Predictors of balance in individuals with Adhesive Capsulitis: A cross-sectional study

Yıl 2024, Cilt: 12 Sayı: 2, 97 - 104, 07.05.2024

İsmail Ceylan , Mehmet Canlı , Şafak Kuzu , Halil Alkan , Anıl Özüdoğru

https://doi.org/10.30720/ered.1328675

Öz

Purpose: The aim of this study was to determine whether the variables pain, mobility, upper extremity functionality and depression (mood status) are predictors of balance in individuals with Adhesive Capsulitis (AC). Material and Methods: A total of 40 individuals with AC, mean age 52.90 ± 6.02 years were included. Patients were assessed via Visual Analog Scale, 6-minute walk test, Time up and go test, Disabilities of Arm, Shoulder and Hand questionnaire, Beck Depression Scale and Berg Balance Scale to understand pain severity, functional mobility and capacity, upper extremity functional status, depression symptoms and balance. Multiple regression analysis was used to determine which predictor variables explain the outcome variable. Results: There was a moderate to high significant correlation of balance level with pain (p<0.001), functional capacity (p<0.001), depression (p<0.001) and upper extremity functionality (p<0.001) in patients with AC. In addition, resting pain (p<0.048) and functional capacity (p<0.001) are predictors of balance. Discussion: Balance is adversely affected by increases in pain and depression levels. In addition, resting pain level and functional capacity are determinants of balance.

Anahtar Kelimeler

Balance, Pain, Functional capacity

Adeziv Kapsülitli Bireylerde Dengenin Prediktörleri: Kesitsel bir Çalışma

Öz

Amaç: Bu çalışmanın amacı, Adeziv Kapsülitli (AK) bireylerde ağrı, mobilite, üst ekstremite fonksiyonelliği ve depresyon (ruhsal durum) değişkenlerinin, dengenin prediktörleri olup olmadığını belirlemektir. Gereç ve Yöntem: Çalışmaya yaş ortalaması 52,90 ± 6,02 yıl olan toplam 40 AK’li birey dahil edildi. Hastaların ağrı şiddeti, fonksiyonel mobilite düzeyleri, üst ekstremite fonksiyonelliği, depresyon semptomları ve dengesi Görsel Analog Skala, 6 dakika yürüme testi, Zaman kalk ve yürü testi, Kol, Omuz ve El Sorunları anketi, Beck Depresyon Ölçeği ve Berg Denge Ölçeği ile değerlendirildi. Sonuç değişkenlerinin hangi prediktör değişkeni açıkladığını belirlemek için çoklu regresyon analizi kullanıldı. Sonuçlar: Çalışma sonuçlarına göre denge düzeyi ile ağrı (p<0,001), fonksiyonel kapasite (p<0,001), depresyon (p<0,001) ve üst ekstremite fonksiyonelliği (p<0,001) arasında orta-yüksek seviyede anlamlı bir ilişki bulunmuştur. Ek olarak, istirahat ağrısı (p<0,048) ve fonksiyonel kapasitenin (p<0,001) dengenin prediktörleridir. Tartışma: Denge, ağrı ve depresyon düzeyindeki artışlardan olumsuz etkilenir ve istirahat halindeki ağrı düzeyi ve fonksiyonel kapasite, dengenin belirleyicileridir.

Anahtar Kelimeler

Denge, Fonksiyonel kapasite, ağrı

Kaynakça

• Alshami, A. M., & Alrammah, T. A. (2021). Standing and walking balance in patients with chronic shoulder pain: a case–control study. Saudi Med J, 9(2), 152. doi: 10.4103/sjmms.sjmms_401_20
• Baierle, T., Kromer, T., Petermann, C., Magosch, P., & Luomajoki, H. (2013). Balance ability and postural stability among patients with painful shoulder disorders and healthy controls. BMC Musculoskelet Disord., 14(1), 1-9. doi: 10.1186/1471-2474-14-282
• Balıkçı, S., Karatekin, B. D., & Çelik, B. (2023). Relationship between upper extremity functions and balance, falls, and functional status in patients with chronic stroke, Arch Basic Clin Res, 5(2), 263-270. doi: 10.5152/ABCR.2023.22043
• Beck, A. T., Ward, C. H., Mendelson, M., Mock, J., & Erbaugh, J. (1961). An inventory for measuring depression. Arch Gen Psychiatry, 4(6), 561-571. doi: 10.1001/archpsyc.1961.01710120031004
• Bijur, P. E., Silver, W., & Gallagher, E. J. (2001). Reliability of the visual analog scale for measurement of acute pain. Acad Emerg Med, 8(12), 1153-1157. doi: 10.1111/j.1553-2712.2001.tb01132.x
• Celik, H., Seckin, M. F., Kara, A., Camur, S., Kilinc, E., & Akman, S. (2014). Mid-long term results in the arthroscopic selective capsular release and manipulation treatment of frozen shoulder. Orth Journal of Sports Med, 2(11_suppl3), doi: 10.1177/2325967114S00
• Ding, H., Tang, Y., Xue, Y., Yang, Z., Li, Z., He, D. et al. (2014). A report on the prevalence of depression and anxiety in patients with frozen shoulder and their relations to disease status. Psychol Health Med, 19(6), 730-737. doi: 10.1080/13548506.2013.873814
• Düger, T., Yakut, E., Öksüz, Ç., Yörükan, S., Bilgütay, B. S., Ayhan, Ç. et al. (2006). Kol, omuz ve el sorunları (disabilities of the arm, shoulder and hand-DASH) anketi Türkçe uyarlamasının güvenirliği ve geçerliği. Fizyoterapi Rehabilitasyon, 17(3), 99-107.
• Ebrahimzadeh, M. H., Moradi, A., Bidgoli, H. F., & Zarei, B. (2019). The relationship between depression or anxiety symptoms and objective and subjective symptoms of patients with frozen shoulder. Int J Prev Med, 10, 38. doi: 10.4103/ijpvm.IJPVM_212_17
• Eker, Y., & Kaygısız, B. B. (2021). The effect of pain severity on balance, postural stability and fall risk in patients with shoulder pathologies. Arch Med Sci, 17(2), 390. doi: 10.5114/aoms.2020.94491
• Fabis, J., Rzepka, R., Fabis, A., Zwierzchowski, J., Kubiak, G., Stanula, A. et.al. (2016). Shoulder proprioception–lessons we learned from idiopathic frozen shoulder. BMC Musculoskelet Disord, 17(1), 1-8. doi: 10.1186/s12891-016-0971-5
• Fukuoka, et al. (2022). Slower upper extremity function in older adults with hyperkyphosis negatively impacts the 6-min walk test. BMC Musculoskelet Disord, 23(1), 1-8. doi: 10.1186/s12891-022-05455-x
• Greve, J., Alonso, A., Bordini, A. P. C., & Camanho, G. L. (2007). Correlation between body mass index and postural balance. Clinics (Sao Paulo), 62(6), 717-720. doi:10.1590/s1807-59322007000600010
• Henry, M., & Baudry, S. (2019). Age-related changes in leg proprioception: implications for postural control. J Neurophysiol, 122(2), 525-538. doi:10.1152/jn.00067.2019
• Hisli, N. (1989). Beck depresyon envanterinin üniversite öğrencileri için geçerliği, güvenirliği. (A reliability and validity study of Beck Depression Inventory in a university student sample). J Psychol, 7(23), 3-13.
• Horlings, C. G., Van Engelen, B. G., Allum, J. H., & Bloem, B. R. (2008). A weak balance: the contribution of muscle weakness to postural instability and falls. Nat Clin Pract Neurol, 4(9), 504-515. doi: 10.1038/ncpneuro0886
• Hudak, P. L., Amadio, P. C., Bombardier, C., Beaton, D., Cole, D., Davis, A. et al. (1996). Development of an upper extremity outcome measure: the DASH (disabilities of the arm, shoulder, and head). Am J Ind Med, 29(6), 602-608. doi: 10.1002/(SICI)1097-0274
• Jacob, L., Gyasi, R. M., Koyanagi, A., Haro, J. M., Smith, L., & Kostev, K. (2023). Prevalence of and risk factors for adhesive capsulitis of the shoulder in older adults from Germany. Clinic Med, 12(2), 669. doi: 10.3390/jcm12020669
• Leafblad, N., Mizels, J., Tashjian, R., & Chalmers, P. (2023). Adhesive capsulitis. Phys Med and Reh Clinics, 34(2), 453-468. doi: 10.1016/j.pmr.2022.12.009
• Malick, W. H., Butt, R., Awan, W. A., Ashfaq, M., & Mahmood, Q. (2022). Effects of augmented reality interventions on the function of upper extremity and balance in children with spastic hemiplegic cerebral palsy: a randomized clinical trial. Front Neurol, 13. doi: 10.3389/fneur.2022.895055
• Morinder, G., Mattsson, E., Sollander, C., Marcus, C., & Larsson, U. E. (2009). Six‐minute walk test in obese children and adolescents: reproducibility and validity. Physiother Res Int, 14(2), 91-104. doi: 10.1002/pri.428
• Muchaxo, R. E., Kouwijzer, I., van der Woude, L. H., Janssen, T. W., Nooijen, C. F., & de Groot, S. (2023). The impact of lower-limb function on upper-limb pull and push strength in elite handcycling athletes. Sports Biomech, 1-15. doi: 10.1080/14763141.2023.2242323
• Özüdoğru, A., Canlı, M., Ceylan, İ., Kuzu, Ş., Alkan, H., & Karaçay, B. Ç. (2023). Five Times Sit-to-Stand Test in people with non-specific chronic low back pain—a cross-sectional test–retest reliability study. Ir J Med Sci, 192(4), 1903-1908. doi: 10.1007/s11845-022-03223-3
• Podsiadlo, D., & Richardson, S. (1991). The timed “Up & Go”: a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc, 39(2), 142-148. doi: 10.1111/j.1532-5415.1991.tb01616.x
• Pu, F., Sun, S., Wang, L., Li, Y., Yu, H., Yang, Y. et al. (2015). Investigation of key factors affecting the balance function of older adults. Aging Clin Exp Res, 27(2), 139-147. doi:10.1007/s40520-014-0253-8
• Qutubuddin, A. A., Pegg, P. O., Cifu, D. X., Brown, R., McNamee, S., & Carne, W. (2005). Validating the Berg Balance Scale for patients with Parkinson’s disease: a key to rehabilitation evaluation. Arch Phys Med Rehabil, 86(4), 789-792. doi:10.1016/j.apmr.2004.11.005
• Ruhe, A., Fejer, R., & Walker, B. (2012). Pain relief is associated with decreasing postural sway in patients with non-specific low back pain. BMC Musculoskelet Disord, 13(1), 1-12. doi: 1471-2474/13/39
• Sekulic, D., Spasic, M., Mirkov, D., Cavar, M., & Sattler, T. (2013). Gender-specific influences of balance, speed, and power on agility performance. J Strength Cond Res, 27(3), 802-811. doi:10.1519/JSC.0b013e31825c2cb0
• Steffen, T., & Seney, M. (2008). Test-retest reliability and minimal detectable change on balance and ambulation tests, the 36-item short-form health survey, and the unified parkinson disease rating scale in people with parkinsonism. Phys Ther, 88(6), 733-746. doi: 10.2522/ptj.20070214
• Şahin, F., Büyükavcı, R., Sağ, S., Doğu, B., & Kuran, B. (2013). Berg Denge Ölçeği'nin Türkçe versiyonunun inmeli hastalarda geçerlilik ve güvenilirliği. Turkish Journal of Physical Medicine and Rehabilitation, 59(3), 170-5. doi: 10.4274/tftr.02212
• Tveitå, E. K., Ekeberg, O. M., Juel, N. G., & Bautz-Holter, E. (2008). Range of shoulder motion in patients with adhesive capsulitis; intra-tester reproducibility is acceptable for group comparisons. BMC Musculoskelet Disord, 9(1), 1-9. doi: 10.1186/1471-2474-9-49
• Ustinova, K. I., Goussev, V. M., Balasubramaniam, R., & Levin, M. F. (2004). Disruption of coordination between arm, trunk, and center of pressure displacement in patients with hemiparesis. Motor Control, 8(2), 139-159. doi: 10.1123/mcj.8.2.139
• Woollacott, M., & Shumway-Cook, A. (2002). Attention and the control of posture and gait: a review of an emerging area of research. Gait Posture, 16(1), 1-14. doi:10.1016/s0966-6362(01)00156-4