Biopsychosocial Aspects in Individuals with Acute and Chronic Rotator Cuff Related Shoulder Pain: Classification Based on a Decision Tree Analysis
| Autor: | Ricardo A. S. Fernandes, Paula R. Camargo, Lucas Araújo de Almeida, Francisco Alburquerque-Sendín, Melina N. Haik, Richard Eloin Liebano, Danilo Harudy Kamonseki |
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| Přispěvatelé: | [Haik,MN] Department of Physical Therapy, Center of Health and Sport Science (CEFID), Universidade do Estado de Santa Catarina, Florianópolis, Brazil. [Haik,MN, Kamonseki,DH, Almeida,LA, Camargo,PR] Laboratory of Analysis and Intervention of the Shoulder Complex, Department of Physical Therapy, Universidade Federal de São Carlos, São Carlos, Brazil. [Alburquerque-Sendín,F] Department of Nursing, Pharmacology and Physical Therapy, Universidad de Córdoba, Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Córdoba, Spain. [Fernandes,RAS] Department of Electrical Engineering, Center for Exact Sciences and Technology (CCET), Universidade Federal de São Carlos, RodoviaWashington Luis km 235, São Carlos, Brazil. [Liebano,RE] Physiotherapeutic Resources Laboratory, Department of Physical Therapy, Universidade Federal de São Carlos, São Carlos, Brazil., The first author received a grant from Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (PNPD/CAPES), grant number 88882.306782/2018-01, and L.A.A. received a grant from Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq), grant number 302169/2018-0. |
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Biopsychosocial model
Dolor musculoesquelético medicine.medical_specialty Phenomena and Processes::Genetic Phenomena::Phenotype [Medical Subject Headings] Anatomy::Body Regions::Extremities::Upper Extremity::Shoulder [Medical Subject Headings] Clinical Biochemistry Musculoskeletal pain Decision tree Pain processing Sociodemographic data Health Care::Population Characteristics::Demography::Health Status [Medical Subject Headings] Article Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::Humans [Medical Subject Headings] 03 medical and health sciences 0302 clinical medicine medicine Rotator cuff 030212 general & internal medicine musculoskeletal pain Unilateral pain Diseases::Musculoskeletal Diseases::Joint Diseases::Arthralgia::Shoulder Pain [Medical Subject Headings] lcsh:R5-920 business.industry central sensitization Central sensitization Phenomena and Processes::Mathematical Concepts::Decision Theory::Decision Trees [Medical Subject Headings] Sensibilización del sistema nervioso central Sensory function medicine.anatomical_structure Conditioned pain modulation Physical therapy Analytical Diagnostic and Therapeutic Techniques and Equipment::Diagnosis::Diagnostic Techniques and Procedures::Physical Examination::Neurologic Examination::Pain Measurement [Medical Subject Headings] Dolor Anatomy::Musculoskeletal System::Muscles::Muscle Skeletal::Rotator Cuff [Medical Subject Headings] lcsh:Medicine (General) business Psychosocial 030217 neurology & neurosurgery pain processing |
| Zdroj: | Diagnostics Volume 10 Issue 11 Diagnostics 10(11), 928 (2020) Helvia. Repositorio Institucional de la Universidad de Córdoba instname Diagnostics, Vol 10, Iss 928, p 928 (2020) Helvia: Repositorio Institucional de la Universidad de Córdoba Universidad de Córdoba |
| Popis: | Biopsychosocial aspects seem to influence the clinical condition of rotator cuff related shoulder pain (RCRSP). However, traditional bivariate and linear analyses may not be sufficiently robust to capture the complex relationships among these aspects. This study determined which biopsychosocial aspects would better classify individuals with acute and chronic RCRSP and described how these aspects interact to create biopsychosocial phenotypes in individuals with acute and chronic RCRSP. Individuals with acute (< six months of pain, n = 15) and chronic (&ge six months of pain, n = 38) RCRSP were included. Sociodemographic data, biological data related to general clinical health status, to shoulder clinical condition and to sensory function, and psychosocial data were collected. Outcomes were compared between groups and a decision tree was used to classify the individuals with acute and chronic RCRSP into different phenotypes hierarchically organized in nodes. Only conditioned pain modulation was different between the groups. However, the tree combined six biopsychosocial aspects to identify seven distinct phenotypes in individuals with RCRSP: three phenotypes of individuals with acute, and four with chronic RCRSP. While the majority of the individuals with chronic RCRSP have no other previous painful complaint besides the shoulder pain and low efficiency of endogenous pain modulation with no signs of biomechanical related pain, individuals with acute RCRSP are more likely to have preserved endogenous pain modulation and unilateral pain with signs of kinesiophobia. |
| Databáze: | OpenAIRE |
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