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 ?
Natural course of nontraumatic rotator cuff tendinitis and shoulder symptoms in a working population.
OBJECTIVES This study assessed the prevalence , incidence , and persistence of nontraumatic rotator cuff tendinitis  and shoulder symptoms over a 1-year period in a working population and the predictive value of symptoms and physical findings . METHODS A 1-year prospect i ve study of 436 active workers was conducted at 12 different worksites .  Detailed health interviews , psychosocial question naires , and physical examinations were conducted at baseline and again after 1 year , with shorter evaluations at 4 and 8 months . Individual observed exposure assessment of shoulder posture , arm-h and activity , and h and forces  was conducted . RESULTS The prevalence of rotator cuff tendinitis at baseline was 7.6 % [ 95 % confidence interval ( 95 % CI 5.1 - 10.1 % ) ] for the right and 4.8 % ( 95 % CI 3.0 - 7.0 % ) for the left , compared with shoulder symptoms of 18.6 % ( 95 % CI 14.9 - 22.3 % ) ( right ) and 11.2 % ( 95 % CI 8.2 - 14.2 % ) ( left ) . The incidence of rotator cuff tendinitis was 5.5 % ( 95 % CI 2.8 - 6.8 % ) and 2.9 % ( 95 % CI 1.0 - 3.8 % ) , respectively . Higher proportions of participants with current symptoms or physical findings at baseline became clinical cases after 1 year than those without symptoms or findings . The 1-year persistence of clinical case status was 31.3 % ( 95 % CI 26.9 - 35.7 % ) ( right ) and 31.6 % ( 95 % CI 27.2 - 36.0 % ) ( left ) . There were significant differences at baseline between the asymptomatic participants and the clinical cases with respect to physical health on the 12-item Short-form Health Survey ( P=0.0002 ) , the perception of general health ( P=0.0027 ) , and the frequency of high h and force exposure ( P=0.0177 ) . CONCLUSIONS Considerable movement occurs between different stages of shoulder problems . Symptoms and physical findings alone appear to predict clinical case status within 1 year . Frequent follow-up is necessary to capture changes in health and exposure status in 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 ?