Clinical Features Associated with Frozen Shoulder Syndrome in Parkinson’s Disease

Background. Frozen shoulder syndrome is a common musculoskeletal disease of idiopathic Parkinson’s disease (PD) that causes long-term pain and physical disability. A better understanding of the associated factors can help identify PD patients who will require prevention to improve their quality of l...

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Main Authors: Ya-Ting Chang, Wen-Neng Chang, Nai-Wen Tsai, Kuei-Yueh Cheng, Chih-Cheng Huang, Chia-Te Kung, Yu-Jih Su, Wei-Che Lin, Ben-Chung Cheng, Chih-Min Su, Yi-Fang Chiang, Cheng-Hsien Lu
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Parkinson's Disease
Online Access:http://dx.doi.org/10.1155/2015/232958
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author Ya-Ting Chang
Wen-Neng Chang
Nai-Wen Tsai
Kuei-Yueh Cheng
Chih-Cheng Huang
Chia-Te Kung
Yu-Jih Su
Wei-Che Lin
Ben-Chung Cheng
Chih-Min Su
Yi-Fang Chiang
Cheng-Hsien Lu
author_facet Ya-Ting Chang
Wen-Neng Chang
Nai-Wen Tsai
Kuei-Yueh Cheng
Chih-Cheng Huang
Chia-Te Kung
Yu-Jih Su
Wei-Che Lin
Ben-Chung Cheng
Chih-Min Su
Yi-Fang Chiang
Cheng-Hsien Lu
author_sort Ya-Ting Chang
collection DOAJ
description Background. Frozen shoulder syndrome is a common musculoskeletal disease of idiopathic Parkinson’s disease (PD) that causes long-term pain and physical disability. A better understanding of the associated factors can help identify PD patients who will require prevention to improve their quality of life. Methodology. This prospective study evaluated 60 shoulders of 30 PD patients. Correlation analysis was used to evaluate the relationships between clinical factors and shoulder sonography findings. Results. Frozen shoulder syndrome was found in 14 of 30 PD patients affecting 19 shoulders, including bilateral involvement in five and unilateral involvement in nine. There was a significant positive correlation between the parameters of sonography findings and frozen shoulder syndrome (i.e., thickness of bicipital effusion and tendon thickness of the subscapularis and supraspinatus) and mean ipsilateral Unified Parkinson’s Disease Rating Scale (UPDRS) III and its subscores (tremor, rigidity, and bradykinesia scores). Conclusions. Higher ipsilateral UPDRS and subscores are associated with increased effusion around the biceps tendon, with increased tendon thickness of subscapularis and supraspinatus. Preventing frozen shoulder syndrome in the high-risk PD group is an important safety issue and highly relevant for their quality of life.
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series Parkinson's Disease
spelling doaj-art-17b5a6b144fa4bfbb6bc745a1136a34f2025-02-03T05:46:57ZengWileyParkinson's Disease2090-80832042-00802015-01-01201510.1155/2015/232958232958Clinical Features Associated with Frozen Shoulder Syndrome in Parkinson’s DiseaseYa-Ting Chang0Wen-Neng Chang1Nai-Wen Tsai2Kuei-Yueh Cheng3Chih-Cheng Huang4Chia-Te Kung5Yu-Jih Su6Wei-Che Lin7Ben-Chung Cheng8Chih-Min Su9Yi-Fang Chiang10Cheng-Hsien Lu11Department of Biological Science, National Sun Yat-sen University, Kaohsiung, TaiwanDepartment of Neurology, Chang Gung Memorial Hospital, Kaohsiung Medical Center, Chang Gung University, College of Medicine, Kaohsiung 833, TaiwanDepartment of Neurology, Chang Gung Memorial Hospital, Kaohsiung Medical Center, Chang Gung University, College of Medicine, Kaohsiung 833, TaiwanDepartment of Neurology, Chang Gung Memorial Hospital, Kaohsiung Medical Center, Chang Gung University, College of Medicine, Kaohsiung 833, TaiwanDepartment of Neurology, Chang Gung Memorial Hospital, Kaohsiung Medical Center, Chang Gung University, College of Medicine, Kaohsiung 833, TaiwanDepartment of Emergency Medicine, Chang Gung Memorial Hospital, Kaohsiung Medical Center, Chang Gung University, College of Medicine, Kaohsiung 833, TaiwanDepartment of Biological Science, National Sun Yat-sen University, Kaohsiung, TaiwanDepartment of Radiology, Chang Gung Memorial Hospital, Kaohsiung Medical Center, Chang Gung University, College of Medicine, Kaohsiung 833, TaiwanDepartment of Biological Science, National Sun Yat-sen University, Kaohsiung, TaiwanDepartment of Biological Science, National Sun Yat-sen University, Kaohsiung, TaiwanDepartment of Neurology, Chang Gung Memorial Hospital, Kaohsiung Medical Center, Chang Gung University, College of Medicine, Kaohsiung 833, TaiwanDepartment of Biological Science, National Sun Yat-sen University, Kaohsiung, TaiwanBackground. Frozen shoulder syndrome is a common musculoskeletal disease of idiopathic Parkinson’s disease (PD) that causes long-term pain and physical disability. A better understanding of the associated factors can help identify PD patients who will require prevention to improve their quality of life. Methodology. This prospective study evaluated 60 shoulders of 30 PD patients. Correlation analysis was used to evaluate the relationships between clinical factors and shoulder sonography findings. Results. Frozen shoulder syndrome was found in 14 of 30 PD patients affecting 19 shoulders, including bilateral involvement in five and unilateral involvement in nine. There was a significant positive correlation between the parameters of sonography findings and frozen shoulder syndrome (i.e., thickness of bicipital effusion and tendon thickness of the subscapularis and supraspinatus) and mean ipsilateral Unified Parkinson’s Disease Rating Scale (UPDRS) III and its subscores (tremor, rigidity, and bradykinesia scores). Conclusions. Higher ipsilateral UPDRS and subscores are associated with increased effusion around the biceps tendon, with increased tendon thickness of subscapularis and supraspinatus. Preventing frozen shoulder syndrome in the high-risk PD group is an important safety issue and highly relevant for their quality of life.http://dx.doi.org/10.1155/2015/232958
spellingShingle Ya-Ting Chang
Wen-Neng Chang
Nai-Wen Tsai
Kuei-Yueh Cheng
Chih-Cheng Huang
Chia-Te Kung
Yu-Jih Su
Wei-Che Lin
Ben-Chung Cheng
Chih-Min Su
Yi-Fang Chiang
Cheng-Hsien Lu
Clinical Features Associated with Frozen Shoulder Syndrome in Parkinson’s Disease
Parkinson's Disease
title Clinical Features Associated with Frozen Shoulder Syndrome in Parkinson’s Disease
title_full Clinical Features Associated with Frozen Shoulder Syndrome in Parkinson’s Disease
title_fullStr Clinical Features Associated with Frozen Shoulder Syndrome in Parkinson’s Disease
title_full_unstemmed Clinical Features Associated with Frozen Shoulder Syndrome in Parkinson’s Disease
title_short Clinical Features Associated with Frozen Shoulder Syndrome in Parkinson’s Disease
title_sort clinical features associated with frozen shoulder syndrome in parkinson s disease
url http://dx.doi.org/10.1155/2015/232958
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