Department of Orthopaedics, Shandong Provincial Hospital affiliated to Shandong First Medical University, No.324, Road Jing Wu Wei Qi, Jinan, 250021, Shandong, China.
BMC Musculoskelet Disord. 2022 Jul 26;23(1):714. doi: 10.1186/s12891-022-05679-x.
Kinesiophobia (fear of movement) is a major limiting factor in the return to pre-injury sport level after surgery of rotator cuff tears. The study aims to gain insights into how kinesiophobia affects shoulder pain and function after the repair of full-thickness rotator cuff tears.
A prospective study was conducted to evaluate patients who underwent rotator cuff repair between January 2019 and December 2019 in our institution. The patients were divided into a trial group with a high kinesiophobia (Tampa Scale for Kinesiophobia [TSK], TSK > 37) and a control group with a low kinesiophobia (TSK ≤ 37). The indicators of interest included the Constant-Murley scores, numerical rating scale (NRS), visual analogue scale (VAS), Oxford Shoulder Score (OSS), and the American shoulder and elbow score (ASES), shoulder function and strength, and range of motion (ROM) at 3 days, 6 weeks, and 12 months after repair of full-thickness rotator cuff tears.
In total, 49 patients who underwent repair of full-thickness rotator cuff tears were enrolled, which was divided into a trial group involving 26 patients (mean TSK 52.54) and a control group involving 23 patients (mean TSK 33.43). There were no statistically significant differences in basic information such as age, gender, and length of stay in the two groups. The preoperative and early postoperative functional scores and the Tampa Scale for Kinesiophobia were statistically significant differences between the two groups. However, long-term postoperative follow-up showed no statistically significant difference in ASES, and Constant-Murley scores, OSS, and VAS scores between the two groups as the kinesiophobia changed from positive to negative.
Degree of kinesiophobia reduced during post-operative rehabilitation of rotator cuff repair patients, but high kinesiophobia is still present in a large portion of the patients after rotator cuff repair. Patients after rotator cuff repair will benefit from early recognition and prevention of kinesiophobia.
运动恐惧症（对运动的恐惧）是肩袖撕裂手术后恢复到受伤前运动水平的主要限制因素。本研究旨在深入了解运动恐惧症如何影响全层肩袖撕裂修复后的肩部疼痛和功能。
前瞻性研究评估了 2019 年 1 月至 2019 年 12 月期间在我院接受肩袖修复的患者。将患者分为高运动恐惧症组（Tampa 运动恐惧症量表[TSK]，TSK＞37）和低运动恐惧症组（TSK≤37）。观察指标包括 Constant-Murley 评分、数字评分量表（NRS）、视觉模拟评分量表（VAS）、牛津肩肘评分（OSS）、美国肩肘外科协会评分（ASES）、肩部功能和力量以及全层肩袖撕裂修复后 3 天、6 周和 12 个月的关节活动度（ROM）。
共纳入 49 例全层肩袖撕裂修复患者，分为试验组 26 例（平均 TSK 52.54）和对照组 23 例（平均 TSK 33.43）。两组在年龄、性别和住院时间等基本信息方面无统计学差异。两组术前和早期术后功能评分和 Tampa 运动恐惧症量表均有统计学差异。但长期术后随访发现，两组 ASES、Constant-Murley 评分、OSS 和 VAS 评分无统计学差异，运动恐惧症由阳性转为阴性。
肩袖修复患者术后康复过程中运动恐惧症程度降低，但仍有很大一部分患者存在高度运动恐惧症。肩袖修复后，患者将受益于对运动恐惧症的早期识别和预防。
