Understanding the clinical profile of patients with frozen shoulder: a longitudinal multicentre observational study
Introduction There is a large diversity in the clinical presentation of frozen shoulder (FS) and the clinical outcome is not always satisfactory. The aim of the current study was to examine to what extent range of motion (ROM) limitation, metabolic factors (diabetes mellitus and thyroid disorders),...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2022-11-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/12/11/e056563.full |
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| author | Mira Meeus Alejandro Luque-Suarez Santiago Navarro-Ledesma Manuel Fernandez-Sanchez Filip Struyf Suzie Noten ERIK FRANSEN Michel GCAM Mertens Olivier Verborgt Enrique Lluch Girbés Marta Aguilar Rodríguez Lirios Dueñas |
| author_facet | Mira Meeus Alejandro Luque-Suarez Santiago Navarro-Ledesma Manuel Fernandez-Sanchez Filip Struyf Suzie Noten ERIK FRANSEN Michel GCAM Mertens Olivier Verborgt Enrique Lluch Girbés Marta Aguilar Rodríguez Lirios Dueñas |
| author_sort | Mira Meeus |
| collection | DOAJ |
| description | Introduction There is a large diversity in the clinical presentation of frozen shoulder (FS) and the clinical outcome is not always satisfactory. The aim of the current study was to examine to what extent range of motion (ROM) limitation, metabolic factors (diabetes mellitus and thyroid disorders), autonomic symptoms and pain sensitivity may contribute to the prognosis in terms of shoulder pain and disability and quality of life in patients with FS.Methods Patients with stage 1 or 2 FS were longitudinally followed-up during 9 months after baseline assessment. They completed six questionnaires and underwent quantitative sensory testing (pressure pain thresholds, temporal summation and conditioned pain modulation) and ROM assessment.Results One hundred and forty-nine patients with FS were initially recruited and 121 completed at least one follow-up measurement. Shoulder pain and disability improved over time and diabetes mellitus was found to be a prognostic factor for final outcome. Several domains of quality of life also improved over time and external rotation ROM, diabetes mellitus, thyroid disorder and autonomic symptoms were found to be prognostic factors for final outcome. These prognostic factors explained 2.5%–6.3% of the final outcome of shoulder pain and disability and quality of life.Discussion and conclusion In patients with FS, prognostic variables were able to predict different outcomes, indicating that outcomes in this population can be variable-dependent. Other variables not explored in this study might contribute to the prognosis of patients with FS, which should be investigated in future research. In clinical practice, baseline assessment of prognostic factors and focusing on a more holistic approach might be useful to inform healthcare practitioners about progression of patients with FS during a 9-month period. |
| first_indexed | 2024-04-13T09:30:35Z |
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| id | doaj.art-da75ac4485454a3fb99c584a2f30d4b2 |
| institution | Directory Open Access Journal |
| issn | 2044-6055 |
| language | English |
| last_indexed | 2024-04-13T09:30:35Z |
| publishDate | 2022-11-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj.art-da75ac4485454a3fb99c584a2f30d4b22022-12-22T02:52:17ZengBMJ Publishing GroupBMJ Open2044-60552022-11-01121110.1136/bmjopen-2021-056563Understanding the clinical profile of patients with frozen shoulder: a longitudinal multicentre observational studyMira Meeus0Alejandro Luque-Suarez1Santiago Navarro-Ledesma2Manuel Fernandez-Sanchez3Filip Struyf4Suzie Noten5ERIK FRANSEN6Michel GCAM Mertens7Olivier Verborgt8Enrique Lluch Girbés9Marta Aguilar Rodríguez10Lirios Dueñas114 Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium1 Faculty of Health Sciences, Department of Physiotherapy, University of Malaga, Malaga, Spain1 Department of Physiotherapy, University of Granada. Faculty of Health Sciences, Granada, Spain3 Department of Nursing, Physiotherapy and Medicine, University of Almeria, Almeria, Spain4 Department of Rehabilitation Sciences and Physiotherapy, Universiteit Antwerpen, Faculty of Medicine and Health Sciences, Antwerp, Belgium2MovAnt, Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium1 Department of Medical Genetics, University of Antwerp and Antwerp University Hospital, Edegem, BelgiumResearch Group MOVANT, Department of Rehabilitation Sciences and Physiotherapy (REVAKI), University of Antwerp Faculty of Medicine and Health Sciences, Wilrijk, BelgiumResearch Group MOVANT, Department of Rehabilitation Sciences and Physiotherapy (REVAKI), University of Antwerp Faculty of Medicine and Health Sciences, Wilrijk, BelgiumPain in Motion international Research Group, www.paininmotion.be, BelgiumPhysiotherapy in Motion, Multi-Specialty Research Group (PTinMOTION), Department of Physical Therapy, University of Valencia, Valencia, SpainPhysiotherapy in Motion, Multi-Specialty Research Group (PTinMOTION), Department of Physical Therapy, University of Valencia, Valencia, SpainIntroduction There is a large diversity in the clinical presentation of frozen shoulder (FS) and the clinical outcome is not always satisfactory. The aim of the current study was to examine to what extent range of motion (ROM) limitation, metabolic factors (diabetes mellitus and thyroid disorders), autonomic symptoms and pain sensitivity may contribute to the prognosis in terms of shoulder pain and disability and quality of life in patients with FS.Methods Patients with stage 1 or 2 FS were longitudinally followed-up during 9 months after baseline assessment. They completed six questionnaires and underwent quantitative sensory testing (pressure pain thresholds, temporal summation and conditioned pain modulation) and ROM assessment.Results One hundred and forty-nine patients with FS were initially recruited and 121 completed at least one follow-up measurement. Shoulder pain and disability improved over time and diabetes mellitus was found to be a prognostic factor for final outcome. Several domains of quality of life also improved over time and external rotation ROM, diabetes mellitus, thyroid disorder and autonomic symptoms were found to be prognostic factors for final outcome. These prognostic factors explained 2.5%–6.3% of the final outcome of shoulder pain and disability and quality of life.Discussion and conclusion In patients with FS, prognostic variables were able to predict different outcomes, indicating that outcomes in this population can be variable-dependent. Other variables not explored in this study might contribute to the prognosis of patients with FS, which should be investigated in future research. In clinical practice, baseline assessment of prognostic factors and focusing on a more holistic approach might be useful to inform healthcare practitioners about progression of patients with FS during a 9-month period.https://bmjopen.bmj.com/content/12/11/e056563.full |
| spellingShingle | Mira Meeus Alejandro Luque-Suarez Santiago Navarro-Ledesma Manuel Fernandez-Sanchez Filip Struyf Suzie Noten ERIK FRANSEN Michel GCAM Mertens Olivier Verborgt Enrique Lluch Girbés Marta Aguilar Rodríguez Lirios Dueñas Understanding the clinical profile of patients with frozen shoulder: a longitudinal multicentre observational study BMJ Open |
| title | Understanding the clinical profile of patients with frozen shoulder: a longitudinal multicentre observational study |
| title_full | Understanding the clinical profile of patients with frozen shoulder: a longitudinal multicentre observational study |
| title_fullStr | Understanding the clinical profile of patients with frozen shoulder: a longitudinal multicentre observational study |
| title_full_unstemmed | Understanding the clinical profile of patients with frozen shoulder: a longitudinal multicentre observational study |
| title_short | Understanding the clinical profile of patients with frozen shoulder: a longitudinal multicentre observational study |
| title_sort | understanding the clinical profile of patients with frozen shoulder a longitudinal multicentre observational study |
| url | https://bmjopen.bmj.com/content/12/11/e056563.full |
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