Abstract
BackgroundThere is evidence that people with persistent shoulder pain exhibit findings consistent with the presence of sensorimotor dysfunction. Sensorimotor impairments can manifest in a variety of ways, and further developing our understanding of sensorimotor dysfunction in shoulder pain may improve current models of care. The Fremantle Back Awareness Questionnaire (FreBAQ) has been developed to assess disturbed body perception specific to the back. The purpose of the present study was to develop a shoulder-specific self-perception questionnaire and evaluate the questionnaire in people with persistent shoulder pain.MethodsThe Fremantle Shoulder Awareness Questionnaire (FreSHAQ-J) was developed by modifying the FreBAQ. One hundred and twelve consecutive people with persistent shoulder pain completed the FreSHAQ-J. Thirty participants completed the FreSHAQ-J again two-weeks later to assess test-retest reliability. Rasch analysis was used to assess the psychometric properties of the FreSHAQ-J. Associations between FreSHAQ-J total score and clinical status was explored using correlational analysis.ResultsThe FreSHAQ-J has acceptable category order, unidimensionality, no misfitting items, and excellent test-retest reliability. The FreSHAQ-J was moderately correlated with disability and pain catastrophization.ConclusionsThe FreSHAQ-J fits the Rasch measurement model well and is suitable for use with people with shoulder pain. Given the relationship between the FreSHAQ-J score and clinical status, change in body perception may be worth assessing when managing patients with shoulder pain.
Highlights
There is evidence that people with persistent shoulder pain exhibit findings consistent with the presence of sensorimotor dysfunction
Participants were included according to the following criteria: (1) age between 20 and 80 years, (2) unilateral shoulder pain for > 3 months, (3) the presence of a positive result for at least three of the following tests: Hawkins impingement sign, Neer’s impingement sign, painful arc sign, Jobe’s test, Whipple’s test, and shoulder pain induced by resisted muscle testing in shoulder abduction or external rotation; and (4) sufficient proficiency in Japanese to complete the questionnaires
Rasch analysis We evaluated psychometric properties of the FreSHAQJ using Rasch analyzes as per the procedures used in previous studies [30, 34]
Summary
There is evidence that people with persistent shoulder pain exhibit findings consistent with the presence of sensorimotor dysfunction. The purpose of the present study was to develop a shoulder-specific self-perception questionnaire and evaluate the questionnaire in people with persistent shoulder pain. People with persistent shoulder pain exhibit findings consistent with the presence of central sensitization [11], and neurophysiology studies have shown alteration in motor cortex function in people with shoulder problems [12,13,14]. Studies have shown that interventions targeting sensorimotor function, such as motor control retraining exercises [20], proprioceptive exercise [21, 22], mirror therapy [23], and a combination of pain neuroscience education, tactile discrimination, and graded motor imagery [24] may increase function and reduce shoulder pain intensity
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
