A cross-sectional observational study comparing individuals with a symptomatic full-thickness rotator cuff tear with age-matched controls
Background: A full-thickness rotator cuff tear (FTRCT) is defined as a complete tear of one of the four rotator cuff muscle tendons (supraspinatus, infraspinatus, subscapularis or teres minor). This condition can lead to pain and reduced function. However, not all FTRCT are symptomatic. A better und...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2024-01-01
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| Series: | JSES International |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666638323002645 |
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| author | Marianne Roos, PT, MSc Michaël Bertrand-Charette, PT, PhD Marc-Olivier Dubé, PT, PhD Jean Tittley, PT, MSc Mélanie Brisson, MD Luc Chau, MD Jackie L. Whittaker, PT, PhD François Desmeules, PT, PhD Catherine Mercier, OT, PhD Jean-Sébastien Roy, PT, PhD |
| author_facet | Marianne Roos, PT, MSc Michaël Bertrand-Charette, PT, PhD Marc-Olivier Dubé, PT, PhD Jean Tittley, PT, MSc Mélanie Brisson, MD Luc Chau, MD Jackie L. Whittaker, PT, PhD François Desmeules, PT, PhD Catherine Mercier, OT, PhD Jean-Sébastien Roy, PT, PhD |
| author_sort | Marianne Roos, PT, MSc |
| collection | DOAJ |
| description | Background: A full-thickness rotator cuff tear (FTRCT) is defined as a complete tear of one of the four rotator cuff muscle tendons (supraspinatus, infraspinatus, subscapularis or teres minor). This condition can lead to pain and reduced function. However, not all FTRCT are symptomatic. A better understanding of the characteristics that lead some individuals with FTRCT to experience pain is fundamental to improve strategies used to manage this condition. This level II descriptive study aimed to explore potential sociodemographic, anatomical, psychosocial, pain sensitivity, biomechanical and neuromuscular variables that may differ between individuals with symptomatic FTRCT and age-matched individuals with asymptomatic shoulders. Methods: In this cross-sectional observational study, adults aged 50 to 80 years of age, either with symptomatic FTRCT or no shoulder pain, were recruited via convenience sampling. Participants filled out questionnaires on sociodemographic and psychosocial variables. Then, various tests were performed, including pain pressure threshold, shoulder range of motion, shoulder muscle strength, shoulder ultrasound and radiologic examination, and sensorimotor functions testing. Each variable was compared between groups using univariate analyses (independent t-tests, Mann-Whitney U tests, exact probability Fisher tests). Significance was set at 0.05. Results: FTRCT (n = 30) and Control (n = 30) groups were comparable in terms of sex, age, and number of comorbidities. The symptomatic FTRCT group showed a higher proportion of smokers (P = .026) and more participants indicated consuming alcohol or drugs more than they meant to (P = .010). The FTRCT group had a significantly higher prevalence of glenohumeral osteophytes (48% vs. 17%; P = .012). Participants in the FTRCT group were significantly more stressed (P = .04), anxious (P = .003) and depressed (P = .002). The FTRCT group also showed significantly higher levels of pain catastrophisation (P < .001) and sleep disturbance (P < .001). The FTRCT group showed significantly lower range of motion for flexion (P < .001), and external rotation at 0° (P < .001) and 90° (P < .001) of abduction. Isometric strength in both abduction and external rotation were weaker (P = .005) for the FTRCT group. Conclusion: Sociodemographic, anatomical, psychosocial and biomechanical variables showed statistically significant differences between the FTRCT and Control groups. |
| first_indexed | 2024-03-08T11:24:30Z |
| format | Article |
| id | doaj.art-31ac3322bed04db5860f1f1bee6a450d |
| institution | Directory Open Access Journal |
| issn | 2666-6383 |
| language | English |
| last_indexed | 2024-03-08T11:24:30Z |
| publishDate | 2024-01-01 |
| publisher | Elsevier |
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| series | JSES International |
| spelling | doaj.art-31ac3322bed04db5860f1f1bee6a450d2024-01-26T05:35:26ZengElsevierJSES International2666-63832024-01-01815866A cross-sectional observational study comparing individuals with a symptomatic full-thickness rotator cuff tear with age-matched controlsMarianne Roos, PT, MSc0Michaël Bertrand-Charette, PT, PhD1Marc-Olivier Dubé, PT, PhD2Jean Tittley, PT, MSc3Mélanie Brisson, MD4Luc Chau, MD5Jackie L. Whittaker, PT, PhD6François Desmeules, PT, PhD7Catherine Mercier, OT, PhD8Jean-Sébastien Roy, PT, PhD9Faculty of Medicine, School of Rehabilitation Sciences, Université Laval, Québec, QC, Canada; Centre interdisciplinaire de recherche en réadaptation et intégration sociale (Cirris), Québec, QC, CanadaFaculty of Medicine, School of Rehabilitation Sciences, Université Laval, Québec, QC, Canada; Centre interdisciplinaire de recherche en réadaptation et intégration sociale (Cirris), Québec, QC, CanadaFaculty of Medicine, School of Rehabilitation Sciences, Université Laval, Québec, QC, Canada; Centre interdisciplinaire de recherche en réadaptation et intégration sociale (Cirris), Québec, QC, CanadaCentre interdisciplinaire de recherche en réadaptation et intégration sociale (Cirris), Québec, QC, CanadaCentre Hospitalier Universitaire (CHU) de Québec, Québec, QC, Canada; Radiologie Mailloux, Québec, QC, CanadaCentre Hospitalier Universitaire (CHU) de Québec, Québec, QC, Canada; Radiologie Mailloux, Québec, QC, CanadaDepartment of Physical Therapy, University of British Columbia, Vancouver, BC, Canada; Arthritis Research Canada, Vancouver, BC, CanadaFaculty of Medicine, School of Rehabilitation, Université de Montréal, Montreal, QC, Canada; Orthopaedic Clinical Research Unit, Centre de recherche de l’Hôpital Maisonneuve-Rosemont (CRHMR), CIUSSS de l’Est-de-l’Île de Montréal, Montreal, QC, CanadaFaculty of Medicine, School of Rehabilitation Sciences, Université Laval, Québec, QC, Canada; Centre interdisciplinaire de recherche en réadaptation et intégration sociale (Cirris), Québec, QC, CanadaFaculty of Medicine, School of Rehabilitation Sciences, Université Laval, Québec, QC, Canada; Centre interdisciplinaire de recherche en réadaptation et intégration sociale (Cirris), Québec, QC, Canada; Corresponding author: Jean-Sébastien Roy, PT, PhD, Centre interdisciplinaire de recherche en réadaptation et intégration sociale (Cirris), 525, Boulevard Wilfrid-Hamel, Office H-1710, Québec, QC G1M 2S8, Canada.Background: A full-thickness rotator cuff tear (FTRCT) is defined as a complete tear of one of the four rotator cuff muscle tendons (supraspinatus, infraspinatus, subscapularis or teres minor). This condition can lead to pain and reduced function. However, not all FTRCT are symptomatic. A better understanding of the characteristics that lead some individuals with FTRCT to experience pain is fundamental to improve strategies used to manage this condition. This level II descriptive study aimed to explore potential sociodemographic, anatomical, psychosocial, pain sensitivity, biomechanical and neuromuscular variables that may differ between individuals with symptomatic FTRCT and age-matched individuals with asymptomatic shoulders. Methods: In this cross-sectional observational study, adults aged 50 to 80 years of age, either with symptomatic FTRCT or no shoulder pain, were recruited via convenience sampling. Participants filled out questionnaires on sociodemographic and psychosocial variables. Then, various tests were performed, including pain pressure threshold, shoulder range of motion, shoulder muscle strength, shoulder ultrasound and radiologic examination, and sensorimotor functions testing. Each variable was compared between groups using univariate analyses (independent t-tests, Mann-Whitney U tests, exact probability Fisher tests). Significance was set at 0.05. Results: FTRCT (n = 30) and Control (n = 30) groups were comparable in terms of sex, age, and number of comorbidities. The symptomatic FTRCT group showed a higher proportion of smokers (P = .026) and more participants indicated consuming alcohol or drugs more than they meant to (P = .010). The FTRCT group had a significantly higher prevalence of glenohumeral osteophytes (48% vs. 17%; P = .012). Participants in the FTRCT group were significantly more stressed (P = .04), anxious (P = .003) and depressed (P = .002). The FTRCT group also showed significantly higher levels of pain catastrophisation (P < .001) and sleep disturbance (P < .001). The FTRCT group showed significantly lower range of motion for flexion (P < .001), and external rotation at 0° (P < .001) and 90° (P < .001) of abduction. Isometric strength in both abduction and external rotation were weaker (P = .005) for the FTRCT group. Conclusion: Sociodemographic, anatomical, psychosocial and biomechanical variables showed statistically significant differences between the FTRCT and Control groups.http://www.sciencedirect.com/science/article/pii/S2666638323002645AnatomicalBiomechanicalNeuromuscularPain sensitivityPsychosocialSociodemographics |
| spellingShingle | Marianne Roos, PT, MSc Michaël Bertrand-Charette, PT, PhD Marc-Olivier Dubé, PT, PhD Jean Tittley, PT, MSc Mélanie Brisson, MD Luc Chau, MD Jackie L. Whittaker, PT, PhD François Desmeules, PT, PhD Catherine Mercier, OT, PhD Jean-Sébastien Roy, PT, PhD A cross-sectional observational study comparing individuals with a symptomatic full-thickness rotator cuff tear with age-matched controls JSES International Anatomical Biomechanical Neuromuscular Pain sensitivity Psychosocial Sociodemographics |
| title | A cross-sectional observational study comparing individuals with a symptomatic full-thickness rotator cuff tear with age-matched controls |
| title_full | A cross-sectional observational study comparing individuals with a symptomatic full-thickness rotator cuff tear with age-matched controls |
| title_fullStr | A cross-sectional observational study comparing individuals with a symptomatic full-thickness rotator cuff tear with age-matched controls |
| title_full_unstemmed | A cross-sectional observational study comparing individuals with a symptomatic full-thickness rotator cuff tear with age-matched controls |
| title_short | A cross-sectional observational study comparing individuals with a symptomatic full-thickness rotator cuff tear with age-matched controls |
| title_sort | cross sectional observational study comparing individuals with a symptomatic full thickness rotator cuff tear with age matched controls |
| topic | Anatomical Biomechanical Neuromuscular Pain sensitivity Psychosocial Sociodemographics |
| url | http://www.sciencedirect.com/science/article/pii/S2666638323002645 |
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