Association of Range of Motion Deficit and Recurrence of Pain After Treatment of Adhesive Capsulitis.

IF 4.1 2区医学 Q1 CLINICAL NEUROLOGY Pain and Therapy Pub Date : 2024-04-01 Epub Date: 2024-02-05 DOI:10.1007/s40122-024-00578-6

Jung Hwan Lee, Jun Ho Lee, Min Cheol Chang

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Abstract

Introduction: We evaluated the factors influencing the duration of significant pain reduction after conservative management for adhesive capsulitis (AC).

Methods: Follow-up for 6-8 months was performed with 141 patients with AC who experienced significant pain reduction after treatment. Clinical and demographic factors, numeric rating scale (NRS) scores, and shoulder range of motion (ROM) were collected and assessed pretreatment (T0), at 5 weeks post-treatment (T1), and at 6-8 months post-treatment (T2). Patients were divided into successful (n = 96) and unsuccessful (n = 45) NRS groups according to the degree of pain reduction at T2. We assessed post-treatment NRS and ROM improvement scores within each group and compared these parameters between the two groups.

Results: Significant NRS and ROM improvements were achieved in all patients who participated in our study. The unsuccessful NRS group demonstrated a lack of significant improvement in abduction at T1 and T2. All T1 and shoulder ROM measurements among the unsuccessful NRS group were significantly smaller than those among the successful NRS group.

Conclusions: Failure to achieve a significant improvement in abduction angle after conservative management of AC was significantly associated with pain recurrence.

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粘连性囊炎治疗后活动范围不足与疼痛复发的关系

引言我们评估了影响粘连性关节囊炎（AC）保守治疗后疼痛明显减轻持续时间的因素：我们对 141 名经治疗后疼痛明显减轻的粘连性关节囊炎患者进行了 6-8 个月的随访。收集并评估了治疗前（T0）、治疗后 5 周（T1）和治疗后 6-8 个月（T2）的临床和人口统计学因素、数字评分量表（NRS）评分和肩关节活动范围（ROM）。根据 T2 时疼痛减轻的程度，将患者分为 NRS 成功组（96 人）和 NRS 不成功组（45 人）。我们对每组患者治疗后的 NRS 和 ROM 改善评分进行了评估，并对两组患者的这些参数进行了比较：结果：所有参与研究的患者的 NRS 和 ROM 均有明显改善。NRS不成功组在T1和T2外展方面没有明显改善。NRS不成功组的所有T1和肩关节ROM测量值均明显小于NRS成功组：结论：前交叉韧带保守治疗后，外展角度未能得到明显改善与疼痛复发密切相关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pain and Therapy CLINICAL NEUROLOGY-

CiteScore

6.60

自引率

5.00%

发文量

110

审稿时长

6 weeks

期刊介绍： Pain and Therapy is an international, open access, peer-reviewed, rapid publication journal dedicated to the publication of high-quality clinical (all phases), observational, real-world, and health outcomes research around the discovery, development, and use of pain therapies and pain-related devices. Studies relating to diagnosis, pharmacoeconomics, public health, quality of life, and patient care, management, and education are also encouraged. Areas of focus include, but are not limited to, acute pain, cancer pain, chronic pain, headache and migraine, neuropathic pain, opioids, palliative care and pain ethics, peri- and post-operative pain as well as rheumatic pain and fibromyalgia. The journal is of interest to a broad audience of pharmaceutical and healthcare professionals and publishes original research, reviews, case reports, trial protocols, short communications such as commentaries and editorials, and letters. The journal is read by a global audience and receives submissions from around the world. Pain and Therapy will consider all scientifically sound research be it positive, confirmatory or negative data. Submissions are welcomed whether they relate to an international and/or a country-specific audience, something that is crucially important when researchers are trying to target more specific patient populations. This inclusive approach allows the journal to assist in the dissemination of all scientifically and ethically sound research.