Shoulder pain, shoulder disability, and depression as serial mediators between stress and health-related quality of life among middle-aged women

Oh, Jihyun; Lee, Myung Kyung

doi:10.1186/s12955-022-02054-1

Cited by 6 publications

(4 citation statements)

References 65 publications

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“…Moreover, age may be a key factor in regulating quality of life. Disability increases with age, although older patients have better mental health than younger patients [54].…”

Section: Discussionmentioning

confidence: 99%

Efficacy of ultrasound-guided botulinum toxin type A in shoulder pain: a meta-analysis on randomized controlled trials

Zhuang,

Zhang,

Lin

et al. 2024

Preprint

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Background Shoulder pain is a very common symptom. A number of studies have demonstrated that botulinum toxin type A is effective in relieving shoulder pain. Therefore, this systematic review and meta-analysis aimed to synthesize scientific evidence and quantify the combined effects of ultrasound-guided botulinum toxin type A on shoulder pain. Methods A comprehensive literature search was conducted in databases such as PubMed, Embase, Scopus, Cochrane Central Register of Controlled Trials (CENTRAL), China National Knowledge Information Database (CNKI), Wanfang database, and VIP database (VIP) using the keywords "ultrasound", "Botulinum toxin type A", and "shoulder pain". Two reviewers independently reviewed the studies, extracted data from eligible studies, and assessed the risk of bias. A random-effects model was used to calculate the standardized mean difference (SMD) and 95% confidence interval (CI) for Visual Analog Scale (VAS), Upper Extremity Fugl-Meyer assessment (UEFMA), Range of Motion (ROM), Modified Barthel Index (MBI). Funnel plots and sensitivity analyses were also employed to evaluate the six outcome indicators above. Results Out of retrieved 854 records, ten studies (involving 533 patients) were finally included. Pooled analysis showed that ultrasound-guided botulinum toxin type A was associated with moderate improvements in shoulder pain (SMD = -0.96; 95% CI -1.37 to -0.55; P < 0.001), UEFMA score (SMD = 1.43; 95% CI 0.49 to 2.37; P = 0.003), ROM of shoulder flexion (SMD = 1.28; 95% CI 0.63 to 1.93; P < 0.001) and external rotation (SMD = 1.66; 95%CI, 0.83 to 2.48; P < 0.001). Mild improvements were observed in ROM of shoulder abduction (SMD = 0.8; 95%CI 0.18 to 1.43; P = 0.01) and MBI score (SMD = 1.33; 95% CI 0.22 to 2.43; P = 0.02). Conclusions Ultrasound-guided BoNT-A injections are beneficial for reducing pain and enhancing the upper limb function, shoulder ROM and quality of life. More high-quality studies with large sample sizes are needed to assess long-term efficacy, strengthening the evidence that ultrasound-guided BoNT-A facilitates the reduction of shoulder pain.

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“…Moreover, age may be a key factor in regulating quality of life. Disability increases with age, although older patients have better mental health than younger patients [54].…”

Section: Discussionmentioning

confidence: 99%

Efficacy of ultrasound-guided botulinum toxin type A in shoulder pain: a meta-analysis on randomized controlled trials

Zhuang,

Zhang,

Lin

et al. 2024

Preprint

View full text Add to dashboard Cite

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“…There is a straight connection between shoulder pain and decreased shoulder function and quality of life decreases and stress increases. 5 The annual economic impact of a patient unable to work secondary to shoulder pain is on average $14,356 US dollars. 6 A clinical algorithm to perform a better clinical evaluation of patients is recommended to be used, evaluation of possible trauma, discard referred pain, evaluate extra articular pathology, and evaluate intra articular pathology.…”

Section: Introductionmentioning

confidence: 99%

Physical examination, magnetic resonance imaging and the arthroscopy of the shoulder: a correlation of diagnostic tests

Canchan,

Camara,

Martinez

et al. 2024

Int J Res Orthop

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Background: Shoulder pathology is the third cause of consultation for musculoskeletal disorders; it is a cause of disability and economic losses. The gold standard for its diagnosis and treatment is arthroscopy. However, arthroscopy is an invasive diagnostic technique. Therefore, clinical and imaging methods may be useful as diagnostic techniques before considering arthroscopy. Nevertheless, these non-surgical diagnostic methods may present a poor correlation in diagnostic accuracy when compared to the arthroscopic diagnostic method in the context of shoulder pathology. Methods: A retrospective study including 123 patients who presented shoulder complains, underwent physical examination and a shoulder magnetic resonance imaging (MRI) study prior to a shoulder arthroscopy. A clinical correlation was made using the kappa index, sensitivity and specificity of the clinical and imaging tests were also calculated. Results: The correlation between arthroscopy and the clinical assessment showed a kappa index of 0.25 for rotator cuff injuries, 0.41 biceps pathology, 0.51 sub acromial impingement, 0.51 acromioclavicular arthrosis, 0.28 for SLAP injury. MRI diagnostic method showed a kappa correlation of 0.24 for rotator cuff injuries, 0.59 biceps pathology, 0.39 sub acromial impingement, 0.46 acromioclavicular arthrosis and 0.34 for superior labral anterior posterior (SLAP) injury. Conclusions: After comparing arthroscopy with clinical assessment and the MRI diagnostic method we found that clinical assessment is useful to diagnose biceps pathologies, subacromial impingement, and acromioclavicular arthrosis. On the other hand, MRI studies and diagnosis made by a radiologist showed to be a valuable tool for the diagnosis of biceps pathology and acromioclavicular arthrosis.

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“…[12,13] Furthermore, research has indicated that physical and psychological factors, including conditions such as shoulder pain and disability, depression, and sleep problems, can worsen fatigue. [9][10][11]14] Previous research demonstrates that when stress levels are high, shoulder pain and disability worsen, [15] and these issues with shoulder pain and disability negatively impact sleep quality. [16] Studies have also suggested a link between fatigue and sleep dysfunction.…”

Section: Introductionmentioning

confidence: 99%

“…[19][20][21] In terms of the factors associated with fatigue, mechanisms such as overexertion, sleep disturbances, stress, depression, shoulder pain or disability, infections, endocrine disorders, and metabolic conditions have been suggested. [15,16,20,21] However, none of these factors alone can fully explain fatigue. Therefore, it is necessary to analyze the various factors influencing fatigue, considering their impact on physical fatigue and mental fatigue.…”

Section: Introductionmentioning

confidence: 99%

Factors affecting physical and mental fatigue in adults from South Korea: A cross-sectional study

Kim,

2023

Medicine

Self Cite

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In modern society, demanding and stressful events contribute to increased fatigue in adults. Moreover, fatigue is the most prevalent symptom of long coronavirus disease 2019. Fatigue is a subjective feeling of tiredness that can be attributed to various causes. This cross-sectional study investigated factors affecting physical and mental fatigue in adults living in South Korea. Self-reported data were collected through an online survey conducted between July 11 and July 17, 2021. The final sample comprised 362 participants, excluding those with uncertain responses. The collected data were analyzed using IBM SPSS version 27.0. General characteristics and variables of the participants were examined through descriptive statistical analysis. Differences in fatigue level according to the general characteristics of the participants were analyzed using t tests and one-way analysis of variance. The correlation between variables was analyzed using Pearson correlation coefficients. To investigate factors affecting fatigue, stepwise multiple regression analysis was conducted. The overall level of fatigue according to participants’ general characteristics differed significantly based on alcohol use, economic status, number of chronic diseases, stress, depression, and sleep problems. Factors affecting physical fatigue were depression, sleep problems, General Health Questionnaire (GHQ-12) scores, and number of chronic diseases. The factors affecting mental fatigue were depression, GHQ-12 score, and alcohol use. The variables that had the most significant impact on overall fatigue were alcohol consumption, the number of chronic illnesses, depression, and GHQ-12, in that order. This emphasizes the importance of lifestyle improvement and dietary management in adults for preventing chronic diseases and managing mental health. The results of this study should be considered when planning health services to provide fatigue interventions for Korean adults.

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Shoulder pain, shoulder disability, and depression as serial mediators between stress and health-related quality of life among middle-aged women

Cited by 6 publications

References 65 publications

Efficacy of ultrasound-guided botulinum toxin type A in shoulder pain: a meta-analysis on randomized controlled trials

Efficacy of ultrasound-guided botulinum toxin type A in shoulder pain: a meta-analysis on randomized controlled trials

Physical examination, magnetic resonance imaging and the arthroscopy of the shoulder: a correlation of diagnostic tests

Factors affecting physical and mental fatigue in adults from South Korea: A cross-sectional study

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