Article Text

PDF
AB1109-HPR Comparison of Joint Position Sense at end Range and mid Range in Frozen Shoulder
  1. T. Zoroglu1,
  2. S. Basar2
  1. 1Vocational School of Health Services, Karabuk University, Karabuk
  2. 2Physiotherapy and Rehabilitation, Gazi University, Ankara, Turkey

Abstract

Background Frozen shoulder (FS) is characterized by a painful, gradual loss of both active and passive glenohumeral motion resulting from progressive fibrosis and contracture of the glenohumeral joint capsule. Deformation of capsuloligamentous tissue is believed to stimulate mechanoreceptors in the tissue and provide the central nervous system with proprioceptive information. It was shown by studies that joint position sense acquity is good near the end of motion in healthy shoulders. There is not enough study about JPS in FS.

Objectives The aim of this study is to compare the effect of mid or end range of motion on joint position sense (JPS) in patients with FS.

Methods Twenty five patients with FS (21 female, 4 male; mean age 53±6 years; age range 44–67) were included in this study. Mean Body Mass Index (BMI) was 29.02±4.89. 11 dominant and 14 nondominant shoulders were measured. JPS was assessed with active repositioning process by inclinometer in flexion, elevation and rotations at mid range (MR) and end range (ER).

Results Error scores at ER were lower than at MR in flexion (p=0.44), elevation (p=0.01) and internal (p=0.00) and external (p=0.19) rotations. There were significant difference in elevation and internal rotation (p<0.05) (Table 1).

Table 1.

Joint position sense at mid range and end range

Conclusions Our study showed that JPS at ER is better than MR. Especially elevation and internal rotation that more affected motions in FS were more sensitive to JPS. It was thought that at end ranges capsuloligamentous structure is stimulated more than mid ranges.

  1. Neviaser, A.S. and Hannafin, J.A. (2010). Adhesive capsulitis: A review of current treatment. The American Journal of Sports Medicine, 38(11), 2346–2356.

  2. Janwantanakul P, Magarey ME, Jones MA, et al. 2001.Variation in shoulder position sense at mid and extreme rangeof motion. Arch Phys Med Rehabil 82:840–844.

  3. Lonn J, Crenshaw AG, Djupsjobacka M, et al. 2000. Positionsense testing: influence of starting position and type ofdisplacement. Arch Phys Med Rehabil 81:592–597.

  4. Yang JL, Jan MH, Hung CJ, Yang PL, Lin JJ. 2010. Reduced scapular muscle control and impaired shoulder joint position sense in subjects with chronic shoulder stiffness. Journal of Electromyography and Kinesiology,20(2), 206–11

  5. Yang JL, Chen S, Jan MH, Lin YF. and Lin JJ. 2008. Proprioception assessment in subjects with idiopathic loss of shoulder range of motion: joint position sense and a novel proprioceptive feedback index. Journal of Orthopaedic Research, 26(9), 1218–24.

Disclosure of Interest None declared

Statistics from Altmetric.com

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.