Relationship between Pain Intensity, Physical Factors, Pronociceptive Pain Modulation Profile and Psychological Vulnerability on Upper Limb Disability in Older Patients with Chronic Shoulder Pain
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Valenza Peña, Geraldine; Martín Núñez, Javier; Heredia Ciuró, Alejandro; Granados Santiago, María; López López, Laura; Valenza, Marie Carmen; Cabrera Martos, IreneEditorial
MDPI
Materia
Disability Fear-avoidance beliefs Shoulder pain Physical variables
Date
2022-11-15Referencia bibliográfica
Valenza-Peña, G... [et al.]. Relationship between Pain Intensity, Physical Factors, Pronociceptive Pain Modulation Profile and Psychological Vulnerability on Upper Limb Disability in Older Patients with Chronic Shoulder Pain. Int. J. Environ. Res. Public Health 2022, 19, 15006. [https://doi.org/10.3390/ijerph192215006]
Sponsorship
German Research Foundation (DFG) FPU: 20/21670Abstract
Background: Chronic shoulder pain is a very prevalent condition causing disability and
functional impairment. The purpose of the study was to evaluate the relationship between pain
intensity, physical variables, psychological vulnerability, pronociceptive pain modulation profile and
disability in older people with chronic shoulder pain. Methods: A cross-sectional study was carried
out. A total of 56 participants with non-specific chronic shoulder pain of the “Complejo Hospitalario
Universitario” (Granada) and 56 healthy controls were included. The outcomes evaluated were pain
intensity (visual analogue scale), physical factors (dynamometry for grip strength), psychological
vulnerability (Fear-Avoidance Beliefs Questionnaire and Tampa Scale of Kinesiophobia), pronociceptive
pain modulation profile (pain pressure algometry) and disability (Quick Disability Arm
Shoulder Hand questionnaire). Results: Disability showed a positive correlation with pain and
psychological vulnerability (p < 0.05) and a negative correlation with pronociceptive pain variables
and dynamometry (p < 0.001). Psychological vulnerability also presented a strong negative correlation
with proprioceptive pain variables and dynamometry and a positive correlation with pain
(p < 0.05). In regard to the pronociceptive pain modulation profile, a strong negative correlation
with pain (p < 0.001) and a positive moderate correlation with dynamometry (p < 0.001) were shown.
Conclusions: Our results support a strong association between disability, psychological vulnerability
and pronociceptive pain modulation profile in older adults with chronic shoulder pain.