Background Arthroscopic rotator cuff repair (RCR) is a common surgical intervention used to address rotator cuff-related pain after other conservative interventions have been exhausted. With a continuing increase in procedures, evidence-based outcomes research is needed to identify key parameters of postoperative rehabilitation planning.
Objective We aim to identify rehabilitation planning factors leading to better outcomes while also providing clinicians with reference data to describe the magnitude of pain and functional improvement following RCR.
Methods For this observational study of patients undergoing RCR surgery and physical therapy, demographic variables and patient-reported outcome measures (PRO) were collected preoperatively and up to 12 months postoperatively Four multiple linear regression models were created, one for 12-month Visual Analog Scale (VAS) score, the second for VAS improvement, the third for 12-month American Shoulder and Elbow Surgeons (ASES) function score, and the fourth for ASES function improvement.
Results The 29 participants had a median age of 62 years, median baseline VAS of 4.9, ASES composite score of 45, and Veterans-Rand 12 Mental Component Score of 53.5. In univariate analysis, one variable was associated with 12-month VAS score and two were associated with 12-month VAS improvement. No associations were found with 12-month ASES function score, and one variable was associated with ASES function improvement. With our sample, multivariable analyses provided no significant association or predictor for VAS or ASES function scores.
Conclusions Our hypothesis was not supported, and we did not find an association between physical therapy wait time prior to evaluation or visit frequency and PRO measures or improvements. We observed that 12-month PRO measures and improvements can be predicted using baseline measures among this population.
Competing Interest StatementJeremy Somerson is a paid consultant for Exactech, a stockholder in Johnson and Johnson, Lilly, Intuitive Surgical, United Healthcare, and provides educational support for Medinc of Texas.
Funding StatementThis study did not receive any funding.
Author DeclarationsI confirm all relevant ethical guidelines have been followed, and any necessary IRB and/or ethics committee approvals have been obtained.
Yes
The details of the IRB/oversight body that provided approval or exemption for the research described are given below:
This study received Institutional Review Board approval (IRB# 20-0306) at the University of Texas Medical Branch.
I confirm that all necessary patient/participant consent has been obtained and the appropriate institutional forms have been archived, and that any patient/participant/sample identifiers included were not known to anyone (e.g., hospital staff, patients or participants themselves) outside the research group so cannot be used to identify individuals.
Yes
I understand that all clinical trials and any other prospective interventional studies must be registered with an ICMJE-approved registry, such as ClinicalTrials.gov. I confirm that any such study reported in the manuscript has been registered and the trial registration ID is provided (note: if posting a prospective study registered retrospectively, please provide a statement in the trial ID field explaining why the study was not registered in advance).
Yes
I have followed all appropriate research reporting guidelines, such as any relevant EQUATOR Network research reporting checklist(s) and other pertinent material, if applicable.
Yes
Data AvailabilityAll data produced in the present study are available upon reasonable request to the corresponding author.
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