NAGIOS: RODERIC FUNCIONANDO

A Central Nervous System Focused Treatment Program for People with Frozen Shoulder: A Feasibility Study

Repositori DSpace/Manakin

IMPORTANT: Aquest repositori està en una versió antiga des del 3/12/2023. La nova instal.lació está en https://roderic.uv.es/

A Central Nervous System Focused Treatment Program for People with Frozen Shoulder: A Feasibility Study

dc.contributor.author	Mena-del Horno, Silvia
dc.contributor.author	Dueñas Moscardó, Lirios
dc.contributor.author	Lluch Girbés, Enrique
dc.contributor.author	Louw, Adriaan
dc.contributor.author	Luque-Suárez, Alejandro
dc.contributor.author	GCAM Mertens, Michel
dc.contributor.author	Fuentes-Aparicio, Laura
dc.contributor.author	Balasch i Bernat, Mercè
dc.date.accessioned	2022-04-12T11:55:06Z
dc.date.available	2022-04-12T11:55:06Z
dc.date.issued	2022
dc.identifier.citation	Mena-del Horno, Silvia Dueñas Moscardó, Lirios Lluch Girbés, Enrique Louw, Adriaan Luque-Suárez, Alejandro GCAM Mertens, Michel Fuentes-Aparicio, Laura Balasch-Bernat, M. 2022 A Central Nervous System Focused Treatment Program for People with Frozen Shoulder: A Feasibility Study International Journal Of Environmental Research And Public Health 19 5 2628
dc.identifier.uri	https://hdl.handle.net/10550/82310
dc.description.abstract	Background: Frozen shoulder (FS) is a highly disabling pathology of poorly understood etiology, which is characterized by the presence of intense pain and progressive loss of range of motion (ROM). The aim of this study is to evaluate the feasibility and clinical impact of a CNS-focused treatment program for people with FS. Methods: 10 subjects with primary FS received a 10-week CNS-focused intervention including sensory discrimination training and graded motor imagery techniques delivered as clinic sessions (60 min) and home therapy (30 min five times per week). Measurements were taken at baseline, after a 2-week 'washout' period, after treatment, and at three months followup. The Shoulder Pain and Disability Index (SPADI) was the primary outcome. Secondary measures were feasibility-related outcomes, self-reported shoulder pain, active and passive range of motion, two-point discrimination threshold (TPDT), left/right judgement task (LRJT), fear-avoidance (Tampa Scale for Kinesiophobia), pain catastrophization (Pain Catastrophizing Scale), and pain sensitization (Central Sensitization Inventory). A Student's t-test was used to assess the 'washout' period. A repeated measure analysis of variance (ANOVA) was used to evaluate within-subjects' differences for all outcome measures in the different assessment periods and a pairwise analysis was used to compare between the different assessment points. Statistical significance was set at p < 0.05. Results: 70% of participants completed the treatment. No significant changes were found after 'washout' period except for TPDT (p = 0.02) and SPADI (p = 0.025). Improvements in self-reported shoulder pain (p = 0.028) and active shoulder flexion (p = 0.016) were shown after treatment (p = 0.028) and follow-up (p = 0.001) and in SPADI at follow-up (p = 0.008). No significant changes were observed in TPDT, LRJT, fear-avoidance, pain catastrophization, and pain sensitization. Conclusions: a CNS-focused treatment program might be a suitable approach to improve pain and disability in FS, but further research is needed to draw firm conclusions.
dc.language.iso	eng
dc.relation.ispartof	International Journal Of Environmental Research And Public Health, 2022, vol. 19, num. 5, p. 2628
dc.subject	Fisioteràpia
dc.title	A Central Nervous System Focused Treatment Program for People with Frozen Shoulder: A Feasibility Study
dc.type	journal article	es_ES
dc.date.updated	2022-04-12T11:55:07Z
dc.identifier.doi	10.3390/ijerph19052628
dc.identifier.idgrec	150454
dc.rights.accessRights	open access	es_ES