Gender and severity of functional limitation can influence the pain due to Adhesive capsulitis

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Gender and severity of functional limitation can influence the pain due to Adhesive capsulitis

Assessment concerning adhesive capsulitis (AC) of the shoulder concentrating on aetiology, epidemiology, detection, and treatment; until now, details on shoulder pain characteristics is still scarce. Research aimed to analyse pain intensity and distribution in patients with AC. The assign section was composed of 278 (133M–145F) consecutive patients with AC.

After diagnosis, shoulder pain distribution was assessed through an upper limb pain map and pain intensity through a visual analog scale. Patients were distinguished by gender, age, time elapsed from the onset of symptoms, and severity of functional limitation. Data were submitted to statistical analysis. The intensity of shoulder pain caused by AC was higher in females (p < 0.05); it did not vary on the side and between patients younger and older than 55 years. Patients whose pain arose from more than three months suffered a lower potency of shoulder pain. Moreover, pain intensity was higher in the most severe form of AC (active forward flexion < 60°) (p < 0.05). The pain was localised predominantly on the anterior aspect of the shoulder (dermatomes C5–C6) and rarely continue beyond the distal third of the arm.

No differences were evaluated in pain distribution between male and female, between patients with pain from less or more than three months and between different levels of AC severity (p > 0.05). Shoulder pain due to AC may be influenced by gender and severity of functional limitation. AC pain distribution principally involves an anterior aspect of the shoulder with the downward extension of the arm until its distal third.

Source:

Musculoskeletal surgery

Link to the source:

https://link.springer.com/article/10.1007%2Fs12306-017-0488-6

Original title of the article:

Adhesive capsulitis of the shoulder: pain intensity and distribution

Authors:

V. Candela; et al.

SearchTags: 
Diagnostic, Pain, Shoulder, Visual analog scale
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