Sonographic Predictors in Patients with Hemiplegic Shoulder Pain: A Cross-Sectional Study

Background: Patients with diabetes mellitus have higher risk of developing shoulder pathology. However, only adhesive capsulitis is addressed in shoulder pain guidelines as a disorder associated with diabetes. Yet, patients with diabetes are at risk of having several other shoulder disorders, including focal neuropathy. Our aim was to quantify the presence of shoulder disorders using physical examination and ultrasound imaging in patients with type 2 diabetes (T2DM) suffering from shoulder pain in general practice. Methods: In this prospective cross-sectional study, patients with T2DM who had had a painful shoulder for at least four weeks were included. Patients filled out a questionnaire and underwent a physical examination of the shoulders and feet and ultrasound imaging of the shoulder. Results: A total of 66 patients were included, of whom 40.9% (n = 27) had bilateral complaints resulting in 93 symptomatic shoulders. Subacromial pain syndrome was most frequently diagnosed by physical examination (66.6%, 95% CI 51.6–72.0%; p < 0.0001), while ultrasound imaging showed that subacromial disorders were statistically significantly the most prevalent (90.3%, 95% CI 81.9–95.2%). Only two patients (3%) were diagnosed with neuropathic shoulder pain. Conclusion: When choosing treatment, general practitioners should be aware that in patients with T2DM the subacromial region is most frequently affected.

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Kinesiophobia Is Associated With Pain Intensity and Disability in Chronic Shoulder Pain: A Cross-Sectional Study

Journal of Manipulative and Physiological Therapeutics ◽

10.1016/j.jmpt.2019.12.009 ◽

2020 ◽

Vol 43 (8) ◽

pp. 791-798 ◽

Cited By ~ 1

Author(s):

Alejandro Luque-Suarez ◽

Javier Martinez-Calderon ◽

Santiago Navarro-Ledesma ◽

Jose Miguel Morales-Asencio ◽

Mira Meeus ◽

...

Keyword(s):

Pain Intensity ◽

Shoulder Pain ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Chronic Shoulder Pain

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Is sleep position associated with glenohumeral shoulder pain and rotator cuff tendinopathy: a cross-sectional study

BMC Musculoskeletal Disorders ◽

10.1186/s12891-018-2319-9 ◽

2018 ◽

Vol 19 (1) ◽

Cited By ~ 1

Author(s):

Lincoln A. Holdaway ◽

Kurt T. Hegmann ◽

Matthew S. Thiese ◽

Jay Kapellusch

Keyword(s):

Rotator Cuff ◽

Shoulder Pain ◽

Cross Sectional Study ◽

Sleep Position ◽

Sectional Study ◽

Cross Sectional ◽

Rotator Cuff Tendinopathy

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Cross Sectional Area of the Supraspinatus Muscle and Acromio-humeral Distance in Overhead Athletes With and Without Shoulder Pain: A Cross-sectional Study

Journal of Sport Rehabilitation ◽

10.1123/jsr.2016-0146 ◽

2017 ◽

Vol 26 (6) ◽

pp. 524-529 ◽

Cited By ~ 2

Author(s):

Josep C. Benitez-Martinez ◽

Jose Casaña-Granell ◽

Yasmin Ezzatvar de Llago ◽

Carlos Villaron-Casales ◽

Gemma V. Espi-Lopez ◽

...

Keyword(s):

Shoulder Pain ◽

Outcome Measures ◽

Cross Sectional Study ◽

Cross Sectional Area ◽

Sectional Area ◽

Sectional Study ◽

Pain Group ◽

Cross Sectional ◽

Overhead Athletes ◽

Supraspinatus Muscle

Context:The supraspinatus muscle has an important role in the stabilization of the glenohumeral joint. Identifying abnormalities concerning its size and the subacromial space in the presence of pain may be relevant to provide more specific treatments focused on the etiology of pain.Objective:To determinate whether painful shoulder causes changes in the supraspinatus cross-sectional area (CSA) and the acromio-humeral distance (AHD) between overhead athletes.Design:Cross-sectional study.Setting:University campus and local sports clubs’ Physical Therapist room.Participants:81 male overhead athletes were divided into 2 groups according to the presence of shoulder pain and clinical symptoms.Main Outcome Measures:Ultrasonography measurements of the supraspinatus CSA and the AHD in 2 groups of overhead athletes with and without pain.Results:In the pain group, the CSA was significantly smaller compared with the no pain group. No differences between groups were found in the AHD measurement.Conclusions:Shoulder pain in overhead athletes was associated with a reduction in their supraspinatus muscle CSA, but not in the AHD. These findings suggest that muscle atrophy exists in the presence of pain. However, in active overhead athletes, the AHD is not clearly reduced in overhead athletes with shoulder pain. Further studies are needed to understand this condition.

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