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

Yıl 2023, Cilt: 5 Sayı: 3, 264 - 271, 28.12.2023

Gülhan Yılmaz Gökmen , Şule Keçelioğlu

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

Öz

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.

Anahtar Kelimeler

Impingement, Upper extremity, Functionality, Pain

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

Öz

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.

Anahtar Kelimeler

Üst ekstremite, İmpingement, Ağrı, Fonksiyonellik

Kaynakça

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