Pain associated psychological distress is more strongly associated with shoulder pain and function than tear severity in patients undergoing rotator cuff repair

Okafor, Chinedu; Levin, Jay M.; Boadi, Prince; Cook, Chad; George, Steven Z.; Klifto, Chris; Anakwenze, Oke

doi:10.1016/j.jseint.2023.02.010

Cited by 5 publications

(4 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Although not statistically compared in this study, OSPRO-YF score point estimates and confidence intervals reported in civilian samples 33,43,46 suggest potentially higher levels of anger, pain catastrophizing, fear avoidance for physical activity, and kinesiophobia and lower levels of self-efficacy for pain management and rehabilitation in our sample. These comparisons require confirmation in future studies but would align with previous reports in the literature showing high rates of mental health disorders in military settings compared to the general population.…”

Section: Discussioncontrasting

confidence: 63%

General and Pain‐Associated Psychological Distress Phenotypes Among Patients With Low Back Pain in the Military Health System

Rhon,

George,

Greenlee

et al. 2024

Arthritis Care & Research

View full text Add to dashboard Cite

ObjectivesThe primary objective was to describe rates of general and pain‐related psychological distress for individuals with low back pain (LBP) in the Military Health System (MHS). We identified common phenotypes defined by rates of general and pain‐related psychological distress and compared phenotypes on their level of pain interference, physical function, anxiety, and depression.MethodsWe created a cohort from two completed trials assessing non‐pharmacological treatment for LBP in the MHS (n=510 total). The Optimal Screening for Prediction of Referral and Outcome Yellow Flag (OSPRO‐YF) assessment tool identified the presence of 11 different yellow flags. Latent class analysis (LCA) used yellow flag indicators to identify common psychological phenotypes. We then compared PROMIS measures of pain interference, physical function, sleep disturbance, depression, and anxiety across phenotypes.ResultsLCA identified five phenotypes (percentage of the sample): low distress (32%), high distress (27%), poor pain coping and low self‐efficacy (18%), low self‐efficacy and acceptance (14%), and poor pain coping (10%). Highly distressed phenotypes reported higher levels of pain interference, sleep disturbance, depression, and anxiety than those with other phenotypes, while the low distress phenotype had significantly lower pain interference and higher physical function scores than those characterized by all other phenotypes.ConclusionThese phenotypes provide opportunities for clinicians and researchers to develop novel LBP treatment pathways tailored to patients with different profiles of psychological distress. Future work is needed to validate their predictive capabilities for clinical outcomes.

show abstract

Section: Discussioncontrasting

confidence: 63%

General and Pain‐Associated Psychological Distress Phenotypes Among Patients With Low Back Pain in the Military Health System

Rhon,

George,

Greenlee

et al. 2024

Arthritis Care & Research

View full text Add to dashboard Cite

show abstract

“…Furthermore, Okafor et al. 64 found lower levels of negative mood and increased levels of fear avoidance and positive affect/coping in their study on patients with rotator cuff tears. Existing literature has found increased adverse outcomes in patients with higher levels of fear avoidance and negative mood, but little data exist on specific psychological interventions used in orthopaedic patients to help reduce pain.…”

Section: Discussionmentioning

confidence: 84%

Pain-Associated Psychological Distress Is of High Prevalence in Patients With Hip Pain: Characterizing Psychological Distress and Phenotypes

Cabell,

Kwon,

Sutton

et al. 2024

Arthroscopy, Sports Medicine, and Rehabilitation

View full text Add to dashboard Cite

“…This disease has brought physical and psychological burdens to many people in all countries and brought great suffering. It has aroused more and more concern all over the world [26,27]. MS therapy is widely used in physical therapy for the treatment of shoulder pain [28,29].…”

Section: Discussionmentioning

confidence: 99%

"Massage/Tuina for Periarthritis of Shoulder: A Systematic Review and Meta-Analysis"

Xu,

Zhang

2024

BJSTR

View full text Add to dashboard Cite

Background: Arthritis around the shoulder is more likely to occur in people around the age of 50, so it is commonly known as "fifty shoulders" or "frozen shoulders". The main symptom of shoulder periarthritis is pain around the shoulder joint, sometimes radiating to the upper arm. The pain is obvious at night, and the movement of the shoulder joint is limited, leading to contracture and adhesion of limited movement. Traditional Chinese medicine believes that physical weakness may be a factor in the occurrence of shoulder periarthritis, and many patients use massage (MS) to alleviate the symptoms of shoulder periarthritis.Objective: To evaluate the effectiveness of MS in the treatment of shoulder periarthritis. Methods:We searched 10 English and Chinese databases for randomized controlled trials (RCTs) of MS in the treatment of shoulder periarthritis. The PEDro scale was used to evaluate the methodological quality of randomized controlled trials. A meta-analysis of MS for shoulder periarthritis was Performed. Results:The meta-analysis included fourteen high-quality studies. The results showed superior effects of MS on pain reduction (N=760; SMD, 1.21; 95% CI, 0.88 to -1.54; P<0.00001, and shoulder Internal rotation (N=532; SMD, 8.11; 95% CI, 2.14 to -14.08; P=0.008. But the meta-analyses did not show significant immediate effects of MS on shoulder abduction (N=171; SMD, -0.78; 95% CI, −2.23 to 0.68; P=0.30) and shoulder flexion (N=279; SMD, 0.34; 95% CI, −0.14 to 0.81; P=0.16. Conclusion:MS may be effective in relieving shoulder pain and improving internal rotation in patients with periarthritis of shoulder, but it may not improve shoulder abduction and flexion. More high-quality and longer-term research is needed to prove the reliability of the evidence.

show abstract

Pain associated psychological distress is more strongly associated with shoulder pain and function than tear severity in patients undergoing rotator cuff repair

Cited by 5 publications

References 26 publications

General and Pain‐Associated Psychological Distress Phenotypes Among Patients With Low Back Pain in the Military Health System

General and Pain‐Associated Psychological Distress Phenotypes Among Patients With Low Back Pain in the Military Health System

Pain-Associated Psychological Distress Is of High Prevalence in Patients With Hip Pain: Characterizing Psychological Distress and Phenotypes

"Massage/Tuina for Periarthritis of Shoulder: A Systematic Review and Meta-Analysis"

Contact Info

Product

Resources

About