Disability and satisfaction after Rotator Cuff decompression or repair: a sex and gender analysis

BMC Musculoskeletal Disorders

Research Article

Susan B Jaglal¹  Aileen M Davis²  Robin R Richards³  Helen Razmjou⁴  Richard Holtby⁵ 

[1] Department of Physical Therapy, University of Toronto, Toronto, Canada;Graduate Departments of Rehabilitation Science and Health Policy, Management and Evaluation, University of Toronto, Toronto, Canada;Department of Physical Therapy, University of Toronto, Toronto, Canada;Graduate Departments of Rehabilitation Science and Health Policy, Management and Evaluation, University of Toronto, Toronto, Canada;Division of Health Care and Outcomes Research and the Arthritis Community Evaluation Unit, Toronto Western Research Institute, Toronto, Canada;Department of Surgery, Sunnybrook Health Sciences Centre, Toronto, Canada;Department of Surgery, University of Toronto, Toronto, Canada;Holland Orthopaedic & Arthritic Centre, Sunnybrook Health Sciences Centre, Toronto, Canada;Department of Physical Therapy, University of Toronto, Toronto, Canada;Holland Orthopaedic & Arthritic Centre, Sunnybrook Health Sciences Centre, Toronto, Canada;Department of Surgery, University of Toronto, Toronto, Canada;

关键词: Rotator Cuff;    Rotator Cuff Repair;    Impingement Syndrome;    Rotator Cuff Tendon;    Constant Murley Score;   

DOI  :  10.1186/1471-2474-12-66

 received in 2010-05-19, accepted in 2011-04-01,  发布年份 2011

来源: Springer

【 摘 要 】

BackgroundRotator-cuff pathology is the most common cause of pain and disability in the shoulder. Examining the combined effect of biological and societal factors on disability would potentially identify existing differences between men and women with rotator cuff pathology which would help to provide suggestions for better models of care. Purpose of this study was to determine the overall differences in disability between men and women and to examine the relationship between factors that represent sex (biological factors) and gender (non-biological factors) with disability and satisfaction with surgical outcome 6 months after rotator cuff surgery.MethodsPatients with impingement syndrome and/or rotator cuff tear who underwent rotator cuff surgery completed the Western Ontario Rotator Cuff (WORC) index, the American Shoulder & Elbow Surgeons (ASES) assessment form, and the Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH) outcome measures prior to surgery and 6 months post-operatively. They also rated their satisfaction with surgery at their follow-up appointment.Results and DiscussionOne hundred and seventy patients entered into the study (85 men and 85 women). One hundred and sixty patients (94%) completed the 6-month assessment. Women reported more disability both prior to and after surgery. Disability at 6 months was associated with pain-limited range of motion, participation limitation, age and strength. Satisfaction with surgery was associated with level of reported disability, expectations for improved pain, pain-limited range of motion and strength.ConclusionsThe results of this study indicate that women with rotator cuff pathology suffer from higher levels of pre- and post-operative disability and sex and gender qualities contribute to these differences. Gender-sensitive approach will help to identify existing differences between men and women which will help to promote more effective and tailored care by health professionals.

【 授权许可】

CC BY   
© Razmjou et al; licensee BioMed Central Ltd. 2011