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 ?
Comparing surgical repair with conservative treatment for degenerative rotator cuff tears: a randomized controlled trial.
BACKGROUND Good clinical results have been reported for both surgical and conservative treatment of rotator cuff tears . The primary aim of this r and omized controlled trial was to compare functional and radiologic improvement after surgical and conservative treatment of degenerative rotator cuff tears . METHODS We conducted a r and omized controlled trial that included 56 patients with a degenerative full-thickness rotator cuff tear between January 2009 and December 2012 ; 31 patients were treated conservatively , and rotator cuff repair was performed in 25 patients . Outcome measures , including the Constant-Murley score ( CMS ) , visual analog scale ( VAS ) pain and VAS disability scores , were assessed preoperatively and after 6 weeks and 3 , 6 , and 12 months . Magnetic resonance imaging was performed preoperatively and at 12 months postoperatively . RESULTS At 12 months postoperatively , the mean CMS was 81.9 ( st and ard deviation [ SD ] , 15.6 ) in the surgery group vs 73.7 ( SD , 18.4 ) in the conservative group ( P = .08 ) . VAS pain ( P = .04 ) and VAS disability ( P = .02 ) were significantly lower in the surgery group at the 12-month follow-up . A subgroup analysis showed postoperative CMS results were significantly better in surgically treated patients without a retear compared with conservatively treated patients ( 88.5 [ SD , 6.2 ] vs 73.7 [ SD , 18.4 ] ) . CONCLUSION In our population of patients with degenerative rotator cuff tears who were r and omly treated by surgery or conservative protocol , we did not observe differences in functional outcome as measured with the CMS 1 year after treatment . However , significant differences in pain and disabilities were observed in favor of surgical treatment . The best outcomes in function and pain were seen in patients with an intact rotator cuff postoperatively
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 ?