Cigarette smoking on the functional recovery of patients with rotator cuff tear submitted to physical therapy

Leffa, T. Cardoso; Novelli, J. Galvão; Santos, G. Biff dos; Bello, G. Maciel; Santos, M. da Silva; Silveira, M. Martins; Leindecker, R.C.; Daitx, Rodrigo Boff; Döhnert, Marcelo Baptista

doi:10.32098/mltj.02.2018.03

Cited by 2 publications

(1 citation statement)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…We included a younger population, because at the ages of 60, the prevalence of RCTs in the general population is relatively high, about >50% [ 32 ]. On the other hand, Leffa et al presented the impact of smoking on physical therapy program after the RCTs arthroscopic treatment [ 33 ]. When compared to the non-smoking population, smokers had significantly increased pain in the shoulder during the final examination.…”

Section: Discussionmentioning

confidence: 99%

The Impact of Smoking on Clinical Results Following the Rotator Cuff and Biceps Tendon Complex Arthroscopic Surgery

Zabrzyński

Huri

Gagat

et al. 2021

JCM

View full text Add to dashboard Cite

The purpose of this study was to investigate the association of smoking and functional outcomes after arthroscopic treatment of complex shoulder injuries: rotator cuff tears (RCTs) with biceps tendon (LHBT) tears. This retrospective case-control study has been conducted on a cohort of patients who underwent shoulder arthroscopy between 2015 and 2017 due to complex injury treatment. The outcomes were assessed using the American Shoulder and Elbow Surgeons Score (ASES), the University of California at Los Angeles (UCLA) Shoulder Score, need for non-steroid anti-inflammatory drugs (NSAIDs) consumption and the visual analog scale (VAS). Complications and changes in smoking status were also noted. A cohort of 59 patients underwent shoulder arthroscopy, due to complex LHBT pathology and RCTs, and were enrolled in the final follow-up examination; with mean duration of 26.03 months. According to smoking status, 27 of patients were classified as smokers, and the remaining 32 were non-smokers. In the examined cohort, 36 patients underwent the LHBT tenotomy and 23 tenodesis. We observed a relationship between smoking status and distribution of various RCTs (p < 0.0001). The mean postoperative ASES and UCLA scores were 80.81 and 30.18 in the smoker’s group and 84.06 and 30.93 in the non-smoker’s group, respectively. There were no statistically significant differences in pre/postoperative ASES and postoperative UCLA scores between smokers and non-smokers (p > 0.05). The VAS was significantly lower in the non-smokers’ group (p = 0.0021). Multi-tendon injuries of the shoulder are a serious challenge for surgeons, and to obtain an excellent functional outcome, we need to limit the negative risk factors, including smoking. Furthermore, there is a significant association between smoking and the occurrence of massive rotator cuff tears, and the pain level measured by the VAS. Simultaneous surgical treatment of RC and LHBT lesions in the smoker population allowed us to obtain the functional outcomes approximated to non-smokers in the long-term follow-up. Of course, we cannot assert that smoking is the real cause of all complications, however, we may assume that this is a very important, negative factor in shoulder arthroscopy.

show abstract

Section: Discussionmentioning

confidence: 99%

The Impact of Smoking on Clinical Results Following the Rotator Cuff and Biceps Tendon Complex Arthroscopic Surgery

Zabrzyński

Huri

Gagat

et al. 2021

JCM

View full text Add to dashboard Cite

show abstract

Seven Key Themes in Physical Therapy Advice for Patients Living With Subacromial Shoulder Pain: A Scoping Review

Meehan¹,

Wassinger²,

Roy³

et al. 2020

Journal of Orthopaedic & Sports Physical Therapy

View full text Add to dashboard Cite

Objective To systematically scope the reported advice and education in physical therapy management of patients with subacromial shoulder pain, and to define key themes of the advice and education. Design Scoping review. Literature Search We searched MEDLINE, Scopus, Web of Science, and CINAHL, with publication dates from 2007 to September 2019. Study Selection Criteria We included quantitative and qualitative research that reported on physical therapy interventions for subacromial shoulder pain. Data Synthesis We performed a qualitative synthesis that identified items included in patient advice and education. Results Of 89 original studies included, there were 61 randomized controlled trials; 5 prospective studies; 16 nonrandomized observational intervention studies or case series; and 7 surveys, audits of physical therapy patient records, and focus groups with physical therapists. We identified 7 key themes for advice and education: exercise intensity and pain response, activity modification advice, posture advice, pain self-management advice, pathoanatomical and diagnosis information, behavioral approaches, and pain biology advice. Conclusion While advice focused predominantly on the local tissue pathology model, 10% of studies included information about pain neuroscience education, psychosocial factors, motor imagery, or behavior change. J Orthop Sports Phys Ther 2020;50(6):285–293. doi:10.2519/jospt.2020.9152

show abstract

Cigarette smoking on the functional recovery of patients with rotator cuff tear submitted to physical therapy

Cited by 2 publications

References 15 publications

The Impact of Smoking on Clinical Results Following the Rotator Cuff and Biceps Tendon Complex Arthroscopic Surgery

The Impact of Smoking on Clinical Results Following the Rotator Cuff and Biceps Tendon Complex Arthroscopic Surgery

Seven Key Themes in Physical Therapy Advice for Patients Living With Subacromial Shoulder Pain: A Scoping Review

Contact Info

Product

Resources

About