Correlation between Pain and Functional Disability in Patients with Adhesive Capsulitis
Article Sidebar
Main Article Content
Abstract
Background: Adhesive capsulitis, commonly known as frozen shoulder, is a condition characterized by pain and restricted shoulder movement, affecting daily activities and quality of life. Despite its prevalence, the correlation between pain levels and functional disability remains inadequately explored, with a need for focused research to inform clinical practices.
Objective: To investigate the correlation between pain intensity and functional disability in patients with adhesive capsulitis and assess demographic characteristics to inform better management strategies.
Methods: A cross-sectional study was conducted on 60 patients diagnosed with adhesive capsulitis at various medical institutions in Lahore from July 2022 to January 2023. Participants aged 31-70 years were included. The study employed non-probability convenience sampling for data collection, with pain intensity measured using the Numeric Pain Rating Scale (NPRS) and functional disability assessed through the Shoulder Pain and Disability Index (SPADI). Statistical analysis was performed using SPSS version 25.0, focusing on Pearson correlation coefficients to determine the relationship between pain and disability.
Results: The majority of patients were females (68.3%), with a significant representation in the 41-50 year age group (31.7%). The mean pain intensity was 5.97 (SD = 0.88), and the mean SPADI score was 73.12 (SD = 10.37), indicating moderate to high levels of pain and disability. A strong positive correlation was observed between pain intensity and functional disability (Pearson correlation = 0.81, p < 0.001), suggesting a direct relationship between the severity of pain and the extent of functional impairment.
Conclusion: The study confirmed a significant positive correlation between pain and functional disability in patients with adhesive capsulitis, highlighting the impact of this condition on the affected population's functional capabilities. These findings emphasize the importance of comprehensive management strategies that address both pain and functional limitations to improve overall patient outcomes.
Article Details
This work is licensed under a Creative Commons Attribution 4.0 International License.
References
Robinson C, Seah KM, Chee Y, Hindle P, Murray IJTJoB, Volume JSB. Frozen shoulder. 2012;94(1):1-9.
Li J-q, Tang K-l, Wang J, Li Q-y, Xu H-t, Yang H-f, et al. MRI findings for frozen shoulder evaluation: is the thickness of the coracohumeral ligament a valuable diagnostic tool? 2011;6(12):e28704.
Bagheri F, Ebrahimzadeh MH, Moradi A, Bidgoli HFJAoB, Surgery J. Factors associated with pain, disability and quality of life in patients suffering from frozen shoulder. 2016;4(3):243.
Cher JZ, Akbar M, Kitson S, Crowe LA, Garcia-Melchor E, Hannah SC, et al. Alarmins in frozen shoulder: a molecular association between inflammation and pain. 2018;46(3):671-8.
Ryan V, Brown H, Minns Lowe CJ, Lewis JSJBmd. The pathophysiology associated with primary (idiopathic) frozen shoulder: A systematic review. 2016;17:1-21.
Schultheis A, Reichwein F, Nebelung WJDO. Frozen shoulder. Diagnosis and therapy. 2008;37(11):1065-6, 8.
Reeves BJSjor. The natural history of the frozen shoulder syndrome. 1975;4(4):193-6.
Diercks RL, Stevens MJJoS, Surgery E. Gentle thawing of the frozen shoulder: a prospective study of supervised neglect versus intensive physical therapy in seventy-seven patients with frozen shoulder syndrome followed up for two years. 2004;13(5):499-502.
Yang J-l, Chang C-w, Chen S-y, Wang S-F, Lin J-jJPt. Mobilization techniques in subjects with frozen shoulder syndrome: randomized multiple-treatment trial. 2007;87(10):1307-15.
Challoumas D, Biddle M, McLean M, Millar NLJJno. Comparison of treatments for frozen shoulder: a systematic review and meta-analysis. 2020;3(12):e2029581-e.
Brox JIJBP, Rheumatology RC. Shoulder pain. 2003;17(1):33-56.
Prodromidis AD, Charalambous CPJJr. Is there a genetic predisposition to frozen shoulder?: a systematic review and meta-analysis. 2016;4(2):e4.
Balci N, Balci MK, Tüzüner SJJoD, Complications i. Shoulder adhesive capsulitis and shoulder range of motion in type II diabetes mellitus: association with diabetic complications. 1999;13(3):135-40.
Ebrahimzadeh MH, Moradi A, Bidgoli HF, Zarei BJIjopm. The relationship between depression or anxiety symptoms and objective and subjective symptoms of patients with frozen shoulder. 2019;10.
Smith SP, Devaraj VS, Bunker TDJJos, surgery e. The association between frozen shoulder and Dupuytren's disease. 2001;10(2):149-51.
Shaffer B, Tibone J, Kerlan RKJJ. Frozen shoulder. A long-term follow-up. 1992;74(5):738-46.
Cho C-H, Jung S-W, Son E-S, Hwang I-SJJotKOA. Sleep status and quality of life in patients with frozen shoulder. 2012;47(3):205-10.
Massoud SN, Pearse EO, Levy O, Copeland SAJJos, surgery e. Operative management of the frozen shoulder in patients with diabetes. 2002;11(6):609-13.
Dodenhoff RM, Levy O, Wilson A, Copeland SAJJos, surgery e. Manipulation under anesthesia for primary frozen shoulder: effect on early recovery and return to activity. 2000;9(1):23-6.
Eljabu W, Klinger HM, von Knoch MJAoo, surgery t. Prognostic factors and therapeutic options for treatment of frozen shoulder: a systematic review. 2016;136:1-7.