Are Psychologic Factors Associated With Shoulder Scores After Rotator Cuff Surgery?

Thorpe, Alison; O’Sullivan, Peter; Mitchell, Tim; Hurworth, Mark; Spencer, Jonathan; Booth, Grant; Goebel, Sven; Khoo, Paul; Tay, Aaron; Smith, Anne

doi:10.1097/corr.0000000000000389

Cited by 65 publications

(66 citation statements)

References 75 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…18, 19, 22, 26, 27, 29, 31, 33-35, 39, 40 In the study of Thorpe et al (2018) however, a predictive role for a psychological cluster consisting of depression, stress, anxiety, self-efficacy, fear-avoidance beliefs and pain catastrophizing was revealed. 38 The predictive value of fear-avoidance beliefs, pain catastrophizing, self-efficacy and expectations of recovery was depended on treatment type. Baseline fear-avoidance results were predictive for pain and disability after surgical treatment, 24,38,39 but not after physiotherapy treatment.…”

Section: Resultsmentioning

confidence: 99%

“…38 The predictive value of fear-avoidance beliefs, pain catastrophizing, self-efficacy and expectations of recovery was depended on treatment type. Baseline fear-avoidance results were predictive for pain and disability after surgical treatment, 24,38,39 but not after physiotherapy treatment. 21,25 Also regarding pain catastrophizing, results indicated that catastrophizing was not predictive for the outcome after physiotherapy treatment.…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

The influence of cognitions, emotions and behavioral factors on treatment outcomes in musculoskeletal shoulder pain: a systematic review

et al. 2019

View full text Add to dashboard Cite

Objective: To examine the predictive, moderating and mediating role of cognitive, emotional and behavioral factors on pain and disability following shoulder treatment. Data Sources: Electronic databases (Pubmed, Web of Science, Embase, PsycINFO) were searched until the 14 th of January 2019. Study selection: Studies including persons with musculoskeletal shoulder pain that describe the predictive, moderating or mediating role of baseline cognitive, emotional or behavioral factors on pain or disability following treatment were selected. Results: Twenty-three articles, describing 21 studies and involving 3769 participants, were included. Three studies had a high risk of bias. There was no predictive role of baseline depression, anxiety, coping, somatisation or distress on pain or disability across types of shoulder treatment. No predictive role of fear-avoidance beliefs was identified in patients receiving physiotherapy, which contrasted to the results found when surgical treatment was applied. Baseline catastrophizing was also not predictive for pain or disability in patients receiving physiotherapy. After conservative medical treatments, results on the predictive role of catastrophizing were inconclusive. Treatment expectations and baseline self-efficacy predicted pain and disability in patients receiving physiotherapy, which was not the case in patients receiving conservative medical treatment. Finally, there was a moderating role for optimism in the relationship between pain catastrophizing and disability in patients receiving physiotherapy. Conclusion: There is evidence that expectations of recovery and self-efficacy have a predictive role and optimism a moderating role on pain and/or disability following physiotherapy for musculoskeletal shoulder pain. After surgical treatment, fear-avoidance is a predictor of pain and disability.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

The influence of cognitions, emotions and behavioral factors on treatment outcomes in musculoskeletal shoulder pain: a systematic review

et al. 2019

View full text Add to dashboard Cite

show abstract

“…For instance, sleep disorders are among the most frequent complaints of patients with RC tears. Recent studies highlighted the impact that other human variables, such as sleep quality, patient expectation, cognitive, affective psychologic factors or distress, and socioeconomic status may have on the clinical results of RC tears [13,[43][44][45][46][47][48][49][50][51].…”

Section: Discussionmentioning

confidence: 99%

Cost-Effectiveness of Supervised versus Unsupervised Rehabilitation for Rotator-Cuff Repair: Systematic Review and Meta-Analysis

Longo

Berton

Ambrogioni

et al. 2020

IJERPH

View full text Add to dashboard Cite

Background: The objective of the present study was to compare the efficacy between supervised and unsupervised rehabilitation after rotator-cuff (RC) repair in terms of clinical outcomes, visual-analog-scale (VAS) score, range of motion (ROM), and risk of retear. Material: a comprehensive search of Pubmed, CINAHL, Cochrane, EMBASE, Ovid, and Google Scholar databases through a combination of the following keywords with logical Boolean operators: “informed”, “uninformed”, “unsupervised”, “supervised”, “rehabilitation”, “physical therapy”, “physical therapies”, “postoperative period”, “physical-therapy techniques”, “physical-therapy technique”, “exercise”, “exercise therapy”, “rotator cuff”, “rotator-cuff tear”, and “rotator-cuff repair”. For each article included in the study, the following data were extracted: authors, year, study design, sample size and demographic features, RC tear characteristics, clinical outcomes, ROM, VAS score, retear rate, and time of follow-up. Meta-analysis was performed in terms of VAS score. Results: Four randomized control trials with 132 patients were included. One study demonstrated significant improvement in VAS, active ROM, and the activity of the muscle’s motor units at stop and during maximal effort in supervised patients. Another one showed lower retear rates in the supervised group. The remaining two randomized controlled trials did not reveal any significant differences between supervised and unsupervised rehabilitation in terms of clinical outcomes. Moreover, higher costs were described for supervised rehabilitation. The VAS was not significantly different in the two groups (9.9 compared with 8.25, p = 0.23). Conclusions: although several publications address the problem of RC lacerations, there is a paucity of evidence in the literature regarding the effectiveness of supervised and unsupervised rehabilitation protocols. This systematic review and meta-analysis showed no significant differences between the two types of rehabilitation in terms of VAS scores, while outlining the pros and cons of each protocol.

show abstract

“…Various studies showed the effect of anxiety and depression on the outcomes of rotator cuff repair surgery [33][34][35]. Lau et al aimed to evaluate the effect of anxiety or depression on the ASES score [36].…”

Section: Discussionmentioning

confidence: 99%

Biceps Tenodesis Combined With Rotator Cuff Repair Increases Functional Status And Elbow Strength In Both Operated And Contralateral Arms

Kılıç

Hapa

Özmanevra

et al. 2020

Preprint

View full text Add to dashboard Cite

Purpose: Aim of the present study was to prospectively evaluate the elbow flexion and supination strengths, and the functional outcomes of patients after arthroscopic rotator cuff repair combined with simultaneous biceps tenodesis.Methods: Nineteen patients who underwent arthroscopic rotator cuff repair and biceps tenodesis with at least 24 months follow-up were included. Patients were evaluated using a visual analogue scale (VAS) for bicipital groove pain, American Shoulder and Elbow Surgeons (ASES), and constant scores(CS), biceps apex distance (BAD), elbow flexion and supination strengths.Results: VAS for biceps groove measurement averages of postoperative 6th, 12th and 24th month were lower in comparison to pre-operative data and were considered to be statistically significant (p<0.05). Constant score, an average of all post-operative measurements and scores were found higher than pre-operative values and was considered to be statistically significant (p<0,01). There was a significant difference in the comparison of operated and contralateral forearm supination and elbow flexion muscle strength measurements at postoperative 3rd and 6th-month follow-up (p<0.01).Conclusion: Arthroscopic biceps tenodesis into the anchors of lateral row combined rotator cuff repair provides an increase in strength of elbow flexion and forearm supination, while decreases pain. Level of Evidence: Level IV

show abstract

Are Psychologic Factors Associated With Shoulder Scores After Rotator Cuff Surgery?

Abstract: Level II, therapeutic study.

Cited by 65 publications

References 75 publications

The influence of cognitions, emotions and behavioral factors on treatment outcomes in musculoskeletal shoulder pain: a systematic review

The influence of cognitions, emotions and behavioral factors on treatment outcomes in musculoskeletal shoulder pain: a systematic review

Cost-Effectiveness of Supervised versus Unsupervised Rehabilitation for Rotator-Cuff Repair: Systematic Review and Meta-Analysis

Biceps Tenodesis Combined With Rotator Cuff Repair Increases Functional Status And Elbow Strength In Both Operated And Contralateral Arms

Contact Info

Product

Resources

About