Results Weak to moderate cross-sectional associations were found for emotional or mental health with function or disability and pain in multiple studies .
Lower emotional or mental health function was associated with greater pain or disability or lower physical function at initial evaluation .
Conclusions At the initial evaluation of patients with rotator cuff tear , there was an association between self-reported function and pain and emotional or mental health .
However , these factors were not associated with patient-reported outcomes after intervention .
Preoperative patient expectation is an important predictor of patient-reported outcomes in patients after rotator cuff surgery and may be a modifiable target for enhancing recovery .
Background Psychosocial factors are key determinants of health and can influence patient-reported outcomes after rotator cuff tears .
However , to our knowledge , a systematic review of published studies has not been conducted to determine the degree of consistency and strength of the relationship between psychosocial factors and patient-reported outcomes in this patient population .
Questions / purpose s ( 1 ) Are psychosocial factors associated with patient-reported measures at initial clinical presentation in patients with rotator cuff tears ? (
2 ) Are psychosocial factors associated with patient-reported outcomes after treatment in patients with rotator cuff tears ?
Patient outcome following rehabilitation for rotator cuff repair surgery: the impact of selected medical comorbidities.
STUDY DESIGN Prospect i ve , multicenter research design . OBJECTIVES To assess functional and health status outcomes in patients following a physical therapy program after rotator cuff repair surgery , and to determine the impact of selected patient medical comorbidities on rehabilitation outcomes . BACKGROUND While authors have studied the influence of multiple factors on patient outcomes after rotator cuff repair surgery , little research has been done on the impact of comorbidities , particularly as it relates to establishing an accurate patient prognosis . eighteen patients who had recently undergone a rotator cuff repair surgical procedure were recruited at 1 of 30 Physiotherapy Associates , Inc outpatient clinics located in 13 states . A rehabilitation protocol was implemented and included the following interventions , as indicated : therapeutic exercise , manual therapy , electrotherapeutic modalities , and physical agents . Patient health history factors were documented during the initial examination , including age , race , body mass index , smoking , rotator cuff tear size , type of surgical procedure , and selected medications and comorbidities . The Disabilities of the Arm , Shoulder , and H and ( DASH ) and the Short-Form-36 ( SF-36 ) were completed prior to rehabilitation , at discharge , and at 6 months postdischarg RESULTS DASH and most SF-36 domain mean scores obtained postrehabilitation were significantly improved from pretherapy scores . Most health status outcomes were maintained at 6-month follow-up , with slight further improvement noted in SF-36 physical dimensions and DASH scores . Having a greater number of comorbidities was associated with worse postrehabilitation SF-36 scores , but not with the DASH shoulder function scores . The mean change scores ( difference between prerehabilitation and postrehabilitation status ) for the DASH and SF-36 were not significantly different for patients with 0 to 1 , 2 , or at least 3 or more comorbidities ( except for emotional role ) . In regression analyses a model with baseline physical function score ( P = .0001 ) , age ( P = .03 ) , and number of comorbidities ( P = .003 ) fitted the data well and explained 38 % of the variance in the physical function score at discharge . CONCLUSIONS A higher number of comorbidities had a negative effect on general health status outcomes but not on shoulder function outcomes at the time of patient discharge following rehabilitation . Despite a negative effect of more comorbidities on health status outcomes , the specific number of medical comorbidities did not affect the overall level of improvement prerehabilitation to postrehabilitation in function and health status . The findings describing the influence of comorbidities on rehabilitation outcomes may assist therapists in establishing accurate patient prognosis
Results Weak to moderate cross-sectional associations were found for emotional or mental health with function or disability and pain in multiple studies .
Lower emotional or mental health function was associated with greater pain or disability or lower physical function at initial evaluation .
Conclusions At the initial evaluation of patients with rotator cuff tear , there was an association between self-reported function and pain and emotional or mental health .
However , these factors were not associated with patient-reported outcomes after intervention .
Preoperative patient expectation is an important predictor of patient-reported outcomes in patients after rotator cuff surgery and may be a modifiable target for enhancing recovery .
Background Psychosocial factors are key determinants of health and can influence patient-reported outcomes after rotator cuff tears .
However , to our knowledge , a systematic review of published studies has not been conducted to determine the degree of consistency and strength of the relationship between psychosocial factors and patient-reported outcomes in this patient population .
Questions / purpose s ( 1 ) Are psychosocial factors associated with patient-reported measures at initial clinical presentation in patients with rotator cuff tears ? (
2 ) Are psychosocial factors associated with patient-reported outcomes after treatment in patients with rotator cuff tears ?