Clinical Trial Details
— Status: Completed
Administrative data
| NCT number |
NCT05828706 |
| Other study ID # |
Biruni Univ |
| Secondary ID |
|
| Status |
Completed |
| Phase |
|
| First received |
|
| Last updated |
|
| Start date |
April 1, 2023 |
| Est. completion date |
May 30, 2023 |
Study information
| Verified date |
June 2023 |
| Source |
Biruni University |
| Contact |
n/a |
| Is FDA regulated |
No |
| Health authority |
|
| Study type |
Observational [Patient Registry]
|
Clinical Trial Summary
Among the musculoskeletal pathologies, shoulder pain is the most common symptom after back
and neck pain (1, 2). One out of every three adults experiences shoulder pain and limitation
in shoulder movements, which affects the functionality of the patients and leads to
disability. (2) Impairment of one or more sensory inputs coming from the visual,
somatosensory or afferent pathways from the vestibular system (3-4) causes deterioration of
balance control and falls (4-5). Since pain affects the somatosensory system, it causes a
decrease in balance ability. This study will be conducted to examine the effect of pain and
functionality on balance in shoulder pathologies. Our study included pathologies such as
impingement, rotator cuff syndrome, frozen shoulder, fracture between November 1, 2022 and
January 1, 2023; A total of 40 patients, 18 females and 12 males, between the ages of 41-74
(56.30±9.25) will be included. Sociodemographic information form, Shoulder Pain and
Disability Index (SPADI), One-leg standing test, 5 sit and stand test, TINetti balance and
walking test will be evaluated for the included patients. SPSS Version 21.0 program was used
for statistical analysis. With Pearson Correlation analysis, it will be evaluated whether the
data are related or not.
Description:
Upper extremity pathologies are musculoskeletal problems that are common in the community,
resulting in loss of work force and negative continuation of recreational activities (1,2).
Among the pathologies of the musculoskeletal system, shoulder pain is the most common symptom
after back and neck pain (3, 4). One out of every three adults experiences shoulder pain and
limitation in shoulder movements, which affects the functionality of the patients and leads
to disability (4). Among these common problems, there are many diseases such as rotator cuff
injuries, adhesive capsulitis, acromioclavicular joint degenerations, calcific tendinitis and
instability (5). Impairment of one or more sensory inputs coming from the visual,
somatosensory or afferent pathways from the vestibular system (6-7) causes deterioration of
balance control and falls (7-8). Since pain affects the somatosensory system, it causes a
decrease in balance ability. In addition, pain-induced balance control and muscle inhibition
pathways share some pathways in the central nervous system (9 ,10). Therefore, muscle
inhibition mechanisms caused by pain may negatively affect balance ability (10,11). It has
been proven that patients with shoulder pain have deficiencies in shoulder proprioception as
well as trunk and lower extremity coordination (10,12). Problem-free and painless upper
extremity movements are mostly related to the stability of the trunk and this is closely
related to the stability of the lower extremities and balance control. Any deficiency in
trunk and lower extremity stability is largely tolerated by compensating the structures
around the upper extremity by increasing speed and power, and this situation paves the way
for upper extremity pathologies. It remains unclear whether the lack of balance is a cause or
a consequence of injury in individuals with shoulder problems (13). Myers et al. reported
that proprioception and coordination deficiencies greatly affect shoulder problems, therefore
somatosensory deficiencies in the lower extremity and trunk may cause problems in the upper
extremity region (14). Other known factors affecting balance, apart from proprioception and
coordination, are attention (15,16), age (17,18), gender and body mass index (BMI) (19,20).
Decreased balance can lead to limitation of movement, falls and injuries (21). This situation
may also require rehabilitation of balance problems caused by upper extremity pathologies.
There is very little published research investigating the relationship between different
levels of shoulder pain, balance ability, risk of falling, and fear of falling, covering all
age groups diagnosed with musculoskeletal shoulder problems. Although it has been shown that
the balance of patients with shoulder pain is adversely affected, it is not clear how pain
level and disability affect balance parameters. Therefore, in this study, it was aimed to
investigate the relationship between pain severity, functionality and balance in shoulder
pathologies,
