Patients with rotator cuff tears present a psychological impairment, not only a functional deficit: a systematic review

Feltri, Pietro; Monteleone, Andrea Stefano; Audigé, Laurent; Marbach, Francesco; Filardo, Giuseppe; Candrian, Christian

doi:10.1007/s00264-023-05952-1

Cited by 8 publications

(1 citation statement)

References 67 publications

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“…Post-operative patients with RCI were distressed by restrictions on social activities or frustrated by their inability to resolve problems with diet and daily living. 29 In the absence of adequate stimulation and realistic expectations of a normal social life, these patients were more likely to cease rehabilitation exercises without informing their physicians.…”

Section: Discussionmentioning

confidence: 99%

Motivation and Barriers to Postoperative Rehabilitation Exercise in Type 2 Diabetic Patients with Rotator Cuff Injuries: A Qualitative Study

Zhang,

Zhang

2024

PPA

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Objective Postoperative rehabilitation is particularly important for Rotator cuff injury. However, type 2 diabetic patients with RCI (T2DM-RCI) are at an elevated risk of rehabilitation failure. The factors influencing the postoperative rehabilitation management of these patients have yet to be elucidated. The objective of this study was to investigate the factors influencing the postoperative rehabilitation of T2DM-RCI patients. Methods Data was collected using a descriptive qualitative research design. The sample included 22 interviewees, who were recruited in Subei People’s Hospital according to the purposive sampling method. Colaizzi’s method was employed for the purpose of evaluation in the course of the data analysis. Findings Thematic analysis of the postoperative rehabilitation views of the interviewees identified eight sub-themes connected to three main themes in accordance with the Behaviour Change Wheel Theory. These were capability-related, opportunity-related, and motivation-related factors. Conclusion It is imperative to enhance the glycaemic control and health perception of T2DM-RCI patients. To this end, rehabilitation programmes, comprising exercise and dietary modifications, must be tailored to the specific needs of each patient. Furthermore, it is crucial to harness the potential of family and social support to motivate patients to maintain a positive outlook.

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Section: Discussionmentioning

confidence: 99%

Motivation and Barriers to Postoperative Rehabilitation Exercise in Type 2 Diabetic Patients with Rotator Cuff Injuries: A Qualitative Study

Zhang,

Zhang

2024

PPA

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Rotator cuff repair: Sleep disturbance significantly improves after arthroscopic tendon repair

Feltri,

Audigé,

Candrian

et al. 2024

Knee surg. sports traumatol. arthrosc.

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PurposeThe aim of this study was to quantify sleep quality and define its evolution in patients treated for rotator cuff tears (RCTs) with arthroscopic rotator cuff repair (ARCR) and to understand its correlation with patients' depression and anxiety.MethodsThe patients were part of the ‘ARCR_Pred cohort study’, a prospective multicentre cohort of ARCR patients. Inclusion criteria: adult, RCT diagnosed by magnetic resonance imaging, treated by primary ARCR. Exclusion criteria: irreparable tears, revision operations, open or mini‐open reconstructions, pregnancy. Subjective sleep quality (prevalence and level of disturbance) was analysed. Psychological characteristics (PROMIS Sf questionnaire) and functional outcomes (Constant and Murley Score and Oxford Shoulder Score) were investigated. A gender‐based analysis was performed as well. Patients were evaluated before the operation and prospectively at 6 and 12 months.ResultsOf the 973 patients, 611 (62.8%) were men, with the mean age being 57.3 ± 9.4 years (range, 21–84). A high prevalence of sleep disturbances was found before ARCR (88.4%), with 59% of the patients complaining of disturbance every night. Sleep disturbances progressively improved at 6 (37.2%) and 12 months (22.0%). Also, nocturnal pain (frequency of night disturbed by pain) progressively improved from 94.3% to 62.4% and then 37.9%. For depression and anxiety, a statistically significant difference (p < 0.05) was retrieved among every group (undisturbed, occasionally and always disturbed) at all follow‐ups. On the other hand, the post‐op improvement led to a decrease in anxiety and depression levels passing from 50.1 and 51.4 points at baseline to 45.0 and 45.4 at 12 months, respectively. Women had statistically worse sleep quality at 6 and 12 months (41% vs. 36% and 27% vs. 19%, respectively) (p < 0.05).ConclusionsRCTs cause a high prevalence of sleep disturbance and nocturnal pain, which progressively resolves after an arthroscopic tendon repair. Women have a higher risk than men of presenting disturbed sleep quality.Level of EvidenceLevel III, prognostic cohort study.

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Long head of the biceps tendon versatility in reconstructive shoulder surgery: a narrative review of arthroscopic techniques and their biomechanical principles with video presentation

Neculau,

Avram,

Kwapisz

et al. 2024

International Orthopaedics (SICOT)

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Patients with rotator cuff tears present a psychological impairment, not only a functional deficit: a systematic review

Cited by 8 publications

References 67 publications

Motivation and Barriers to Postoperative Rehabilitation Exercise in Type 2 Diabetic Patients with Rotator Cuff Injuries: A Qualitative Study

Motivation and Barriers to Postoperative Rehabilitation Exercise in Type 2 Diabetic Patients with Rotator Cuff Injuries: A Qualitative Study

Rotator cuff repair: Sleep disturbance significantly improves after arthroscopic tendon repair

Long head of the biceps tendon versatility in reconstructive shoulder surgery: a narrative review of arthroscopic techniques and their biomechanical principles with video presentation

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