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Journals / Turkish Journal of Kinesiology / 2026 / Volume: 12 Issue: 4

Associations between pain severity and physical, psychosocial, and health literacy-related factors in shoulder pathologies

Mehmet Canlı(Department of Physiotherapy and Rehabilitation, School of Physical Therapy and Rehabilitation, Kırşehir Ahi Evran University, Kırşehir, Türkiye.)0000-0002-8868-9599
İrem Canlı(Department of Physiotherapy and Rehabilitation, School of Physical Therapy and Rehabilitation, Kırşehir Ahi Evran University, Kırşehir, Türkiye.)0000-0003-4478-3660
Hikmet Kocaman(Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Karamanoğlu Mehmetbey University, Karaman, Türkiye.)0000-0001-5971-7274
Şafak Kuzu(Department of Physiotherapy and Rehabilitation, School of Physical Therapy and Rehabilitation, Kırşehir Ahi Evran University, Kırşehir, Türkiye.)0000-0003-0145-3565
Anıl Özüdoğru(Department of Physiotherapy and Rehabilitation, School of Physical Therapy and Rehabilitation, Kırşehir Ahi Evran University, Kırşehir, Türkiye.)0000-0002-7507-9863
Yusuf Topal(Department of Physiotherapy and Rehabilitation, School of Physical Therapy and Rehabilitation, Kırşehir Ahi Evran University, Kırşehir, Türkiye.)0000-0002-4685-1746
Özlem Yamanyurt(Department of Physiotherapy and Rehabilitation, School of Physical Therapy and Rehabilitation, Kırşehir Ahi Evran University, Kırşehir, Türkiye.)0009-0000-9558-7438
Kübra Şahin(Department of Physiotherapy and Rehabilitation, School of Physical Therapy and Rehabilitation, Kırşehir Ahi Evran University, Kırşehir, Türkiye.)0009-0009-9587-9276
Neziha Nur Tanrıverdi(Department of Physiotherapy and Rehabilitation, School of Physical Therapy and Rehabilitation, Kırşehir Ahi Evran University, Kırşehir, Türkiye.)0009-0007-9443-0704
Nadire Sultan Dolma(Department of Physiotherapy and Rehabilitation, School of Physical Therapy and Rehabilitation, Kırşehir Ahi Evran University, Kırşehir, Türkiye.)0009-0002-7215-735X
Pages
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Publication Date
2026-08-29
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

These findings support the consideration of a multidimensional assessment approach in shoulder rehabilitation.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:This study aimed to examine the associations between pain severity and physical, psychosocial, and health literacy-related factors in individuals with shoulder pathologies.
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Key Findings & Data:Rest pain showed the strongest correlation with hand grip strength (r=-0.754), followed by upper extremity disability (r=0.690) and physical quality of life (r=-0.677).
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Conclusion & Impact:These findings support the consideration of a multidimensional assessment approach in shoulder rehabilitation.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Health literacy · kinesiophobia · pain

Abstract

This study aimed to examine the associations between pain severity and physical, psychosocial, and health literacy-related factors in individuals with shoulder pathologies. Seventy individuals with physician-diagnosed shoulder pathologies were included in this cross-sectional study. Pain severity was assessed using the Visual Analog Scale at rest, during activity, and at night. Hand grip strength, kinesiophobia, upper extremity disability, health-related quality of life, digital health literacy, and perceived exercise benefits/barriers were evaluated using validated tools. Pearson correlation analysis was used to examine the relationships between pain scores and clinical variables. Pain severity was negatively correlated with hand grip strength, health-related quality of life, digital health literacy, and exercise-related perceptions, and positively correlated with upper extremity disability and kinesiophobia scores. Rest pain showed the strongest correlation with hand grip strength (r=-0.754), followed by upper extremity disability (r=0.690) and physical quality of life (r=-0.677). Activity pain was moderately associated with hand grip strength (r=-0.659), upper extremity disability (r=0.526), and exercise-related perceptions (r=-0.501). Night pain demonstrated the strongest associations with hand grip strength (r=-0.773), physical quality of life (r=-0.730), and upper extremity disability (r=0.718) (all p<0.05). In this cross-sectional study, pain severity in individuals with shoulder pathologies was associated with physical function, grip strength, health-related quality of life, kinesiophobia, digital health literacy, and exercise-related perceptions. These findings support the consideration of a multidimensional assessment approach in shoulder rehabilitation.

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Cite This Article

Canlı, M., Canlı, İ., Kocaman, H., Kuzu, Ş., Özüdoğru, A., Topal, Y., Yamanyurt, Ö., Şahin, K., Tanrıverdi, N. N., Dolma, N. S. (2026). Associations between pain severity and physical, psychosocial, and health literacy-related factors in shoulder pathologies. Turkish Journal of Kinesiology, Volume: 12 Issue: 4. https://doi.org/10.31459/turkjkin.1976377

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