The Relationship between DASH, SST and CMS Scores in Assessing Shoulder Function: A Comparative Study between VR and Traditional Treatment
DOI:
https://doi.org/10.18662/po15.1/614Keywords:
Subacromial Impingement Syndrome, Virtual Therapy, Constant-Murley Score, Disabilities of the Arm, Shoulder and Hand (DASH) Score, Simple Shoulder Test (SST), RecoveryAbstract
Subacromial impingement syndrome is a common condition in clinical practice, characterized by shoulder pain and functional limitations. This study aims to compare the effectiveness of virtual reality-based therapy (VR) and traditional therapy in improving functional outcomes, while also analyzing correlations between key assessment tools: the Disabilities of the Arm, Shoulder, and Hand Score (DASH), the Simple Shoulder Test (SST), and the Constant-Murley Score (CMS). Patients were divided into two groups (VR therapy vs. traditional therapy), and their progress was assessed using these tools. The results revealed significant improvements in functional scores for both groups, with the VR group demonstrating slightly superior outcomes. VR has not only revolutionized individual patient care but also provided scalable solutions in physiotherapy clinics, aligning with modern healthcare management principles. A correlation analysis indicated strong positive relationships between DASH, SST, and CMS scores, highlighting their consistency in evaluating shoulder function. Additionally, significant negative correlations were observed between functional scores and pain ratings, emphasizing the critical role of pain management in treatment success. These findings suggest that VR therapy is an effective complement to traditional methods, providing enhanced engagement and measurable improvements in shoulder function. The study underscores the importance of integrating innovative approaches like VR into rehabilitation strategies, paving the way for personalized and multidimensional care in subacromial impingement syndrome. This study highlights how VR-based interventions align with international trends in digital health innovation, particularly in East European rehabilitation centers that have successfully integrated VR-based therapies.
References
Baldominos, A., Saez, Y., & Del Pozo, C. G. (2015). An approach to physical rehabilitation using state-of-the-art virtual reality and motion tracking technologies. Procedia Computer Science, 64, 10-16. https://doi.org/10.1016/j.procs.2015.08.457
Burdea G. C. (2003). Virtual rehabilitation--benefits and challenges. Methods of information in medicine, 42(5), 519–523.
Dascal, J., Reid, M W., IsHak, W W., Spiegel, B., Recacho, J., Rosen, B. T., & Danovitch, I. (2017). Virtual reality and medical inpatients: A systematic review of randomized, controlled trials. National Institutes of Health, 14(1-2), 14-21. https://pubmed.ncbi.nlm.nih.gov/28386517
Del Sordo, G., Moyer, E., Goode, D., & Hout, M. C. (2020). This will only hurt for a minute: How our brains plan for pain. Frontiers for Young Minds. 8:539649. https://doi.org/10.3389/frym.2020.539649
Dewil, S., Kuptchik, S., Liu, M., Sanford, S., Bradbury, T., Davis, E., ... & Nataraj, R. (2023). The cognitive basis for virtual reality rehabilitation of upper-extremity motor function after neurotraumas. Journal on Multimodal User Interfaces, 17(3), 105-120. https://doi.org/10.1007/s12193-023-00406-9
Dong, W., Goost, H., Lin, X. B., Burger, C., Paul, C., Wang, Z. L., ... & Kabir, K. (2015). Treatments for shoulder impingement syndrome: a PRISMA systematic review and network meta-analysis. Medicine, 94(10), e510. https://doi.org/10.1097/md.0000000000000510
Elor, A., & Kurniawan, S. (2020). The ultimate display for physical rehabilitation: a bridging review on immersive virtual reality. Frontiers in Virtual Reality, 1, 585993. https://doi.org/10.3389/frvir.2020.585993
Emedoli, D., Alemanno, F., Iannaccone, S., Houdayer, E., Castellazzi, P., Zangrillo, F., ... & Tettamanti, A. (2024). Sensory-motor training with virtual reality as a complementary intervention to manual therapy for persistent non-specific neck pain: a randomized controlled trial. European Journal of Physical and Rehabilitation Medicine, 60(4), 680. https://doi.org/10.23736/s1973-9087.24.08115-2
Gumaa, M., & Rehan Youssef, A. (2019). Is virtual reality effective in orthopedic rehabilitation? A systematic review and meta-analysis. Physical therapy, 99(10), 1304-1325. https://doi.org/10.1093/ptj/pzz093
He, H., Hu, L., Tan, S., Tang, Y., Duan, M., Yao, D., ... & Luo, C. (2023). Functional changes of white matter are related to human pain sensitivity during sustained Nociception. Bioengineering, 10(8), 988. https://doi.org/10.3390/bioengineering10080988
Hoffman, H. G., Boe, D. A., Rombokas, E., Khadra, C., LeMay, S., Meyer, W. J., ... & Pitt, S. W. (2020). Virtual reality hand therapy: A new tool for nonopioid analgesia for acute procedural pain, hand rehabilitation, and VR embodiment therapy for phantom limb pain. Journal of Hand Therapy, 33(2), 254-262. https://doi.org/10.1016/j.jht.2020.04.001
Hoffman, H. G., Patterson, D. R., Carrougher, G. J., & Sharar, S. R. (2001). Effectiveness of virtual reality–based pain control with multiple treatments. The Clinical Journal of Pain, 17(3), 229-235. https://doi.org/10.1097/00002508-200109000-00007
Krueger, A. B., & Stone, A. A. (2014). Progress in measuring subjective well-being. Science, 346(6205), 42-43. https://doi.org/10.1126/science.1256392
Ku, J., & Kang, Y. J. (2018). Novel virtual reality application in field of neurorehabilitation. Brain & Neurorehabilitation, 11(1), e5. https://doi.org/10.12786/bn.2018.11.e5
Laver, K. E., Lange, B., George, S., Deutsch, J. E., Saposnik, G., & Crotty, M. (2017). Virtual reality for stroke rehabilitation. The Cochrane database of systematic reviews, 11(11), CD008349. https://doi.org/10.1002/14651858.CD008349.pub4
Molina-Espeja, P., Garcia-Ruiz, E., Gonzalez-Perez, D., Ullrich, R., Hofrichter, M., & Alcalde, M. (2014). Directed evolution of unspecific peroxygenase from Agrocybe aegerita. Applied and environmental microbiology, 80(11), 3496–3507. https://doi.org/10.1128/AEM.00490-14
O’Neil, O., Fernandez, M. M., Herzog, J., Beorchia, M., Gower, V., Gramatica, F., ... & Kiwull, L. (2018). Virtual reality for neurorehabilitation: insights from 3 European clinics. PM&R, 10(9), S198-S206. https://doi.org/10.1016/j.pmrj.2018.08.375
Pilutti, L. A., & Hicks, A. L. (2013). Rehabilitation of ambulatory limitations. Physical Medicine and Rehabilitation Clinics, 24(2), 277-290. https://doi.org/10.1016/j.pmr.2012.11.008
Pirovano, M., Surer, E., Mainetti, R., Lanzi, P. L., & Borghese, N. A. (2016). Exergaming and rehabilitation: A methodology for the design of effective and safe therapeutic exergames. Entertainment Computing, 14, 55-65. https://doi.org/10.1016/j.entcom.2015.10.002
Riva, G. (2009). Virtual reality: an experiential tool for clinical psychology. British Journal of Guidance & Counselling, 37(3), 337-345. https://doi.org/10.1080/03069880902957056
Rose, T., Nam, C. S., & Chen, K. B. (2018). Immersion of virtual reality for rehabilitation-Review. Applied ergonomics, 69, 153-161. https://doi.org/10.1016/j.apergo.2018.01.009
Spiegel, B. M. (2018). Virtual medicine: How virtual reality is easing pain, calming nerves and improving health. The Medical Journal of Australia, 209(6), 245-247. https://doi.org/10.5694/mja17.00540
Sunda, M., Gilic, B., Sekulic, D., Matic, R., Drid, P., Alexe, D. I., ... & Lupu, G. S. (2022). Out-of-school sports participation is positively associated with physical literacy, but what about physical education? A cross-sectional gender-stratified analysis during the COVID-19 pandemic among high-school adolescents. Children, 9(5), 753. https://doi.org/10.3390/children9050753
Sveistrup, H. (2004). Motor rehabilitation using virtual reality. Journal of Neuroengineering and Rehabilitation, 1(1), 10–10. https://doi.org/10.1186/1743-0003-1-10
Van Straaten, M. G., Cloud, B. A., Zhao, K. D., Fortune, E., & Morrow, M. M. B. (2017). Maintaining Shoulder Health After Spinal Cord Injury: A Guide to Understanding Treatments for Shoulder Pain. Archives of physical medicine and rehabilitation, 98(5), 1061–1063. https://doi.org/10.1016/j.apmr.2016.10.005
Viglialoro, R. M., Turini, G., Condino, S., Ferrari, V., & Gesi, M. (2019). Proof of concept: VR rehabilitation game for people with shoulder disorders. In International Conference on Augmented Reality, Virtual Reality and Computer Graphics (pp. 344-350). Cham: Springer International Publishing. https://doi.org/10.1007/978-3-030-25965-5_25
Wang, C., Kong, J., & Qi, H. (2023). Areas of Research Focus and Trends in the Research on the Application of VR in Rehabilitation Medicine. Healthcare (Basel, Switzerland), 11(14), 2056. https://doi.org/10.3390/healthcare11142056
Wiederhold, B. K., Soomro, A., Riva, G., & Wiederhold, M. D. (2014). Future directions: advances and implications of virtual environments designed for pain management. Cyberpsychology, Behavior, and Social Networking, 17(6), 414-422. https://doi.org/10.1089/cyber.2014.0197
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 The Authors & LUMEN Publishing House
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant this journal right of first publication, with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work, with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g. post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g. in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as an earlier and greater citation of published work (See The Effect of Open Access).
Postmodern Openings Journal has an Attribution-NonCommercial-NoDerivs
CC BY-NC-ND
