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Computerized Dynamic Posturography for Postural Control Assessment in Patients with Intermittent Claudication

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Do Pain Duration and Affected Side Affect Balance in Shoulder Pathologies? A Controlled Study.

Meryem Buke¹, Fatma Unver², Gulsum Tikac³

¹Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Van Yuzuncu Yil University, Van, Turkey.

Die Rehabilitation

|July 8, 2025

Summary

Shoulder pathologies impair balance, with longer pain duration worsening dynamic balance. Early intervention may be key for individuals experiencing shoulder pain and balance issues.

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Area of Science:

Rehabilitation Science
Musculoskeletal Disorders
Biomechanics

Background:

Shoulder pathologies are common and can significantly affect an individual's quality of life.
Balance is crucial for daily activities and fall prevention, yet the impact of shoulder issues on balance is not fully understood.
Understanding how pain duration and affected side influence balance is vital for targeted rehabilitation strategies.

Purpose of the Study:

To investigate the impact of shoulder pathologies on both static and dynamic balance.
To analyze how pain duration and the affected shoulder side influence balance performance.
To provide insights into the relationship between shoulder health and overall postural stability.

Main Methods:

Fifty-five individuals with shoulder pathology were assessed.
Participants were grouped based on pain duration (less than six months vs. longer) and affected shoulder side.
Balance was evaluated using the Timed Up and Go (TUG) test and the One Leg Stand (OLS) test under various conditions (hard/soft ground, eyes open/closed).

Main Results:

Longer pain duration negatively impacted dynamic balance, with individuals experiencing pain for less than six months showing better TUG results (p=0.027).
No significant differences in balance test results were found concerning the affected shoulder side (left vs. right).
Shoulder pathology was demonstrated to negatively affect both dynamic and static balance capabilities.

Conclusions:

Shoulder pathologies significantly impair individuals' dynamic and static balance.
Increasing pain duration in shoulder pathologies is directly correlated with a decline in dynamic balance.
The findings underscore the importance of addressing shoulder health for maintaining overall balance and reducing fall risk.