Journal Information
Vol. 29. Issue S1.
II ABRAPG-FT Student Conference
(1 November 2025)
Vol. 29. Issue S1.
II ABRAPG-FT Student Conference
(1 November 2025)
223
Full text access
PSYCHOSOCIAL PROFILE OF INDIVIDUALS WITH FROZEN SHOULDER: PAIN, DISABILITY, PSYCHOLOGICAL FACTORS, AND SLEEP QUALITY
Visits
3
Romário Nóbrega Santos Fonsecaa, Alessandra Pereira Ribeirob, Bianca Mirelle Ferreira de Souzaa, Aliuska Souza Santosa, Janilton Nathanael Silvaa, Pablo Oscar Policastroc,d, Danilo Harudy Kamonsekie, Germanna de Medeiros Barbosaa,b
a Postgraduate Program in Physical Therapy, School of Health Sciences of Trairi, Universidade Federal do Rio Grande do Norte (UFRN), Santa Cruz, RN, Brazil
b School of Health Sciences of Trairi, Universidade Federal do Rio Grande do Norte (UFRN), Santa Cruz, RN, Brazil
c Physical Therapy Unit, Hospital General de Agudos C. G. Durand, Buenos Aires, Argentina
d Postgraduate Program in Physical Therapy, Department of Physical Therapy, Universidade Federal de São Carlos (UFSCar), São Carlos, SP, Brazil
e Department of Physical Therapy, Universidade Federal da Paraíba (UFPB), João Pessoa, PB, Brazil
This item has received
Article information
Special issue
This article is part of special issue:
Vol. 29. Issue S1

II ABRAPG-FT Student Conference

More info
Background

Frozen shoulder is a musculoskeletal condition haracterized by pain and progressive restriction of mobility, significantly impacting the functionality of affected individuals. In addition to physical limitations, psychological factors, and sleep patterns may play a relevant role in this condition. Identifying the psychosocial characteristics of these patients can provide essential information to enhance therapeutic approaches and personalize treatment, considering the particularities of individuals with this condition.

Objectives

To describe the psychosocial profile of individuals with frozen shoulder.

Methods

This is a cross-sectional study conducted via video call using Google Meet® with individuals diagnosed with primary and secondary frozen shoulder. Sociodemographic data were collected, and instruments were applied to assess pain (Numerical Pain Scale), disability (Shoulder Pain and Disability Index), anxiety and depression (Hospital Anxiety and Depression Scale), kinesiophobia (Tampa Scale for Kinesiophobia-11), pain catastrophizing (Pain Catastrophizing Scale), and sleep quality (Pittsburgh Sleep Quality Index). Descriptive analysis was performed using IBM® SPSS 22 software, according to the specific cut-off points of each instrument, presenting the results in percentages, means, and standard deviations. RESULTS: The sample consisted of 96 individuals, 57 diagnosed with primary frozen shoulder and 39 with secondary frozen shoulder (72 women, mean age = 53.1 ± 10.8 years, symptom duration = 6.1 ± 4.2 months). Most participants (60.4%) reported pain equal to or greater than 7 points, while 75% presented significant functional disability, with scores above 40. Regarding psychological aspects, 98.9% demonstrated high levels of kinesiophobia, with scores above 17, and 56.2% exhibited signs of anxiety, with scores equal to or greater than 9. Sleep quality was considered poor in 36.4% of individuals (scores equal to or greater than 5), and 57.2% presented sleep disorders (scores equal to or greater than 10). In contrast, most participants showed no signs of depression (83.3% with scores below 9) or pain catastrophizing (54.1% with scores equal to or below 30). Conclusion: The results indicate that individuals with frozen shoulder experience intense pain and functional disability associated with high levels of kinesiophobia and anxiety. Additionally, a significant portion of the sample reported inadequate sleep patterns. Implications: These findings reinforce the need for integrated therapeutic strategies that address not only physical aspects but also the emotional and behavioral components involved in this condition. Therefore, an interdisciplinary approach incorporating strategies for pain management, psychological support, and health education to reduce fear of movement and improve sleep habits may promote a more effective rehabilitation process and contribute to better clinical outcomes in this condition.

Conclusion

The results indicate that individuals with frozen shoulder experience intense pain and functional disability associated with high levels of kinesiophobia and anxiety. Additionally, a significant portion of the sample reported inadequate sleep patterns.

Implications

These findings reinforce the need for integrated therapeutic strategies that address not only physical aspects but also the emotional and behavioral components involved in this condition. Therefore, an interdisciplinary approach incorporating strategies for pain management, psychological support, and health education to reduce fear of movement and improve sleep habits may promote a more effective rehabilitation process and contribute to better clinical outcomes in this condition.

Keywords:
Frozen shoulder
shoulder pain
biopsychosocial model
Full text is only available in PDF

Conflict of interest: The authors declare no conflict of interest.

Funding: CAPES - Finance Code 001.

Ethics committee approval: No. 6.902.189.

Registration: Not applicable.

Download PDF
Idiomas
Brazilian Journal of Physical Therapy
Article options
Tools