Please use this identifier to cite or link to this item: http://bura.brunel.ac.uk/handle/2438/29687
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dc.contributor.authorAger, AL-
dc.contributor.authorRoy, JS-
dc.contributor.authorDubé, MO-
dc.contributor.authorCools, AM-
dc.contributor.authorBorms, D-
dc.date.accessioned2024-09-08T12:31:08Z-
dc.date.available2024-09-08T12:31:08Z-
dc.date.issued2024-02-12-
dc.identifierORCiD: Amanda L. Ager https://orcid.org/0000-0002-5177-9494-
dc.identifier.citationAger, A.L. et al. (2024) 'Relationship between pain and proprioception among individuals with rotator cuff-related shoulder pain', Journal of Hand Therapy, 37 (2), pp. 224 - 233. doi: 10.1016/j.jht.2023.10.007.en_US
dc.identifier.issn0894-1130-
dc.identifier.urihttps://bura.brunel.ac.uk/handle/2438/29687-
dc.descriptionAvailability of data materials: All authors consent to all data being openly public and accessible.en_US
dc.descriptionSupplementary material is available online at: https://www.sciencedirect.com/science/article/pii/S0894113023001680#sec0145 .-
dc.description.abstractBackground: Individuals with rotator cuff-related shoulder pain (RCRSP) have altered proprioception. The relationship between shoulder pain and proprioception is not well understood. Purpose: This study aimed to investigate the relationship between shoulder pain and proprioception. Study design: This was a cross-sectional comparative study. Methods: Twenty-two participants with RCRSP (mean age 27.6 ± 4.8 years) and 22 matched pain-free participants (23.4 ± 2.5 years) performed two upper limb active joint position sense tests: (1) the Upper Limb Proprioception Reaching Test (PRO-Reach; reaching toward seven targets) in centimeters and (2) Biodex System at 90% of maximum internal rotation in degrees. Participants performed three memorization and three reproduction trials blindfolded. The proprioception error (PE) is the difference between the memorized and estimation trials. Pain levels were captured pre- and post-evaluation (11-point Likert Numerical Pain Rating Scale). Relationships between PE and pain were investigated using independent t-tests and Spearman rank correlations. Results: Overall, 22.7% RCRSP participants indicated an increase in pain following the PRO-Reach (X̅ increase of 1.4 ± 1.5 points), while 59% did so with the Biodex (X̅ increase of 2.3 ± 1.8 points), reflecting a clinically important increase in pain. Weak-to-moderate correlations between pain and PEs were found with the Biodex (r = 0.39-0.53) and weak correlations with the PRO-Reach (r = −0.26 to 0.38). Concerning PEs, no significant differences were found between groups with the Biodex (p = 0.32, effect size d = −0.31 [−0.90 to 0.29]). The RCRSP participants demonstrated lower PEs with the PRO-Reach in elevation compared to pain-free participants (global X̅ = 4.6 ± 1.2 cm vs 5.5 ± 1.5 cm; superior 3.8 ± 2.1 cm vs 5.7 ± 2.9 cm; superior-lateral nondominant targets 4.3 ± 2.2 cm vs 6.1 ± 2.8 cm; p = 0.02-0.05, effect size d = 0.72-0.74 [0.12-1.3]). Conclusions: Individuals with RCRSP demonstrated better upper limb proprioception in elevation, suggesting a change to interoception (sensory reweighting) in the presence of pain.en_US
dc.description.sponsorshipFinancial support was provided by Ghent University, Belgium, in the form of a student bursary.en_US
dc.format.extent224 - 233-
dc.format.mediumPrint-Electronic-
dc.language.isoen_USen_US
dc.publisherElsevieren_US
dc.rightsCopyright © 2023 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies. This manuscript version is made available under the CC-BY-NC-ND 4.0 license https://creativecommons.org/licenses/by-nc-nd/4.0/ (see: https://www.elsevier.com/about/policies/sharing).-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/4.0/-
dc.subjectjoint position senseen_US
dc.subjectBiodex Systemen_US
dc.subjectupper limben_US
dc.subjectproprioceptionen_US
dc.subjectreaching testen_US
dc.subjectinteroceptionen_US
dc.titleRelationship between pain and proprioception among individuals with rotator cuff-related shoulder painen_US
dc.typeArticleen_US
dc.date.dateAccepted2023-10-14-
dc.identifier.doihttps://doi.org/10.1016/j.jht.2023.10.007-
dc.relation.isPartOfJournal of Hand Therapy-
pubs.issue2-
pubs.publication-statusPublished-
pubs.volume37-
dc.identifier.eissn1545-004X-
dc.rights.licensehttps://creativecommons.org/licenses/by-nc-nd/4.0/legalcode.en-
dc.rights.holderElsevier-
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