The Effects of Pain and Disability Resulting from Shoulder Pathologies on Balance and Mobility

Authors : Güzin Kaya Aytutuldu, Buket Vural, Eylül Pınar Kısa, Büşra Budak, Teoman Aydın

Pages : 314-320

Doi:10.34087/cbusbed.1326326

View : 67 | Download : 87

Publication Date : 2024-06-28

Article Type : Research Paper

Abstract :Objectives: The aim of this study to investigate the relationship between pain and disability in shoulder pathologies on balance and mobility. Materials and Methods: The present study was a cross-sectional design study and was conducted with forty participants (between 40 and 65 years) with a pathology. related to the upper extremity shoulder such as impingement, rotator cuff tear or repair, frozen shoulder. Shoulder pain and functionality were evaluated using the Shoulder Pain and Disability Index (SPADI). Static balance was evaluated by measuring the duration of standing balance on the patient\'s right and left extremities with single leg stance test. Five times sit to stand test was used for assessment of the functional strength of the lower extremity and functional mobility. Tinetti Balance and Gait Test was used for gait and balance condition of patients in our study. Results: 22.5% of the patients had shoulder impingement syndrome, 57.5% had rotator cuff pathology, 20% had frozen shoulder syndrome in this study. No differences were found between three subgroups according to diagnosis in terms of SPADI total and sub scores, five times sit to stand test, single leg stance test and Tinetti total and sub scores (p>0.05). Although the disability sub score was found higher in patients had frozen shoulder this finding was not found statistically significant. There was a significant correlation between the mean disability sub score of SPADI and Five times sit to stand test. (p<0.05) There was also a significant correlation between the mean Tinetti total and sub scores and Five Times Sit to Stand Test, while Tinetti Test total and sub scores was significantly correlated with the Single Leg Stance Test scores (p<0.01). Conclusion: Disabilities due to the shoulder problems affects mobility and decrease in mobility seems to be associated with balance problems. Balance and postural control approaches to the rehabilitation programs of patients with shoulder pathology can be added to protect this population against balance problems.
Keywords : Pain, Balance, Disability, Mobility, Shoulder pathology