2025 ISAKOS Biennial Congress ePoster
Impact Of Rotator Cuff Repair Surgery And Rehabilitation On Anxiety And Depression As Assessed By Hads And Montgomery Depression Scale And Its Correlation With Functional Outcomes .
Prince Shanavas Khan, D' ORTHO, M.S. ORTHO, Kollam, KERALA INDIA
Ayyappan V Nair, D'ORTHO,DNB ORTHO, Banglore, Karnataka INDIA
Kiran Veerendra Kumar , MS (Orthopaedics), MRCS (Edinburgh), Mysore, Karnataka INDIA
Aravind Rajan, MS ORTHO, DNB ORTHO , Trivandrum, Kerala INDIA
Sreejith Thampy J, MS ortho, Thiruvananthapuram , Kerala INDIA
Bharath Bharadwaj M S, M S Ortho, Babgalore, Karnataka INDIA
Manipal Whitefield Hospital, BANGLORE, KARNATAKA, INDIA
FDA Status Not Applicable
Summary
Shoulder surgery and rehabilitation causes a transient increase in anxiety and depressive symptoms , which is independent of the pain or functional outcomes . Also , the anxiety and depression reduces significantly at 3 months after surgery.
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Abstract
Background
Independent predictors of clinical outcomes following arthroscopic shoulder surgery include preoperative anxiety and depression. Few research, meanwhile, have examined relationships between surgery and the effects on mental health of these patients .
Purpose
To assess the effects of shoulder surgery and rehabilitation on anxiety and depression in patients.
Study Design: Prospective cohort study; Level of evidence, 3.
Methods
A total of 42 consecutive patients who underwent arthroscopic shoulder surgeries were enrolled . Hospital Anxiety and Depression Scale , montgomery asberg depression rating scale and clinical outcomes were assessed using the visual analogue scale, ASES, Quick dash score at 2weeks,4 weeks , 6 weeks , 8 weeks , 3 months and 6 months.
Results
Patients undergoing rotator cuff repair had a significant increase in anxiety and depression at 4 weeks following surgery ( HADS A 2.2 vs 4.6 , HADS D 1.8 vs 5.6 p (< 0.01) ) which returned to preoperative levels 3 months following surgery . There was no correlation between the anxiety and depression with the functional outcomes during the 6 months of followup . All the patients had a significant improvement in the Quick DASH score and the ASES score at final followup ( p <0.01).
Conclusion
Shoulder surgery and rehabilitation causes a transient increase in anxiety and depressive symptoms , which is independent of the pain or functional outcomes . Also , the anxiety and depression reduces significantly at 3 months after surgery.