Clinically detectable impairments in patients with subacromial pain syndrome: A case-control study

Yıl 2025, Cilt: 52 Sayı: 3, 431 - 441, 16.09.2025

Caner Karartı , Fatih Özyurt , Muhammed İhsan Kodak , Hakkı Çağdaş Basat , Gülşah Özsoy , İsmail Özsoy , Abdulhamit Tayfur , Seyde Büşra Kodak

https://doi.org/10.5798/dicletip.1784782

Öz

Objective: This study aimed to clearly identify systemic problems, functional impairments, psychological status, and quality of life differences between patients with subacromial pain syndrome (SAPS) and asymptomatic controls, to support the development of multidimensional rehabilitation programs. Additionally, the determinants of symptom severity in SAPS patients were investigated.
Methods: This case-control study included 80 participants (40 SAPS patients and 40 controls). The assessments included the prevalence of metabolic syndrome, NSAID consumption, pain severity, upper extremity function, elbow function, wrist-hand function, grip strength, psychological status (kinesiophobia, anxiety, depression, and pain catastrophising), and quality of life.
Results: Patients with SAPS showed higher pain levels, DASH scores, NSAID consumption, and prevalence of metabolic syndrome compared to the control group (p<0.05). Functional impairments were detected in scapular upward rotation (90° flexion), elbow flexion strength, wrist-hand function, grip strength, and quality of life (p<0.05). Kinesiophobia and pain catastrophising scores were significantly higher in SAPS patients (p<0.05). Finally, activity-related pain (p=0.017), depression (p=0.015), and grip strength (p<0.001) were identified as significant and independent predictors of disability severity (DASH score), explaining 45.3% of its variance.
Conclusion: Clinical impairments in SAPS patients are multidimensional, highlighting the potential benefit of biopsychosocial and multidisciplinary rehabilitation approaches.

Anahtar Kelimeler

Pain , shoulder , biopsychosocial , subacromial pain syndrome

Etik Beyan

The present study was approved by the local ethics committee (decision number: 2023/674, date: 12/07/2023). All participants provided written and verbal consent.

Subakromial ağrı sendromu olan hastalarda klinik olarak saptanabilen bozukluklar: Bir vaka-kontrol çalışması

Öz

Amaç: Bu çalışmanın amacı, çok boyutlu rehabilitasyon programlarının geliştirilmesini desteklemek için subakromiyal ağrı sendromlu (SAPS) hastalar ile asemptomatik kontroller arasındaki sistemik sorunları, fonksiyonel bozuklukları, psikolojik durumu ve yaşam kalitesi farklılıklarını net bir şekilde tanımlamaktır. Ayrıca, SAPS hastalarında semptom şiddetinin belirleyicileri araştırılmıştır.
Yöntemler: Bu vaka-kontrol çalışmasına 80 katılımcı (40 SAPS hastası ve 40 kontrol) dahil edilmiştir. Değerlendirmeler metabolik sendrom prevalansı, NSAID tüketimi, ağrı şiddeti, üst ekstremite fonksiyonu, dirsek fonksiyonu, bilek-el fonksiyonu, kavrama gücü, psikolojik durum (kinezyofobi, anksiyete, depresyon ve ağrı katastrofisi) ve yaşam kalitesini içermektedir.
Bulgular: SAPS' lı hastalarda kontrol grubuna kıyasla daha yüksek ağrı seviyeleri, DASH skorları, NSAID tüketimi ve metabolik sendrom prevalansı bulundu (p<0,05). Skapular yukarı rotasyon (90° fleksiyon), dirsek fleksiyon kas kuvveti, el bileği-el fonksiyonu, kavrama gücü ve yaşam kalitesinde fonksiyonel bozukluklar tespit edildi (p<0,05). SAPS hastalarında kinezyofobi ve ağrı katastrofizasyonu skorları anlamlı derecede yüksekti (p<0,05). Son olarak, aktivite ile ilişkili ağrı (p=0,017), depresyon (p=0,015) ve kavrama gücü (p<0,001), engellilik şiddetinin (DASH skoru) anlamlı ve bağımsız belirleyicileri olarak tespit edilmiş ve varyansın %45,3'ünü açıklamıştır.
Sonuç: SAPS hastalarındaki klinik bozukluklar çok boyutludur ve biyopsikososyal ve multidisipliner rehabilitasyon yaklaşımlarının potansiyel faydasını vurgulamaktadır.

Anahtar Kelimeler

Ağrı , omuz , biyopsikososyal , subakromial ağrı sendromu.

Kaynakça

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