Evaluation of Kinesiophobia, Pain and Functional Status in Adhesive Capsulitis and Rotator Cuff Syndrome

Objective:Kinesiophobia, which is defined as the fear of moving due to the fear of re-injury, impairing the quality of life of the patients, causes various degrees of disability and participation problems, adversely affects the treatment, and may cause the pain to become chronic and may predispose to depression. Severe pain and limitation of movement in a short time are common in muscle, joint and ligament pathologies of the shoulder, which is one of the most common problems of the upper extremity. We aimed to conduct this study in patients with a diagnosis of rotator cuff and adhesive capsulitis, anticipating that the presence and degree of kinesiophobia should be considered when planning treatment for shoulder diseases.Method:A total of 80 patients, aged 30-75 years, who had shoulder pain complaints for at least 1 month and applied to the outpatient clinic for rehabilitation, diagnosed with rotator cuff syndrome (n=40) and adhesive capsulitis (n=40) were included in the study. Pain degree of the patients, active joint range measurement of the painful shoulder, anxiety and depression, degree of disability and presence of kinesiophobia; it was evaluated with the numerical rating scale (NRS), the arm, shoulder and hand problems questionnaire (DASH), the hospital anxiety depression scale (HAD), and the Tampa kinesiophobia scale. The patients voluntary consent for the study and approval of University of Health Sciences Turkey, İstanbul Bakırköy Dr. Sadi Konuk Training and Research Hospital Ethics Committe with protocol number 2019-421 was obtained on 12.09.2019.Results:NRS with movement, at rest and sleep, HAD and TAMPA measurements of the cases did not show any statistically significant difference according to the groups (p>0.05). The DASH score of the cases in the adhesive capsulitis group was found to be statistically significantly higher than that of the cases in the rotator cuff syndrome group (p