Cervical sensitivity, range of motion and strength in individuals with shoulder pain: A cross-sectional case control study.

Autor: Rebelatto MN; Universidade Federal de São Carlos, Department of Physical Therapy, São Carlos, Brazil., Alburquerque-Sendín F; Universidad de Córdoba, Department of Nursing, Pharmacology and Physical Therapy, Córdoba, Spain; Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Córdoba, Spain. Electronic address: falburquerque@uco.es., Gava V; Universidade Federal de São Carlos, Department of Physical Therapy, São Carlos, Brazil., Camargo PR; Universidade Federal de São Carlos, Department of Physical Therapy, São Carlos, Brazil., Haik MN; Universidade Federal de São Carlos, Department of Physical Therapy, São Carlos, Brazil.
Jazyk: angličtina
Zdroj: Musculoskeletal science & practice [Musculoskelet Sci Pract] 2023 Oct; Vol. 67, pp. 102834. Date of Electronic Publication: 2023 Jul 26.
DOI: 10.1016/j.msksp.2023.102834
Abstrakt: Objectives: To assess whether cervical sensitivity, range of motion (ROM) and strength are impaired in individuals with shoulder pain and how they interact with sociodemographic and clinical data.
Methods: Forty-eight individuals with shoulder pain and 48 asymptomatic matched ones were included. Pressure pain thresholds (PPTs) in cervical region and tibialis anterior muscles, ROM of cervical flexion, extension, lateral flexions and rotations and cervical muscle strength of flexion, extension and lateral flexions were assessed. Between-groups comparisons and a logistic multiple regression model were performed.
Results: The symptomatic group showed lower and not meaningful PPTs in trapezius of the unaffected/unmatched side, both sternocleidomastoid muscles, and tibialis anterior and reduced ROM in cervical extension (MD = -9.00°) when compared to the asymptomatic group. No differences were identified in muscle strength. Reduced PPT of the trapezius and reduced cervical extension ROM together accounted for 40.2% of the variance of the chance of presenting shoulder pain.
Conclusion: Individuals with shoulder pain have more, but not clinically relevant, cervical sensitivity and lower cervical extension than asymptomatic individuals. The lower the PPT of the upper trapezius and the cervical extension ROM, the higher was the chance to present shoulder pain. Regional interdependence between cervical spine and shoulder may explain cervical physical function alterations in shoulder pain.
(Copyright © 2023 Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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