Banca de QUALIFICAÇÃO: ARACELE GONÇALVES VIEIRA

Uma banca de QUALIFICAÇÃO de DOUTORADO foi cadastrada pelo programa.
STUDENT : ARACELE GONÇALVES VIEIRA
DATE: 28/04/2025
TIME: 14:00
LOCAL: Remoto
TITLE:

The influence of different aspects of shoulder clinical assessment on the
performance-based functionality of the upper limb: a cross-sectional study.

 

KEY WORDS:

Shoulder; function; outcome measures; evaluation.

PAGES: 75
BIG AREA: Ciências da Saúde
AREA: Fisioterapia e Terapia Ocupacional
SUMMARY:

Introduction: Understanding how demographic, anthropometric, clinical and physical characteristics influence functionality is essential for therapeutic decision- making related to rehabilitation and disability prevention. However, the integrated contribution of these aspects to upper limb functionality based on physical
performance has not yet been studied. Objectives: To identify the extent to which
demographic, anthropometric, clinical, and physical characteristics influence upper
limb performance-based functionality. Methods: Individuals with (n=46) and without
shoulder pain (n=43) participated in this study. They were assessed for their
personal characteristics, self-reported shoulder pain and function using the Penn
Shoulder Score questionnaire, range of motion and maximum isometric strength of
the muscles that make up the shoulder complex, and performance-based
functionality using the Shoulder Performance Activity Test (SPAT). The assessment
of the influence of demographic, anthropometric, clinical, and physical variables on
functional performance using the SPAT was performed using linear regression
analysis in blocks with the forced entry method. The variables tested were inserted
into the blocks according to the result of the correlations between the predictor and
predictive variables. Results: The factors group, sex, mean pain on the Penn,
flexion and external rotation ROM, external rotation strength, and pain during the
execution of the internal rotation force explained 68% of the variance of the total
SPAT. The same factors, with the exception of sex and external rotation ROM,
explained 63% of the variance of the overhead reaching task of the SPAT. For the
behind-the-head reaching task of the SPAT, the factors group, mean pain on the
Penn, flexion ROM, lifting strength, and pain during the lifting force explained 62%
of the variance. For the back reaching task of the SPAT, the factors group, pain
during strenuous activities reported by the Penn, flexion ROM, internal rotation
strength, and pain during the execution of the lifting force explained 61% of its
variance. Conclusion: The factors that most strongly influence functionality by
physical performance measured by SPAT are being in the Pain group and the level
of pain reported in the self-report questionnaire, that is, variables related to clinical
aspects, which influenced the performance of the three SPAT tasks as well as its
total score. Of the factors related to the physical examination, shoulder flexion ROM
was the only variable that influenced the performance of the three SPAT tasks and
its total score.
Impact: Having shoulder pain, regardless of the affected limb, is the main factor
that impacts performance-based functionality, followed by pain perception in the last
week. The physical aspects of ROM, strength and pain during the execution of force
influence performance-based functionality, but to a lesser degree. Thus, the results
of this study direct clinicians to develop rehabilitation approaches that focus not only
on the affected shoulder and physical aspects, but on aspects related to the
individuals' pain perception.

 

 

COMMITTEE MEMBERS:
Presidente - 1081828 - CATARINA DE OLIVEIRA SOUSA
Externo à Instituição - DANILO HARUDY KAMINSEKI
Interna - 1140906 - GERMANNA DE MEDEIROS BARBOSA