Fujiwara Mizuki, Oba Kensuke, Suzuki Kazuaki
Graduate School of Biomedical Engineering, Tohoku University, Sendai, Japan.
Department of Rehabilitation, Sendai Hospital of East Japan Railway Company, Sendai, Japan.
Prog Rehabil Med. 2024 Oct 8;9:20240034. doi: 10.2490/prm.20240034. eCollection 2024.
This study aimed to investigate the impact of shoulder dysfunction on concomitant neck disability in patients with shoulder disorders.
The participants were patients with subacromial impingement syndrome (SIS) and frozen shoulder (FS). Twenty patients with SIS and 21 with FS without cervical radiculopathy were enrolled. The participants were assessed for the 4-week prevalence of neck pain, Neck Disability Index (NDI), shoulder strength and range of motion, a short version of the Disabilities of the Arm, Shoulder, and Hand questionnaire (quick-DASH), and the Pain Catastrophizing Scale (PCS).
The 4-week prevalence of neck pain was 12 out of 20 (60%) in patients with SIS and 13 out of 21 (62%) in patients with FS. The median NDIs were 13 and 12 for SIS and FS, respectively, with no statistically significant difference. About 41% (17/41) of the participants displayed an NDI greater than the cutoff value for disability in daily living. Although shoulder abduction strength correlated with the NDI in patients with SIS, the PCS score correlated with the NDI in patients with FS.
Concomitant neck disability is a critical concern for patients with shoulder disorders. The clinical factors related to concomitant neck disability differ between SIS and FS, with specific interventions recommended for each condition.
本研究旨在调查肩部功能障碍对肩部疾病患者并发颈部功能障碍的影响。
研究对象为肩峰下撞击综合征（SIS）和肩周炎（FS）患者。纳入20例无神经根型颈椎病的SIS患者和21例无神经根型颈椎病的FS患者。对参与者进行了为期4周的颈部疼痛患病率、颈部功能障碍指数（NDI）、肩部力量和活动范围、手臂、肩部和手部功能障碍问卷简版（quick-DASH）以及疼痛灾难化量表（PCS）评估。
SIS患者中，20例中有12例（60%）在4周内出现颈部疼痛；FS患者中，21例中有13例（62%）在4周内出现颈部疼痛。SIS和FS患者的NDI中位数分别为13和12，差异无统计学意义。约41%（17/41）的参与者NDI大于日常生活功能障碍的临界值。虽然SIS患者的肩部外展力量与NDI相关，但FS患者的PCS评分与NDI相关。
并发颈部功能障碍是肩部疾病患者的一个关键问题。SIS和FS患者并发颈部功能障碍的临床因素不同，针对每种情况建议采取特定的干预措施。
