METHODS: Thirty-two patients with unilateral rotator cuff injury and 32 volunteers without shoulder problems were included. Pain was evaluated using a visual analogue scale, pressure pain sensitivity with a digital algometer, thermographic changes with a thermal camera, upper extremity function through the Disabilities of the Arm, Shoulder, and Hand Disability Questionnaire, sleep quality using the Pittsburgh Sleep Quality Index, and quality of life using SF-36.
RESULTS: Pressure pain sensitivity of the deltoideus, supraspinatus, and subscapularis muscles in the affected limb was lower than in the unaffected limb (p = 0.027, p = 0.005, p < 0.001). Conversely, pressure sensitivity of the deltoideus, biceps brachii, and subscapularis muscles was higher in the patient group (p = 0.008, p = 0.042, p < 0.001). Furthermore, a decrease in temperature was observed in all patients, except for the trapezius muscles of the affected side (p < 0.05).
CONCLUSIONS: This study sheds light on altered pressure pain sensitivity and thermographic changes in individuals with unilateral shoulder pain due to rotator cuff tear. Additionally, the study highlights impairments in functional status, quality of life, and sleep in these individuals, emphasizing the broader impact of such injuries. Targeted interventions based on these findings have the potential to enhance overall well-being and functional outcomes for affected individuals.
METHODS: Level III, Case-control study, prognosis study.
方法:纳入32例单侧肩袖损伤患者和32例无肩关节问题的志愿者。使用视觉模拟量表评估疼痛,压力疼痛灵敏度与数字测酸仪,热像仪的温度变化,上肢功能通过手臂的残疾,肩膀,和手部残疾问卷,使用匹兹堡睡眠质量指数的睡眠质量,和使用SF-36的生活质量。
结果:三角肌的压力疼痛敏感性,冈上肌,患肢的肩胛骨下肌低于未患肢(p=0.027,p=0.005,p<0.001)。相反,三角肌的压力敏感性,肱二头肌,患者组的肩胛骨下肌肉较高(p=0.008,p=0.042,p<0.001)。此外,所有患者的体温都下降了,除了患侧的斜方肌(p<0.05)。
结论:这项研究揭示了肩袖撕裂导致的单侧肩痛患者的压力疼痛敏感性和热像变化。此外,这项研究强调了功能状态的损伤,生活质量,睡在这些人身上,强调此类伤害的更广泛影响。基于这些发现的有针对性的干预措施有可能增强受影响个体的整体福祉和功能结果。
方法:三级,病例对照研究,预后研究。