ISSN : 2663-2187

Correlation between Shoulder Pain and Proprioception Post Abdominal Laparoscopic Surgeries

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Hussein G. Mogahed , Rana M. Hamouda, Maged Z. Youssef , Aya G. F. Elsayed
» doi: 10.33472/AFJBS.6.Si3.2024.243-254

Abstract

Shoulder pain is one of the initial symptoms that occur after laparoscopic surgery, caused by the presence of carbon dioxide used for pneumoperitoneum, which stays in the abdominal cavity. Proprioception, the sensory perception of the position and motion of joints, plays a vital role in preserving joint stability as well as coordinating motions. The relationship among shoulder proprioception, pain intensity, as well as functional impairment in patients experiencing shoulder pain after abdominal laparoscopic surgery is still uncertain, as there are contradictory results in the existing literature. Purpose: The aim of this study was to assess the impact of shoulder pain on shoulder proprioception after abdominal laparoscopic surgeries. Methodology: Thirty-eight post abdominal laparoscopic surgery both sex patients, their age range was 30-50 years old, were randomly allocated from October 6 University Hospital, throughout the period between October and February 2023/2024, Patients were assigned to groups in a random manner one group (study group), the study lasted one week, the assessments were performed on the selected patients three times; preoperative, first day postoperative then one week postoperative. All demographic data recorded and shoulder proprioception was evaluated via Laser pointer as well as digital inclinometer, to determine joint position sense at a specific angle of flexion (90°). Functional disability was assessed through the Shoulder Pain and Disability Index (SPADI), while pain intensity was assessed using the visual analog scale (VAS). All demographic data were properly recorded. Following this, statistical analyses were performed with a 95% confidence interval. Result: There was a moderately positive correlation between laser pointer angle reproduction test (LP-ART) as well as VAS (r = 0.46, p = 0.003), LP-ART and SPADI with pain (r = 0.43, p = 0.007), and total SPADI (r = 0.32, p = 0.04), while there was a non-significant correlation with disability score (r = 0.20, p = 0.24). Conclusion: A moderate positive correlation among joint position error (JPE) at 90 angle of flexion as well as pain intensity in addition moderate positive significant correlation among LP-ART with both pain score and total SPADI score, whereas there was non-significant correlation among LP-ART as well as disability score.

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