The outcome of hydrodilation in frozen shoulder patients and the relationship with kinesiophobia, depression, and anxiety
Abstract Purpose The aims of this study were to (1) investigate the effect of hydrodilatation in frozen shoulder patients on objective indices of shoulder functionality and subjective outcomes of pain, mobility, kinesiophobia, depression, and anxiety, and (2) progress knowledge about the reciprocal...
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doaj-5a0aab6626284c4c9bbe610c0d52d90a2021-10-03T11:39:21ZengSpringerOpenJournal of Experimental Orthopaedics2197-11532021-09-01811810.1186/s40634-021-00394-3The outcome of hydrodilation in frozen shoulder patients and the relationship with kinesiophobia, depression, and anxietyPhilippe Debeer0Olivia Commeyne1Ianthe De Cupere2Dorien Tijskens3Filip Verhaegen4Wim Dankaerts5Laurence Claes6Glenn Kiekens7Orthopedics, University Hospitals LeuvenMusculoskeletal Research Unit, Department of Rehabilitation Sciences, Faculty of Kinesiology and Rehabilitation Sciences, KU LeuvenMusculoskeletal Research Unit, Department of Rehabilitation Sciences, Faculty of Kinesiology and Rehabilitation Sciences, KU LeuvenOrthopedics, University Hospitals LeuvenOrthopedics, University Hospitals LeuvenMusculoskeletal Research Unit, Department of Rehabilitation Sciences, Faculty of Kinesiology and Rehabilitation Sciences, KU LeuvenFaculty of Psychology and Educational Sciences, KU LeuvenFaculty of Psychology and Educational Sciences, KU LeuvenAbstract Purpose The aims of this study were to (1) investigate the effect of hydrodilatation in frozen shoulder patients on objective indices of shoulder functionality and subjective outcomes of pain, mobility, kinesiophobia, depression, and anxiety, and (2) progress knowledge about the reciprocal temporal relationship between psychological parameters at baseline and objective and subjective outcomes at 3-month follow-up. Methods We evaluated the clinical and psychological status of 72 patients with a frozen shoulder before and after hydrodilatation, using the Constant Murley score, the Visual Analogue score, the Tampa Scale for Kinesiophobia, the Hospital Anxiety and Depression Scale, and the Shoulder Pain And Disability Index. Results We noted a significant improvement in functionality, pain and disability (p < .001). Depression and anxiety improved significantly (p < .001) between baseline and 3-month follow-up. Prospective analyses demonstrated that psychological factors are more likely to predict outcomes of hydrodilatation than vice versa. Conclusion Hydrodilatation followed by physiotherapy is an excellent way to treat patients with recalcitrant frozen shoulder, resulting in a continuous improvement of ROM and pain. Physiotherapists and physicians should be aware that psychological factors might have an impact on the treatment outcome.https://doi.org/10.1186/s40634-021-00394-3Frozen shoulderDepressionAnxiety |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Philippe Debeer Olivia Commeyne Ianthe De Cupere Dorien Tijskens Filip Verhaegen Wim Dankaerts Laurence Claes Glenn Kiekens |
spellingShingle |
Philippe Debeer Olivia Commeyne Ianthe De Cupere Dorien Tijskens Filip Verhaegen Wim Dankaerts Laurence Claes Glenn Kiekens The outcome of hydrodilation in frozen shoulder patients and the relationship with kinesiophobia, depression, and anxiety Journal of Experimental Orthopaedics Frozen shoulder Depression Anxiety |
author_facet |
Philippe Debeer Olivia Commeyne Ianthe De Cupere Dorien Tijskens Filip Verhaegen Wim Dankaerts Laurence Claes Glenn Kiekens |
author_sort |
Philippe Debeer |
title |
The outcome of hydrodilation in frozen shoulder patients and the relationship with kinesiophobia, depression, and anxiety |
title_short |
The outcome of hydrodilation in frozen shoulder patients and the relationship with kinesiophobia, depression, and anxiety |
title_full |
The outcome of hydrodilation in frozen shoulder patients and the relationship with kinesiophobia, depression, and anxiety |
title_fullStr |
The outcome of hydrodilation in frozen shoulder patients and the relationship with kinesiophobia, depression, and anxiety |
title_full_unstemmed |
The outcome of hydrodilation in frozen shoulder patients and the relationship with kinesiophobia, depression, and anxiety |
title_sort |
outcome of hydrodilation in frozen shoulder patients and the relationship with kinesiophobia, depression, and anxiety |
publisher |
SpringerOpen |
series |
Journal of Experimental Orthopaedics |
issn |
2197-1153 |
publishDate |
2021-09-01 |
description |
Abstract Purpose The aims of this study were to (1) investigate the effect of hydrodilatation in frozen shoulder patients on objective indices of shoulder functionality and subjective outcomes of pain, mobility, kinesiophobia, depression, and anxiety, and (2) progress knowledge about the reciprocal temporal relationship between psychological parameters at baseline and objective and subjective outcomes at 3-month follow-up. Methods We evaluated the clinical and psychological status of 72 patients with a frozen shoulder before and after hydrodilatation, using the Constant Murley score, the Visual Analogue score, the Tampa Scale for Kinesiophobia, the Hospital Anxiety and Depression Scale, and the Shoulder Pain And Disability Index. Results We noted a significant improvement in functionality, pain and disability (p < .001). Depression and anxiety improved significantly (p < .001) between baseline and 3-month follow-up. Prospective analyses demonstrated that psychological factors are more likely to predict outcomes of hydrodilatation than vice versa. Conclusion Hydrodilatation followed by physiotherapy is an excellent way to treat patients with recalcitrant frozen shoulder, resulting in a continuous improvement of ROM and pain. Physiotherapists and physicians should be aware that psychological factors might have an impact on the treatment outcome. |
topic |
Frozen shoulder Depression Anxiety |
url |
https://doi.org/10.1186/s40634-021-00394-3 |
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