RT Journal Article
T1 A Central Nervous System Focused Treatment Program for People with Frozen Shoulder: A Feasibility Study.
A1 Mena-Del Horno, Silvia
A1 Dueñas, Lirios
A1 Lluch, Enrique
A1 Louw, Adriaan
A1 Luque-Suarez, Alejandro
A1 Mertens, Michel Gcam
A1 Fuentes-Aparicio, Laura
A1 Balasch-Bernat, Mercè
K1 adhesive capsulitis
K1 feasibility study
K1 frozen shoulder
K1 motor imagery
K1 patient compliance
K1 tactile discrimination training
AB 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 follow-up. 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
YR 2022
FD 2022-02-24
LK http://hdl.handle.net/10668/21035
UL http://hdl.handle.net/10668/21035
LA en
DS RISalud
RD Apr 8, 2025