Wen Zebin, Kim Yonghwan, Choi Yongchul, Choi Moonyoung
College of Physical Education, Taiyuan University of Technology, Taiyuan 030024, China.
Department of Physical Education, Gangneung-Wonju National University, Gangneung 25457, Republic of Korea.
Healthcare (Basel). 2025 Jul 7;13(13):1624. doi: 10.3390/healthcare13131624.
The role of physical activity in early recovery following arthroscopic rotator cuff repair (ARCR) remains unclear, particularly regarding potential sex differences. This study examined the effects of physical activity on pain, self-estimation, and strength recovery after ARCR in middle-aged and older adults. Patients who underwent ARCR were classified into high physical activity (HPA, n = 94) and low physical activity (LPA, n = 99) groups based on the International Physical Activity Questionnaire. The Visual Analog Scale (VAS) for pain and the American Shoulder and Elbow Surgeons (ASESs) score for self-estimation were assessed preoperatively and at 6, 12, and 24 weeks postoperatively. Isokinetic shoulder strength was measured at the same intervals except for the 6-week assessment. All groups demonstrated significant improvements in pain reduction and self-estimation over time ( < 0.05). At 6 and 12 weeks, the HPA group showed significantly lower VAS scores and higher ASES scores than the LPA group ( < 0.05). Notably, at 12 weeks, men in the LPA group exhibited pain levels comparable to the HPA group, whereas women in the LPA group continued to report significantly higher pain levels ( < 0.05). Isokinetic strength assessment revealed greater flexion and external rotation strength in the HPA group at 12 weeks ( < 0.05), though no significant between-group differences were observed at 24 weeks. Higher physical activity levels were associated with better early pain relief and self-estimation after ARCR, particularly within the first 12 weeks. These findings suggest that structured physical activity may enhance postoperative outcomes, with potential sex-based differences in pain perception.
体育活动在关节镜下肩袖修复术（ARCR）后的早期恢复中的作用仍不明确，尤其是在潜在的性别差异方面。本研究探讨了体育活动对中老年患者ARCR术后疼痛、自我评估和力量恢复的影响。根据国际体力活动问卷，将接受ARCR的患者分为高体力活动组（HPA，n = 94）和低体力活动组（LPA，n = 99）。术前以及术后6周、12周和24周评估疼痛的视觉模拟量表（VAS）和自我评估的美国肩肘外科医师协会（ASESs）评分。除6周评估外，在相同时间间隔测量等速肩部力量。所有组随着时间推移在疼痛减轻和自我评估方面均有显著改善（<0.05）。在6周和12周时，HPA组的VAS评分显著低于LPA组，ASES评分显著高于LPA组（<0.05）。值得注意的是，在12周时，LPA组中的男性疼痛水平与HPA组相当，而LPA组中的女性报告的疼痛水平仍显著更高（<0.05）。等速力量评估显示，HPA组在12周时的屈曲和外旋力量更大（<0.05），但在24周时未观察到组间显著差异。较高的体力活动水平与ARCR术后更好的早期疼痛缓解和自我评估相关，尤其是在最初的12周内。这些发现表明，有组织的体育活动可能会改善术后结果，在疼痛感知方面可能存在基于性别的差异。
