The relationship of range of motion and muscle strength to patients’ perspectives in pain, disability, and health-related quality of life in patients with rotator cuff disease
Irish Journal of Medical Science, cilt.190, sa.1, ss.177-183, 2021 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 190 Sayı: 1
- Basım Tarihi: 2021
- Doi Numarası: 10.1007/s11845-020-02305-4
- Dergi Adı: Irish Journal of Medical Science
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Biotechnology Research Abstracts, EMBASE, MEDLINE
- Sayfa Sayıları: ss.177-183
- Anahtar Kelimeler: Patient-reported outcome measures, Questionnaires, Rotator cuff, Shoulder
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Background: The literature emphasizes that a consideration of patients’ perspectives is an important part of the assessment process; however, it is ignored by many clinicians because they believe physical impairment measures can reflect patients’ perspectives about their symptoms. But the relevance of changes in physical impairments to changes in patient-reported outcome scores in rotator cuff disease is ambiguous. Aims: The purpose of this study is to determine the relationship between changes in glenohumeral range of motion (ROM) and shoulder muscle strength and changes in pain, disability, and health-related quality of life scores before and after physical therapy in patients with rotator cuff disease. Methods: This was a retrospective study of thirty-nine patients with unilateral rotator cuff disease. All patients received a 6-week physical therapy program. The outcome measures were glenohumeral ROM, shoulder muscle strength, pain and disability using the Shoulder Pain and Disability Index (SPADI), and health-related quality of life as measured by the Western Ontario Rotator Cuff Index. All outcomes were measured before and after the treatment period. Results: There were weak correlations between the changes in abduction ROM and the SPADI-total score (r = − 0.32, p < 0.05), and the changes in external rotation strength and the SPADI-disability score (r = − 0.32, p < 0.05). There was no correlation between the changes in the other parameters. Conclusions: This study implies that the changes in glenohumeral ROM and shoulder muscle strength do not represent the changes in patients’ perspectives in pain, disability, and health-related quality of life after the physical therapy program in patients with rotator cuff disease.