Influence of shoulder pain on muscle function: implications for the assessment and therapy of shoulder disorders

Research output: Contribution to journalArticle

Authors

  • Filip Struyf
  • Enrique Lluch
  • Mira Meeus
  • Suzie Noten
  • Jo Nijs

Colleges, School and Institutes

External organisations

  • Pain in Motion Research Group
  • Department of Physical Therapy, University of Valencia
  • Department of Rehabilitation Sciences and Physiotherapy, Ghent University
  • University Hospital Brussels
  • Department of Rehabilitation Sciences and Physiotherapy, University of Antwerp
  • Pain in Motion Research Group
  • Department of Physical Therapy, University of Valencia
  • Pain Clinic, Center for Anesthesiology, Emergency and Intensive Care Medicine, University Hospital Göttingen
  • Department of Rehabilitation Sciences and Physiotherapy, Ghent University
  • Vrije Universiteit Brussel

Abstract

Shoulder pain is often a challenging clinical phenomenon because of the potential mismatch between pathology and the perception of pain. Current evidence clearly emphasizes an incomplete understanding of the nature of shoulder pain. Indeed, the effective diagnosis and treatment of shoulder pain should not only rely upon a detailed knowledge of the peripheral pathologies that may be present in the shoulder, but also on current knowledge of pain neurophysiology. To assess and treat shoulder pain, a comprehensive understanding of the way in which pain is processed is essential. This review reflects modern pain neurophysiology to the shoulder and aims to answer the following questions: why does my shoulder hurt? What is the impact of shoulder pain on muscle function? What are the implications for the clinical examination of the shoulder? And finally, what are the clinical implications for therapy? Despite the increasing amount of research in this area, an in-depth understanding of the bidirectional nociception–motor interaction is still far from being achieved. Many questions remain, especially related to the treatment of nociception–motor interactions.

Details

Original languageEnglish
Pages (from-to)225-234
Number of pages10
JournalEuropean journal of applied physiology
Volume115
Issue number2
Publication statusPublished - 2014