Sleep quality, pain, anxiety, depression and quality of life in patients with frozen shoulder1

Toprak, Murat; Erden, Metin

doi:10.3233/bmr-171010

Cited by 32 publications

(57 citation statements)

References 18 publications

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“…In studies comparing quality of life between those with musculoskeletal disease and healthy populations, WHOQOL‐BREF scores differentiated between the two groups. A prospective study of 76 patients with adhesive capsulitis and 72 healthy controls also found between‐group differences in the WHOQOL‐BREF physical health, psychological, and environmental domain scores . Other studies also support known‐groups validity of the WHOQOL‐BREF, with significantly higher quality of life scores reported for patients in relatively good health versus those in poorer health .…”

Section: World Health Organization Quality Of Life Short Version Instmentioning

confidence: 83%

Adult Measures of General Health and Health‐Related Quality of Life

Busija

Ackerman

Haas

et al. 2020

Arthritis Care & Research

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Section: World Health Organization Quality Of Life Short Version Instmentioning

confidence: 83%

Adult Measures of General Health and Health‐Related Quality of Life

Busija

Ackerman

Haas

et al. 2020

Arthritis Care & Research

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“…This perturbation included a reduction or impairment of function involving the pain-modulation pathways 13 . Another piece of research described neuroticism, conscientiousness, openness, and agreeableness as significant predictors of pain anxiety 14 , and two other studies investigated the relationship between depression and anxiety symptoms in patients with idiopathic AC 15,16 . According to Ebrahimzadeh et al 15 depression is present in 77% of these patients, anxiety in 27%, and both symptoms in 27% of their sample.…”

Section: Discussionmentioning

confidence: 99%

“…VAS scores were higher in patients with symptoms of depression 15 . Toprak et al .16 did not differentiate between patients with primary and secondary AC; they compared them with a healthy control group and demonstrated a higher prevalence of pain, anxiety, and sleep disturbance in patients with AC, rather than depression symptoms 16 . Both studies 15,16 confirmed that a psychiatric evaluation could be beneficial in AC patients to formulate the treatment.…”

Section: Discussionmentioning

confidence: 99%

A significant relationship between personality traits and adhesive capsulitis

Chiaramonte

Bonfiglio²,

Chisari

2020

Rev. Assoc. Med. Bras.

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SUMMARY OBJECTIVE We investigated the associations between adhesive capsulitis (AC) and a specific psychological profile. METHODS We assessed 72 patients with phase-II AC. In our study, 36 patients were affected by primary disease and 36 by secondary disease. The inclusion criteria were as follows: unilateral AC and pain in the shoulder for at least two months. The exclusion criteria were: psychiatric and neurological manifestations with a previous diagnosis and inability to comprehend the instruments. Outcomes were determined at 52 weeks. Shoulder pain severity was assessed with the Visual Analog Scale. We also measured the range of motion with a universal goniometer and the strength with the Medical Research Council. We assessed the personality traits of our patients with the Cloninger’s Temperament and Character Inventory and the Multidimensional Perfectionism Scale. RESULTS Patients with primary AC needed more time to improve the symptomatology compared to the group with the secondary disease (p<0.01). Patients with primary AC complained of severe and lasting pain more frequently than patients with the secondary disease (p< 0.01). In patients with primary disease, the prevalence of perfectionism, low levels of novelty seeking, and high levels of harm avoidance were 88.2 and 86.2%, and 80.4, respectively, and below 20 percent in patients with secondary AC disease. CONCLUSION We found a significant correlation between primary AC and particular personality traits, indicating an interaction between psychological and somatic factors.

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“…This resonates with the results of previously published studies on this topic. 18,99,100 The problems due to frozen shoulder, as described in our participants' interviews, were mapped to the ICF biopsychosocial framework of disability. 96,97 This is the first time, to our knowledge, that the ICF has been used specifically to describe functioning and disability due to frozen shoulder.…”

Section: Frozen Shoulder Has a Negative Impact On All Areas Of Lifementioning

confidence: 99%

Surgical treatments compared with early structured physiotherapy in secondary care for adults with primary frozen shoulder: the UK FROST three-arm RCT

Brealey

Northgraves

Kottam

et al. 2020

Health Technol Assess

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Background Frozen shoulder causes pain and stiffness. It affects around 10% of people in their fifties and is slightly more common in women. Costly and invasive surgical interventions are used, without high-quality evidence that these are effective. Objectives To compare the clinical effectiveness and cost-effectiveness of three treatments in secondary care for adults with frozen shoulder; to qualitatively explore the acceptability of these treatments to patients and health-care professionals; and to update a systematic review to explore the trial findings in the context of existing evidence for the three treatments. Design This was a pragmatic, parallel-group, multicentre, open-label, three-arm, randomised superiority trial with unequal allocation (2 : 2 : 1). An economic evaluation and a nested qualitative study were also carried out. Setting The orthopaedic departments of 35 hospitals across the UK were recruited from April 2015, with final follow-up in December 2018. Participants Participants were adults (aged ≥ 18 years) with unilateral frozen shoulder, characterised by restriction of passive external rotation in the affected shoulder to < 50% of the opposite shoulder, and with plain radiographs excluding other pathology. Interventions The inventions were early structured physiotherapy with a steroid injection, manipulation under anaesthesia with a steroid injection and arthroscopic capsular release followed by manipulation. Both of the surgical interventions were followed with post-procedural physiotherapy. Main outcome measures The primary outcome and end point was the Oxford Shoulder Score at 12 months post randomisation. A difference of 5 points between early structured physiotherapy and manipulation under anaesthesia or arthroscopic capsular release or of 4 points between manipulation under anaesthesia and arthroscopic capsular release was judged clinically important. Results The mean age of the 503 participants was 54 years; 319 were female (63%) and 150 had diabetes (30%). The primary analyses comprised 473 participants (94%). At the primary end point of 12 months, participants randomised to arthroscopic capsular release had, on average, a statistically significantly higher (better) Oxford Shoulder Score than those randomised to manipulation under anaesthesia (2.01 points, 95% confidence interval 0.10 to 3.91 points; p = 0.04) or early structured physiotherapy (3.06 points, 95% confidence interval 0.71 to 5.41 points; p = 0.01). Manipulation under anaesthesia did not result in statistically significantly better Oxford Shoulder Score than early structured physiotherapy (1.05 points, 95% confidence interval –1.28 to 3.39 points; p = 0.38). No differences were deemed of clinical importance. Serious adverse events were rare but occurred in participants randomised to surgery (arthroscopic capsular release, n = 8; manipulation under anaesthesia, n = 2). There was, however, one serious adverse event in a participant who received non-trial physiotherapy. The base-case economic analysis showed that manipulation under anaesthesia was more expensive than early structured physiotherapy, with slightly better utilities. The incremental cost-effectiveness ratio for manipulation under anaesthesia was £6984 per additional quality-adjusted life-year, and this intervention was probably 86% cost-effective at the threshold of £20,000 per quality-adjusted life-year. Arthroscopic capsular release was more costly than early structured physiotherapy and manipulation under anaesthesia, with no statistically significant benefit in utilities. Participants in the qualitative study wanted early medical help and a quicker pathway to resolve their shoulder problem. Nine studies were identified from the updated systematic review, including UK FROST, of which only two could be pooled, and found that arthroscopic capsular release was more effective than physiotherapy in the long-term shoulder functioning of patients, but not to the clinically important magnitude used in UK FROST. Limitations Implementing physiotherapy to the trial standard in clinical practice might prove challenging but could avoid theatre use and post-procedural physiotherapy. There are potential confounding effects of waiting times in the trial. Conclusions None of the three interventions was clearly superior. Early structured physiotherapy with a steroid injection is an accessible and low-cost option. Manipulation under anaesthesia is the most cost-effective option. Arthroscopic capsular release carries higher risks and higher costs. Future work Evaluation in a randomised controlled trial is recommended to address the increasing popularity of hydrodilatation despite the paucity of high-quality evidence. Trial registration Current Controlled Trials ISRCTN48804508. Funding This project was funded by the National Institute for Health Research (NIHR) Health Technology Assessment programme and will be published in full in Health Technology Assessment; Vol. 24, No. 71. See the NIHR Journals Library website for further project information.

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Sleep quality, pain, anxiety, depression and quality of life in patients with frozen shoulder1

Cited by 32 publications

References 18 publications

Adult Measures of General Health and Health‐Related Quality of Life

Adult Measures of General Health and Health‐Related Quality of Life

A significant relationship between personality traits and adhesive capsulitis

Surgical treatments compared with early structured physiotherapy in secondary care for adults with primary frozen shoulder: the UK FROST three-arm RCT

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