Relationship Between Pain Intensity, Physical Factors, Pronociceptive Pain Modulation Profile and Psychological Vulnerability on Upper Limb Disability in Older Patients with Chronic Shoulder Pain

Overview

Journal Int J Environ Res Public Health

Publisher MDPI

Specialties Environmental Health
Public Health

Date 2022 Nov 26

PMID 36429726

Authors

Geraldine Valenza-Pena

Javier Martin-Nunez

Alejandro Heredia-Ciuro

Maria Granados-Santiago

Laura Lopez-Lopez

Marie Carmen Valenza

Irene Cabrera-Martos

Affiliations

Soon will be listed here.

Abstract

Background: Chronic shoulder pain is a very prevalent condition causing disability and functional impairment. The purpose of the study was to evaluate the relationship between pain intensity, physical variables, psychological vulnerability, pronociceptive pain modulation profile and disability in older people with chronic shoulder pain.

Methods: A cross-sectional study was carried out. A total of 56 participants with non-specific chronic shoulder pain of the "Complejo Hospitalario Universitario" (Granada) and 56 healthy controls were included. The outcomes evaluated were pain intensity (visual analogue scale), physical factors (dynamometry for grip strength), psychological vulnerability (Fear-Avoidance Beliefs Questionnaire and Tampa Scale of Kinesiophobia), pronociceptive pain modulation profile (pain pressure algometry) and disability (Quick Disability Arm Shoulder Hand questionnaire).

Results: Disability showed a positive correlation with pain and psychological vulnerability ( < 0.05) and a negative correlation with pronociceptive pain variables and dynamometry ( < 0.001). Psychological vulnerability also presented a strong negative correlation with proprioceptive pain variables and dynamometry and a positive correlation with pain ( < 0.05). In regard to the pronociceptive pain modulation profile, a strong negative correlation with pain ( < 0.001) and a positive moderate correlation with dynamometry ( < 0.001) were shown.

Conclusions: Our results support a strong association between disability, psychological vulnerability and pronociceptive pain modulation profile in older adults with chronic shoulder pain.

Citing Articles

[Validation of the German version of the Fear-Avoidance Beliefs Questionnaire (FABQ-D) for shoulder disorders].

Pagels L, Ludtke K, Schafer A Schmerz. 2023; 37(5):350-359.

PMID: 36692550 PMC: 10511372. DOI: 10.1007/s00482-022-00689-z.

References

Roberts H, Denison H, Martin H, Patel H, Syddall H, Cooper C . A review of the measurement of grip strength in clinical and epidemiological studies: towards a standardised approach. Age Ageing. 2011; 40(4):423-9. DOI: 10.1093/ageing/afr051. View

Nijs J, Goubert D, Ickmans K . Recognition and Treatment of Central Sensitization in Chronic Pain Patients: Not Limited to Specialized Care. J Orthop Sports Phys Ther. 2016; 46(12):1024-1028. DOI: 10.2519/jospt.2016.0612. View

Sporrong H, Palmerud G, Herberts P . Hand grip increases shoulder muscle activity, An EMG analysis with static hand contractions in 9 subjects. Acta Orthop Scand. 1996; 67(5):485-90. DOI: 10.3109/17453679608996674. View

Adams L, Turk D . Psychosocial factors and central sensitivity syndromes. Curr Rheumatol Rev. 2015; 11(2):96-108. PMC: 4728142. DOI: 10.2174/1573397111666150619095330. View

Hervas M, Navarro Collado M, Peiro S, Rodrigo Perez J, Lopez Mateu P, Martinez Tello I . [Spanish version of the DASH questionnaire. Cross-cultural adaptation, reliability, validity and responsiveness]. Med Clin (Barc). 2006; 127(12):441-7. DOI: 10.1157/13093053. View

Peolsson A, Hedlund R, Oberg B . Intra- and inter-tester reliability and reference values for hand strength. J Rehabil Med. 2001; 33(1):36-41. DOI: 10.1080/165019701300006524. View

Polson K, Reid D, McNair P, Larmer P . Responsiveness, minimal importance difference and minimal detectable change scores of the shortened disability arm shoulder hand (QuickDASH) questionnaire. Man Ther. 2010; 15(4):404-7. DOI: 10.1016/j.math.2010.03.008. View

Andersen H, Ge H, Arendt-Nielsen L, Danneskiold-Samsoe B, Graven-Nielsen T . Increased trapezius pain sensitivity is not associated with increased tissue hardness. J Pain. 2009; 11(5):491-9. DOI: 10.1016/j.jpain.2009.09.017. View

Woolf C . Central sensitization: implications for the diagnosis and treatment of pain. Pain. 2010; 152(3 Suppl):S2-S15. PMC: 3268359. DOI: 10.1016/j.pain.2010.09.030. View

10.

Gaskin D, Richard P . The economic costs of pain in the United States. J Pain. 2012; 13(8):715-24. DOI: 10.1016/j.jpain.2012.03.009. View

11.

Martinez-Calderon J, Struyf F, Meeus M, Morales-Ascencio J, Luque-Suarez A . Influence of psychological factors on the prognosis of chronic shoulder pain: protocol for a prospective cohort study. BMJ Open. 2017; 7(3):e012822. PMC: 5353267. DOI: 10.1136/bmjopen-2016-012822. View

12.

Jordan K, Kadam U, Hayward R, Porcheret M, Young C, Croft P . Annual consultation prevalence of regional musculoskeletal problems in primary care: an observational study. BMC Musculoskelet Disord. 2010; 11:144. PMC: 2903510. DOI: 10.1186/1471-2474-11-144. View

13.

Rodriguez-Raecke R, Doganci B, Breimhorst M, Stankewitz A, Buchel C, Birklein F . Insular cortex activity is associated with effects of negative expectation on nociceptive long-term habituation. J Neurosci. 2010; 30(34):11363-8. PMC: 6633339. DOI: 10.1523/JNEUROSCI.2197-10.2010. View

14.

Bohannon R, Schaubert K . Test-retest reliability of grip-strength measures obtained over a 12-week interval from community-dwelling elders. J Hand Ther. 2005; 18(4):426-7, quiz 428. DOI: 10.1197/j.jht.2005.07.003. View

15.

Andersen L, Andersen C, Skotte J, Suetta C, Sogaard K, Saltin B . High-intensity strength training improves function of chronically painful muscles: case-control and RCT studies. Biomed Res Int. 2014; 2014:187324. PMC: 3953472. DOI: 10.1155/2014/187324. View

16.

Klintberg I, Cools A, Holmgren T, Holzhausen A, Johansson K, Maenhout A . Consensus for physiotherapy for shoulder pain. Int Orthop. 2014; 39(4):715-20. DOI: 10.1007/s00264-014-2639-9. View

17.

Gomez-Perez L, Lopez-Martinez A, Ruiz-Parraga G . Psychometric Properties of the Spanish Version of the Tampa Scale for Kinesiophobia (TSK). J Pain. 2010; 12(4):425-35. DOI: 10.1016/j.jpain.2010.08.004. View

18.

Brandt M, Sundstrup E, Jakobsen M, Jay K, Colado J, Wang Y . Association between Neck/Shoulder Pain and Trapezius Muscle Tenderness in Office Workers. Pain Res Treat. 2014; 2014:352735. PMC: 3985383. DOI: 10.1155/2014/352735. View

19.

Dinnes J, Loveman E, McIntyre L, Waugh N . The effectiveness of diagnostic tests for the assessment of shoulder pain due to soft tissue disorders: a systematic review. Health Technol Assess. 2003; 7(29):iii, 1-166. DOI: 10.3310/hta7290. View

20.

Haik M, Evans K, Smith A, Henriquez L, Bisset L . People with musculoskeletal shoulder pain demonstrate no signs of altered pain processing. Musculoskelet Sci Pract. 2018; 39:32-38. DOI: 10.1016/j.msksp.2018.11.008. View