Predictors of pain and functional outcomes after operative treatment for rotator cuff tears.

Journal of Shoulder and Elbow Surgery
Nitin B JainLaurence D Higgins

Abstract

Optimal patient selection is key to success of operative treatment for cuff tears. We assessed predictors of pain and functional outcomes in a longitudinal cohort of patients undergoing operative treatment. From March 2011 to January 2015, a cohort of patients with rotator cuff tears undergoing rotator cuff surgery was recruited. Patients completed a detailed health and demographic questionnaire, standardized shoulder questionnaires, including the Shoulder Pain and Disability Index (SPADI), and underwent a magnetic resonance imaging scan. Patients received follow-up questionnaires at 3, 6, 12, and 18 months. We assessed longitudinal predictors of SPADI using longitudinal mixed models. Interactions with follow-up duration after surgery were also assessed. In our analysis (n = 50), a lower Fear-Avoidance Beliefs Questionnaire physical activity score (P = .001) predicted a lower SPADI score (better shoulder pain and function). Those consuming alcohol 1 to 2 times per week or more had lower SPADI scores than those consuming alcohol 2 to 3 times per month or less (P = .017). Both of these variables had a significant interaction with duration of follow-up. Variables that were not significant predictors of SPADI included sociodemograp...Continue Reading

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Jan 22, 2013·PM & R : the Journal of Injury, Function, and Rehabilitation·Nitin B JainLaurence D Higgins
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Jan 9, 2014·BMC Musculoskeletal Disorders·Nitin B JainJeffrey N Katz
Jun 23, 2015·American Journal of Physical Medicine & Rehabilitation·Jennifer Earle MillerNitin B Jain

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Citations

Oct 19, 2019·The Journal of Bone and Joint Surgery. American Volume·Robert Z Tashjian, Peter N Chalmers
Jul 4, 2020·The Journal of Bone and Joint Surgery. American Volume·Amos SongNitin B Jain
Jan 6, 2021·The Clinical Journal of Pain·Davide PrevitaliChristian Candrian
Jan 15, 2021·American Journal of Physical Medicine & Rehabilitation·Alan Z GruskyNitin B Jain
Jun 21, 2021·BMC Musculoskeletal Disorders·Ali SheikhzadehSherri Weiser

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