The Effects of Pain and Disability Resulting from Shoulder Pathologies on Balance and Mobility

Abstract

Giriş ve Amaç: Omuz patolojilerinden kaynaklanan ağrı ve özürlülüğün denge ve mobilite üzerine etkisini araştırmaktı. Gereç ve Yöntemler: Bu çalışma kesitsel tasarımlı bir çalışma olup, omuz sıkışma sendromu, rotator manşet yırtığı veya onarımı veya donuk omuz tanısı alan kırk hasta (40-65 yaş) ile yürütüldü. üst ekstremite omuzuyla ilgili. Omuz ağrısı ve fonksiyonelliği, Omuz Ağrısı ve Dizabilite İndeksi (SPADI) kullanılarak değerlendirildi. Statik denge, hastanın sağ ve sol ekstremitelerinde tek ayak üzerinde durma testi ile dengede kalma süresi ölçülerek değerlendirildi. Alt ekstremite fonksiyonel kuvvetinin ve fonksiyonel mobilitenin değerlendirilmesi için beş kez otur-kalk testi kullanıldı. Çalışmamızda hastaların yürüme ve denge durumları için Tinetti Denge ve Yürüme Testi kullanıldı. Bulgular: Bu çalışmada hastaların %22,5'inde omuz sıkışma sendromu, %57,5'inde rotator manşet patolojisi, %20'sinde donuk omuz sendromu vardı. Tanılarına göre gruplandırıldığında, SPADI toplam ve alt puanları, beş kez otur-kalk testi, tek ayak üzerinde durma testi ve Tinetti toplam ve alt puanları açısından fark bulunmadı (p>0,05). Donuk omuzu olan hastalarda özürlülük alt puanı daha yüksek bulunsa da bu bulgu istatistiksel olarak anlamlı bulunmadı. SPADI'nin ortalama yeti yitimi alt puanı ile Beş kez otur-kalk testi arasında anlamlı bir ilişki vardı. (p<0.05) Tinetti toplam ve alt puan ortalamaları ile Beş Defa Oturup Kalkma Testi arasında anlamlı bir korelasyon bulunurken, Tinetti Testi toplam ve alt puanları ile Tek Ayak Üzerinde Durma Testi puanları arasında anlamlı bir korelasyon vardı (p<0.01). Sonuç: Omuz problemlerine bağlı özürlülük mobiliteyi etkilemekte ve mobilitedeki azalma denge problemleriyle ilişkili görünmektedir. Bu popülasyonu denge problemlerinden korumak için omuz patolojisi olan hastaların rehabilitasyon programlarına denge ve postüral kontrol yaklaşımlarının eklenmesi önerilmektedir. Anahtar Kelimeler: Ağrı, Denge, Özürlülük, Mobilite, Omuz patolojisi. Objectives: The aim of this study to investigate the relationship between pain and disability in shoulder pathologies on balance and mobility. Materials and Methods: The present study was a cross-sectional design study and was conducted with forty participants (between 40 and 65 years) with a pathology. related to the upper extremity shoulder such as impingement, rotator cuff tear or repair, frozen shoulder. Shoulder pain and functionality were evaluated using the Shoulder Pain and Disability Index (SPADI). Static balance was evaluated by measuring the duration of standing balance on the patient's right and left extremities with single leg stance test. Five times sit to stand test was used for assessment of the functional strength of the lower extremity and functional mobility. Tinetti Balance and Gait Test was used for gait and balance condition of patients in our study. Results: 22.5% of the patients had shoulder impingement syndrome, 57.5% had rotator cuff pathology, 20% had frozen shoulder syndrome in this study. No differences were found between three subgroups according to diagnosis in terms of SPADI total and sub scores, five times sit to stand test, single leg stance test and Tinetti total and sub scores (p>0.05). Although the disability sub score was found higher in patients had frozen shoulder this finding was not found statistically significant. There was a significant correlation between the mean disability sub score of SPADI and Five times sit to stand test. (p<0.05) There was also a significant correlation between the mean Tinetti total and sub scores and Five Times Sit to Stand Test, while Tinetti Test total and sub scores was significantly correlated with the Single Leg Stance Test scores (p<0.01). Conclusion: Disabilities due to the shoulder problems affects mobility and decrease in mobility seems to be associated with balance problems. Balance and postural control approaches to the rehabilitation programs of patients with shoulder pathology can be added to protect this population against balance problems. Keywords: Pain, Balance, Disability, Mobility, Shoulder pathology.

Keywords

• Pain
• Balance
• Disability
• Mobility
• Shoulder pathology

The Effects of Pain and Disability Resulting from Shoulder Pathologies on Balance and Mobility

Abstract

Objectives: The aim of this study to investigate the relationship between pain and disability in shoulder pathologies on balance and mobility. Materials and Methods: The present study was a cross-sectional design study and was conducted with forty participants (between 40 and 65 years) with a pathology. related to the upper extremity shoulder such as impingement, rotator cuff tear or repair, frozen shoulder. Shoulder pain and functionality were evaluated using the Shoulder Pain and Disability Index (SPADI). Static balance was evaluated by measuring the duration of standing balance on the patient's right and left extremities with single leg stance test. Five times sit to stand test was used for assessment of the functional strength of the lower extremity and functional mobility. Tinetti Balance and Gait Test was used for gait and balance condition of patients in our study. Results: 22.5% of the patients had shoulder impingement syndrome, 57.5% had rotator cuff pathology, 20% had frozen shoulder syndrome in this study. No differences were found between three subgroups according to diagnosis in terms of SPADI total and sub scores, five times sit to stand test, single leg stance test and Tinetti total and sub scores (p>0.05). Although the disability sub score was found higher in patients had frozen shoulder this finding was not found statistically significant. There was a significant correlation between the mean disability sub score of SPADI and Five times sit to stand test. (p<0.05) There was also a significant correlation between the mean Tinetti total and sub scores and Five Times Sit to Stand Test, while Tinetti Test total and sub scores was significantly correlated with the Single Leg Stance Test scores (p<0.01). Conclusion: Disabilities due to the shoulder problems affects mobility and decrease in mobility seems to be associated with balance problems. Balance and postural control approaches to the rehabilitation programs of patients with shoulder pathology can be added to protect this population against balance problems.

Keywords

• Pain
• Balance
• Disability
• Mobility
• Shoulder pathology

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