• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Orthopaedic Journal of Sports Medicine >Predictors of Pain and Functional Outcomes After the Nonoperative Treatment of Rotator Cuff Tears
【24h】

Predictors of Pain and Functional Outcomes After the Nonoperative Treatment of Rotator Cuff Tears

机译：旋转箍撕裂后的疼痛和功能结果的预测因素

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Background: Optimal patient selection is key to the success of nonoperative treatment for rotator cuff tears. Purpose: To assess the predictors of pain and functional outcomes in a longitudinal cohort of patients undergoing nonoperative treatment. Study Design: Cohort study; Level of evidence, 2. Methods: A multicenter cohort of patients with rotator cuff tears undergoing nonoperative treatment was recruited from March 2011 to February 2015. Patients completed a detailed health questionnaire, completed standardized shoulder questionnaires including the Shoulder Pain and Disability Index (SPADI), and underwent magnetic resonance imaging. In addition to baseline assessments, patients received follow-up questionnaires at 3, 6, 12, and 18 months. Longitudinal mixed models were used to test predictors of the SPADI score, and interactions with time were assessed. Results: In our cohort of 70 patients, being married as compared with being single/divorced/widowed ( P = .02), a shorter duration of symptoms ( P = .02), daily shoulder use at work that included light or no manual labor versus moderate or heavy manual labor ( P = .04), alcohol use of 1 to 2 times per week or more as compared with 2 to 3 times per month or less ( P = .007), and absence of fatty infiltration ( P = .0009) were significantly associated with decreased SPADI scores (improved shoulder pain and disability) over time. When interactions with time were assessed, having a college level of education or higher compared with less than a college education showed a differential effect over time, with those with a college level of education or more having lower SPADI scores ( P = .004). Partial-thickness tear versus full-thickness tear also had an interaction with follow-up duration, such that those with a partial-thickness tear had lower SPADI scores ( P = .0002). Conclusion: Longitudinal predictors of better outcomes of the nonoperative treatment of rotator cuff tears included being married, having at least a college education, shorter duration of symptoms, light or manual labor in daily work, alcohol use of 1 to 2 times per week or more, partial-thickness tear, and absence of fatty infiltration of the rotator cuff. Our results suggest that nonoperative treatment should be performed early for optimal outcomes. These data can be used to select optimal candidates for the nonoperative treatment of rotator cuff tears and to assist with patient education and expectations before treatment.
机译：背景：最佳患者选择是转子袖口撕裂的非手术治疗成功的关键。目的：评估纵向队患者纵向治疗患者疼痛和功能结果的预测因子。研究设计：队列研究;证据级别，2.方法：从2011年3月到2015年3月招募了一系列经历过非手术治疗的旋转袖口撕裂患者患者。患者完成了详细的健康问卷，完成了标准化的肩部问卷，包括肩痛和残疾指数（Spadi）并且接受磁共振成像。除基线评估外，患者还接受了3,6,12和18个月的后续问卷。纵向混合模型用于测试Spadi评分的预测器，并评估与时间的相互作用。结果：在我们的70名患者的队列中，与单次/离婚/丧偶（P = .02）相比，症状持续时间较短（P = .02），包括在内的工作中的每日肩部使用或手动劳动与中等或沉重的手工劳动力（p = .04），每周使用1至2次或更多的酒精使用，而每月2至3次或更少（p = .007），并且没有脂肪浸润（p = .0009）随着时间的推移而显着与降低的SPADI评分（改善肩痛和残疾）显着相关。当评估与时间的相互作用时，与大学教育程度或更高的教育程度与大学教育相比，随着时间的推移，那些具有大学教育水平或更多的Spadi评分（P = .004）。部分厚度撕裂与全厚度撕裂也具有与后续持续时间的相互作用，使得具有部分厚度撕裂的人具有较低的Spadi分数（P = .0002）。结论：纵向预测因子的旋转袖口撕裂的较好结果包括已婚，至少有大学教育，症状持续时间较短，日常工作中的持续时间，轻盈或手工劳动，每周用1至2次或更多次，部分厚度撕裂，肩部袖带的脂肪渗透。我们的研究结果表明，非手术治疗应尽早进行以获得最佳结果。这些数据可用于为非手术处理的最佳候选人选择转子袖口撕裂，并在治疗前帮助患者教育和期望。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号