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 ?
The relationship of pain intensity, physical impairment, and pain-related fear to function in patients with shoulder pathology.
STUDY DESIGN Cross-sectional . OBJECTIVES This study examined the baseline relationship of pain intensity , physical impairment , and pain-related fear to shoulder function . BACKGROUND There is no consensus regarding the influence psychological variable have on function and recovery in individuals with shoulder pathologies . While pain-related fear has been shown to predict disability for patients with low-back and cervical pain , this relationship has not been consistently reported for patients with shoulder pain . METHODS AND MEASURES One hundred forty-two subjects ( 78 male , 64 female ; mean age , 41.4 years ) with nonoperative unilateral shoulder disorders were identified from a clinical data base of impairment and outcome measures .Demographic information , duration of symptoms , mechanism of injury , pain intensity , pain-related fear , and range-of-motion ( ROM ) measures were collected . Self-report of function was measured with the Shoulder Pain and Disability Index ( SPADI ) . Hierarchical regression analysis determined the proportions of explained variance in function . RESULTS Demographic variables ( duration of symptoms , sex , age , and mechanism of injury ) collectively contributed approximately 9 % ( P=.003 ) of the variance in function scores . Average pain intensity and flexion ROM contributed an additional 22 % ( P<.001 ) of the variance , and Tampa Scale of Kinesiophobia ( TSK-11 ) scores contributed an additional 3 % ( P<.001 ) . In the final parsimonious model , presence of symptoms longer than 3 months ( beta=.23 , P=.003 ) , pain intensity ( beta=.25 , P=.002 ) , shoulder flexion ROM index ( beta=-.35 , P=.001 ) , and kinesiophobia ( beta=.17 , P=.026 ) explained 33 % of the variance in SPADI function score ( P<.001 ) . CONCLUSIONS Presence of symptoms longer than 3 months , average pain intensity , flexion ROM index ( strongest contributor in multivariate model ) , and fear-of-pain scores all contributed to baseline shoulder function . The immediate clinical relevance of these findings is unclear but they do provide direction for prospect i ve studies
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 ?