Article

PURPOSE: To determine the relationship between functional disability and
health-related quality of life (HRQoL) in rotator cuff tear (RCT) patients.
METHOD: In 67 RCT patients (mean age, 54 years; 57% males), functional disability
was self-reported with the American Shoulder and Elbow Surgeons Standardized
Shoulder Assessment Form (ASES), HRQoL with the Short-Form 36 Health Survey
(SF-36), and pain by visual analogue scale. ASES results were divided into
tertiles (12-38, 39-51, and 52-82). RESULTS: Mean ASES score was 48 (range,
12-82). Patients with the highest functional disability and highest pain level
had the lowest HRQoL. For the highest, middle, and lowest ASES categories,
respectively, mean SF-36 Physical Component Summary (PCS) scores were 35 SD 5, 36
SD 8, and 41 SD 6 (p< 0.001) (r = 0.47 for ASES vs. PCS; p< 0.001), and Mental
Component Summary (MCS) scores were 50 SD 13, 56 SD 10, and 58 SD 8 (p = 0.011)
(r = 0.37 for ASES vs. MCS; p= 0.003). CONCLUSIONS:
Patients with higher
functional disability had lower HRQoL. RCT extensively affects patients' lives;
therefore, capturing both generic and shoulder-specific measures of RCT problems is recommended.

Langue : ANGLAIS