Cluster Analysis of Subjective Shoulder Stiffness and Muscle Hardness: Associations with Central Sensitization-Related Symptoms

oleh: Natsuna Komoto, Hanako Sakebayashi, Naoto Imagawa, Yuji Mizuno, Ibuki Nakata, Hayato Shigetoh, Takayuki Kodama, Junya Miyazaki

Format: Article
Diterbitkan: MDPI AG 2023-10-01

Deskripsi

<i>Background and Objectives</i>: Understanding the relationships between subjective shoulder stiffness, muscle hardness, and various factors is crucial. Our cross-sectional study identified subgroups of shoulder stiffness based on symptoms and muscle hardness and investigated associated factors. <i>Materials and Methods</i>: measures included subjective stiffness, pain, muscle hardness, and factors like physical and psychological conditions, pressure pain threshold, postural alignment, heart rate variability, and electroencephalography in 40 healthy young individuals. <i>Results</i>: Three clusters were identified: Cluster 1 with high stiffness, pain, and muscle hardness; Cluster 2 with low stiffness and pain but high muscle hardness; and Cluster 3 with low levels of all factors. Cluster 1 had significantly higher central sensitization-related symptoms (CSS) scores than Cluster 2. Subjective stiffness is positively correlated with psychological factors. <i>Conclusions</i>: our results suggest that CSS impacts subjective symptom severity among individuals with similar shoulder muscle hardness.