physical therapy, at the end of the treatment, and 3 months after the treatment. In controls, joint range of motion (ROM) was evaluated with the goniometer, pain was evaluated with the Visual Analog Scale (VAS) at rest, movement, and night, functional status was evaluated with the Shoulder Pain and Disability Index (SPADI) and the Shoulder Disability Questionnaire (SDQ), and quality of life was evaluated with Short Form-36 (SF 36).
Results: A statistically significant improvement was detected in the physical function, physical role limitation and pain parameters of ROM, VAS, SPADI, SDQ and SF-36 at the end of the treatment and at the 3rd month controls compared to the pre-treatment. When the end of the treatment and the 3rd month values were compared, the improvement continued, albeit weaker.
Conclusion: A significant improvement was observed in the VAS score, SF-36, SPADI, SDQ, ROM, and shoulder-specific tests in movement, rest and sleep in patients with shoulder pain at the end of the treatment and at the 3rd month controls. Physical therapy combined with exercise is considered as an efficient, cost-effective and safe method in patients with shoulder pain.

Keywords

Shoulder pain, quality of life, SF-36, physical therapy

References

• 1. Akgun K Shoulder Pain. In: Tuzun F, Eryavuz M, Akarirmak U, editors. Movement System Diseases Nobel Medicine Bookstore Istanbul: Tayf Offset 1997. p. 193-210.
• 2. Lin KM, Wang D, Dines JS. Injection Therapies for Rotator Cuff Disease. Orthop Clin North Am. 2018;49(2): 231-39.
• 3. Magee SDJ, Orthopedic physical assessment-E-Book. livre ebook 6th ed. Philadelphia: Saunders. 2014.
• 4. Wirth MA, Basamania L, Rockwood LA. Non-operative treatment of the rotator cuff . Orthop Clin North Am. 1997;28(19): 59-67.
• 5. Alizadehkhaiyat O, Roebuck MM, Makki AT, Frostick SP. Pain, functional disability, psychological status and health-related quality of life in patients with subacromial impingement syndrome. Cogent Med. 2017;4(1): 1406631.
• 6. Wang JC, Horner G, Brown ED, Shapiro MS. The relationship between acromial morphology and conservative treatment of patient with impingement syndrome. Orthopedics . 2000;23(6): 557-561.
• 7. Itoi E, Tabata S. Conservative treatment of rotator cuff tears. Clin Orthop 1992; 275:165-173.
• 8. Braddom RL, Buschbacher RM, Dumitru D, Johnson EW, et al: Physical Medicine and Rehabilitation. WB Saunders Company, Philadelphia 1996; 449-463.
• 9. Aiyer R, Noori SA, Chang KV, Jung B, Rasheed A, Bansal N, et al. Therapeutic ultrasound for chronic pain management in joints: a systematic review. Pain Medicine. 2020; 21(7):1437-1448.
• 10. Morgan B, Jones AR, Mulcahy KA, Finlay DB, Collett B. Transcutaneous electric nerve stimulation (TENS) during distension shoulder arthrography: a controlled trial. Pain. 1996; 64(2), 265-267.
• 11. Morrison DS, Frogameni AD, Woodworth P. Non-operative treatment of subacromial impingement syndrome. J Bone Joint Surg [Am] 1997;79:732-7.
• 12. Terekli F, Icagasıoglu A, Karatas Z, Emrem A, Teoman S, Türker S. Conservative treatment of painful shoulder. Göztepe Medical Journal 2003;18:20-23.
• 13. Ay S, Koldas Dogan S. Comparison of the Effectiveness of Different Analgesic Currents in Patients with Shoulder Pain. Journal of SDU Faculty of Medicine.2009; 16(3): 1-5.
• 14. Sahbaz Y, Tunalı AN, Cakmak Reyhan A. Comparison of the Effect of Conventional Ultrasound and High-Power Ultrasound at Pain Limit in Patients Diagnosed with Frozen Shoulder.Turk J Physiother Rehabil. 2019; 30(2):104-111. doi: 10.21653/tfrd.40011
• 15. Alarab A, Shameh R A, Shaheen Hand, Ahmad M S. Shock Wave Therapy and Ultrasound Therapy plus Exercises for Frozen Shoulder Joint Clients. Adv Nursing Patient Care Int J 2018; 1(2): 180010.
• 16. Oken O, Ayhan F, Yorgancıoğlu R. Comparıson of Physıcal Therapy and Perıartıcular Tenoxıcam Injectıon ın Subacromıal Impıngement Syndrome. FTR Bil Der J PMR Sci 2007;1:9-13
• 17. Imagama S, Hasegawa Y, Ando K, Kobayashi K, Hida T, Ito K, et al. Staged decrease of physical ability on the locomotive syndrome risk test is related to neuropathic pain, nociceptive pain, shoulder complaints, and quality of life in middle-aged and elderly people – the utility of the locomotive syndrome risk test. Mod Rheumatol. 2017;27(6):1051–6.
• 18. Inoue S, Taguchi T, Yamashita T, Nakamura M, Ushida T. The prevalence and impact of chronic neuropathic pain on daily and social life: a nationwide study in a Japanese population. Eur J Pain. 2017;21(4):727–37.
• 19. Imagama S, Ando K, Kobayashi K, Seki T, Hamada T, Machino M et al. Shoulder pain has most impact on poor quality of life among various types of musculoskeletal pain in middle aged and elderly people: Yakumo study. Modern Rheumatol.2019;13:1–5.
• 20. Pirincci CSS, Cihan E, Arca M, Durmaz ED ve Yıldırım NÜ. The effect of kinesiophobia in painful shoulder pathologies on quality of life and shoulder functionality. Anadolu Clinic Journal of Medical Sciences 2021; 26(1), 3-10. doi: 10.21673/anadoluklin.755320
• 21. Pasin T, Ataoglu S, Pasin O, Ankarali H. Comparison of the effectiveness of platelet rich plasma, corticosteroid, and physical therapy in subacromial impingement syndrome. Arch Rheumatol. 2019;34(3): 308-316. doi: 10.5606/ArchRheumatol.2019.7225