Resilience correlates with outcomes after total shoulder arthroplasty

Tokish, John M.; Kissenberth, Michael J.; Tolan, Stefan J.; Salim, Tariq; Tadlock, Josh; Kellam, Thomas; Long, Catherine D.; Crawford, Ashley; Lonergan, Keith T.; Hawkins, Richard J.; Shanley, Ellen

doi:10.1016/j.jse.2016.12.070

Cited by 74 publications

(96 citation statements)

References 21 publications

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“…The role of psychological factors on pain intensity in people with CSP presurgery and postsurgery was analysed in 15 studies. 20 36–44 46–50 High levels of resilience 47 and preoperative expectations 20 46 were significantly associated with low levels of pain intensity. High levels of depressive symptoms, 37 41 43 48 49 anxiety, 41 43 50 pain catastrophising, 36 37 emotional distress 43 and somatisation 43 were significantly associated with high levels of pain intensity.…”

Section: Resultsmentioning

confidence: 97%

“… 20–25 38–54 56 The psychological factors were: depressive symptoms, 22 23 25 37–41 43 48–50 52 55 anxiety, 22 25 36 37 39–41 43 50 52 55 emotional distress, 25 43 44 51 52 54 56 self-efficacy, 22 51 54 55 expectations of recovery, 20–22 42 45 46 51 pain catastrophising, 24 25 36–38 53 55 FA beliefs, 24 53 55 somatisation, 25 43 fear of pain, 36 kinesiophobia, 36 optimism, 53 pain acceptance, 55 preoperative concerns, 21 sleep disturbances, 39 coping with pain, 25 internal and external locus of control 25 and resilience. 47 The characteristics of the included studies are reported in table 1 .…”

Section: Resultsmentioning

confidence: 99%

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The role of psychological factors in the perpetuation of pain intensity and disability in people with chronic shoulder pain: a systematic review

et al. 2018

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IntroductionChronic shoulder pain is a very complex syndrome, and the mechanisms involved in its perpetuation remain unclear. Psychological factors appear to play a role in the perpetuation of symptoms in people with shoulder chronicity. The purpose of this systematic review is to examine the role of psychological factors in the perpetuation of symptoms (pain intensity and disability) in people with chronic shoulder pain.Methods and analysisA systematic search was performed on PubMed, AMED, CINAHL, PubPsych and EMBASE from inception to July 2017. Longitudinal studies with quantitative designs analysing the role of psychological factors on pain intensity, disability or both were included. The methodological quality of the included studies was evaluated with an adapted version of the Newcastle Ottawa Scale. The level of evidence per outcome was examined using the Grading of Recommendations Assessment, Development and Evaluation approach.ResultsA total of 27 articles were included with a sample of 11 176 people with chronic shoulder pain. The risk of bias ranges from 7/21 to 13/21 across the studies. The quality of the evidence was very low. High levels of self-efficacy, resilience and expectations of recovery were significantly associated with low levels of pain intensity and disability. Inversely, high levels of emotional distress, depressive symptoms, anxiety, preoperative concerns, fear-avoidance beliefs, somatisation and pain catastrophising were significantly associated with high levels of pain intensity and disability.DiscussionOur results suggest that psychological factors may influence the perpetuation of pain intensity and disability, with very low evidence. A meta-analysis was not carried out due to the heterogeneity of the included studies so results should be interpreted with caution.PROSPERO trial registration numberCRD42016036366.

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Section: Resultsmentioning

confidence: 97%

Section: Resultsmentioning

confidence: 99%

The role of psychological factors in the perpetuation of pain intensity and disability in people with chronic shoulder pain: a systematic review

et al. 2018

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“…While there is little information about the role of resilience in post-TKA recovery specifically, there exists important findings from other orthopedic surgical procedures and rehabilitation groups. For example, preoperative resilience predicted postoperative surgeon-and patient-reported outcomes up to 2 years after total shoulder arthroplasty surgery (Tokish et al, 2017), and was associated with higher levels of functional independence following a postoperative rehabilitation program among hip fracture patients (Sciumè et al, 2018). Viggers and Caltabiano (2012) propose that resilience may allow patients to persist with rehabilitation activities by broadening their attention toward a range of adaptive resources.…”

Section: Psychological Resilience Factors Resiliencementioning

confidence: 99%

Improving Patient Outcomes Following Total Knee Arthroplasty: Identifying Rehabilitation Pathways Based on Modifiable Psychological Risk and Resilience Factors

et al. 2020

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Improving Patient Outcomes Following TKA interdisciplinary domains outside their usual purview. The proposed approach could facilitate the development and provision of more targeted rehabilitative interventions on the basis of identified individual needs. The roles of several modifiable psychological risk and resilience factors in recovery are summarized, and intervention options are briefly presented. While focusing on rehabilitation following TKA, we advocate for the broader utilization of multivariate prediction models to inform individually tailored interventions targeting a range of health conditions.

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“…However, more recently the work done with resiliency scores may provide an objective manner of quantitating the subjective extent of individual motivation. 9,10 This will likely be helpful far beyond just our military personnel.…”

Section: See Related Article On Page 2713mentioning

confidence: 99%

Editorial Commentary: The Warrior Athlete: An Illustrative Microcosm in the War Against Hip Femoroacetabular Impingement

Byrd¹

2018

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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From an orthopaedic perspective, our military personnel truly are warrior athletes. Distilling the information available in these subjects provides an enlightening microcosm of the management of femoroacetabular impingement (FAI). Symptoms associated with damage caused by FAI represent the culmination of a process present since childhood. Thus, while arthroscopic correction can result in significant improvement, it does not invariably result in full restoration of function. Numerous factors influence an individual's response to injury and recovery from surgery, including subjective parameters such as resiliency. Thus, function is not always based simply on objective parameters. In view of compelling literature to support the efficacy of arthroscopic correction and treatment of FAI, servicemen and women have historically been discriminated against by unilateral lack of coverage. This trend has only partly been reversed as it is now deemed acceptable for active-duty personnel but arbitrarily not for their dependent family members. The war on FAI goes on in terms of better understanding of the FAI enemy, better techniques and technology to use during the war, and better solicitation of the homeland resources for continuing this important battle.

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Resilience correlates with outcomes after total shoulder arthroplasty

Cited by 74 publications

References 21 publications

The role of psychological factors in the perpetuation of pain intensity and disability in people with chronic shoulder pain: a systematic review

The role of psychological factors in the perpetuation of pain intensity and disability in people with chronic shoulder pain: a systematic review

Improving Patient Outcomes Following Total Knee Arthroplasty: Identifying Rehabilitation Pathways Based on Modifiable Psychological Risk and Resilience Factors

Editorial Commentary: The Warrior Athlete: An Illustrative Microcosm in the War Against Hip Femoroacetabular Impingement

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