Evidence map›Paper›PMID 35219313›Full record

ArticleBMC musculoskeletal disorders2022

Fear of movement and emotional distress as prognostic factors for disability in patients with shoulder pain: a prospective cohort study.

Daniel H Major, Yngve Røe, Milada Cvancarova Småstuen, Danielle van der Windt, Torill Bjugan Sandbakk, Marit Jæger, Margreth Grotle

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC musculoskeletal disorders, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.9field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 12 citations in OpenAlex.

  1. Trial
  2. Trajectory patterns and factors associated with shoulder-related quality of life in patients with head and neck cancer after neck dissection: A longitudinal study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Determinants of Pain-Induced Disability in German Women with Endometriosis during the COVID-19 Pandemic.International journal of environmental research and public health · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 2 countries.

Daniel H MajorDepartment of Physiotherapy, Oslo Metropolitan University, Oslo, Norway. danima@oslomet.no.
Yngve RøeDepartment of Physiotherapy, Oslo Metropolitan University, Oslo, Norway.
Milada Cvancarova SmåstuenDepartment of Physiotherapy, Oslo Metropolitan University, Oslo, Norway.
Danielle van der WindtPrimary Care Centre Versus Arthritis, School of Medicine, Keele University, Keele, Staffordshire, UK.
Torill Bjugan SandbakkOutpatient Clinic for Physical Medicine and Neuropsychology, Helse Møre Og Romsdal HF, Aalesund, Norway.
Marit JægerOutpatient Clinic for Physical Medicine and Neuropsychology, Helse Møre Og Romsdal HF, Aalesund, Norway.
Margreth GrotleDepartment of Physiotherapy, Oslo Metropolitan University, Oslo, Norway.
OsloMet – Oslo Metropolitan University · NOHelse Møre og Romsdal HF · NOKeele University · GBOslo University Hospital · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundShoulder pain is a prevalent and often long-lasting musculoskeletal disorder. The overall prognosis of shoulder pain is highly variable with 40-50% of patients reporting persistent pain 6-12 months after consulting a clinician. The evidence for psychological prognostic factors for patients with shoulder pain is inconsistent. Therefore, the objective of this study was to investigate the association between fear of movement and emotional distress at presentation and self-reported disability over one year of follow-up.

methodsThis is a prospective cohort study of consecutive patients referred to secondary outpatient care due to shoulder pain. Consenting patients underwent a physical examination and completed a comprehensive questionnaire at baseline, three months-, and one-year follow-up. Associations between baseline fear of movement (0-10) or emotional distress (1-4), respectively, and patient reported disability measured using Quick Disability of the Arm and Shoulder (QuickDASH, 0-100) over one year were analyzed with linear mixed-effects models (LMM) for repeated measures (baseline, 3 months and 1 year), adjusting for established prognostic factors.

resultsA total of 138 patients were recruited between March 2015 and January 2018, with response rates of 84.7% (n = 117) and 79.7% (n = 100) at three months and one year, respectively. Adjusted associations revealed that for every point increase in baseline fear of movement, the QuickDASH score increased (worsened) by 1.10 points (95% CI 0.2-2.0) over the follow-up year. For every point increase in baseline emotional distress, the QuickDASH score increased by 19.9 points (95% CI 13.9-25.9) from baseline over the follow-up year.

conclusionHigher fear of movement and emotional distress scores at baseline were significantly associated with higher disability over one year in patients with shoulder pain referred to secondary care. Our study indicates that these psychological factors affect prognosis and should be considered by clinicians and researchers working with patients with shoulder pain.

Indexed as

Psychological DistressShoulder PainDisability EvaluationFearHumansPain MeasurementPrognosisProspective Studies

Identifiers

PMID35219313
PMCPMC8882288
OpenAlexW4214687223

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.