Patients’ perception of physical therapy after shoulder surgery

Sabesan, Vani J.; Dawoud, Mirelle; Stephens, B. Joshua; Busheme, Cara E.; Lavin, Alessia

doi:10.1016/j.jseint.2021.11.014

Cited by 6 publications

(7 citation statements)

References 29 publications

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“…Overall, our study demonstrated that there is a large variation in PT utilization and indicates that the actual average number of post-ARCR PT visits may be lower than previously thought. One small study, for instance, surveyed 80 patients who underwent orthopedic shoulder surgery and reported an average of 16.3 ± 13.8 PT visits after surgery [ 14 ]. On the other hand, our data showed that the average number of PT visits after ARCR for complete and partial RCT was 3.85 ± 8.33 and 2.9 ± 7.97, respectively, which is relatively lower when compared with some of the findings in the literature [ 14 , 18 , 19 ].…”

Section: Discussionmentioning

confidence: 99%

“…One small study, for instance, surveyed 80 patients who underwent orthopedic shoulder surgery and reported an average of 16.3 ± 13.8 PT visits after surgery [ 14 ]. On the other hand, our data showed that the average number of PT visits after ARCR for complete and partial RCT was 3.85 ± 8.33 and 2.9 ± 7.97, respectively, which is relatively lower when compared with some of the findings in the literature [ 14 , 18 , 19 ]. This low number could be due to several factors: one possibility is that a limitation inherent in the use of large, de-identified databases like TriNetX has affected the average.…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, POSS has been shown to be more frequent based on various covariates, such as female sex and the extent of RCT, which may have an impact on postoperative physical therapy (PT) utilization after ARCR [9,11]. Postoperative PT is common after ARCR and is widely considered a critical component for patient recovery and improved outcomes [12][13][14][15]. Furthermore, PT has been used to manage complications, such as POSS, after ARCR [1,11,14,16].…”

Section: Introductionmentioning

confidence: 99%

“…Postoperative PT is common after ARCR and is widely considered a critical component for patient recovery and improved outcomes [12][13][14][15]. Furthermore, PT has been used to manage complications, such as POSS, after ARCR [1,11,14,16]. It is possible that the utilization of PT after ARCR could impact postoperative complications and patient outcomes.…”

Section: Introductionmentioning

confidence: 99%

“…However, there still exists a debate on the exact utility of PT after ARCR [ 17 ]. While utilization of PT can be limited due to healthcare costs, some authors contend that new methods of PT delivery, such as digital PT, can provide superior outcomes with fewer visits [ 14 , 17 ]. Questions regarding the ideal number of PT visits to maximize outcomes while lowering costs after ARCR remain unsettled.…”

Section: Introductionmentioning

confidence: 99%

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Factors Affecting Postoperative Rehabilitation Therapy Utilization After Arthroscopic Rotator Cuff Repair: An Epidemiological Analysis

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et al. 2023

Cureus

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Background and objectiveRotator cuff tear (RCT) is an orthopedic shoulder pathology commonly managed via arthroscopic rotator cuff repair (ARCR) after the failure of conservative treatment options. Physical therapy (PT) after ARCR is an important component of patient recovery. Postoperative complications, such as postoperative shoulder stiffness (POSS), are frequent among these patients and place a significant burden on patients and clinicians. The purpose of this study is to analyze temporal PT utilization among patients after ARCR and its potential to improve patient outcomes and examine possible factors affecting postoperative complication rates. MethodsAn epidemiological study was performed by using a large de-identified national health research network (TriNetX) within the United States to search for patients with a diagnosis of partial or complete RCT and subsequent ARCR. Data were collected on patient demographics, number of postoperative PT visits, and PT visits distribution in the early postoperative period. Statistical analysis was performed to analyze factors that impacted the utilization of postoperative PT after ARCR. ResultsA total of 21,540 patients underwent ARCR with 11,312 receiving ARCR for partial RCT and 10,228 for complete RCT. Of all ARCR patients, 6,923 (32.1%) received postoperative PT within one year of ARCR. Patients with partial RCT had a greater number of PT visits (mean ±SD: 3.85 ± 8.33; min-max: 0-110; t = 15.2) compared to patients with complete RCT (2.90 ± 7.97; min-max: 0-125) after ARCR (p<0.001). Patients with ARCR for partial RCT also had more visits within the first 12 weeks after ARCR as compared to patients with ARCR for complete RCT (p<0.001). Female patients had more visits than male patients after ARCR, regardless of the RCT extent (p<0.001). ConclusionPartial RCT and female sex are associated with increased postoperative PT usage after ARCR. Postoperative PT utilization has high variability after ARCR, regardless of the RCT extent. More research is needed to further explore the impact of PT utilization on postoperative complications after ARCR.

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