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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
INDIA

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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, INDIA Ayyappan V Nair, D'ORTHO,DNB ORTHO, INDIA Kiran Veerendra Kumar , MS (Orthopaedics), MRCS (Edinburgh), INDIA Aravind Rajan, MS ORTHO, DNB ORTHO , INDIA Sreejith Thampy J, MS ortho, INDIA Bharath Bharadwaj M S, M S Ortho, INDIA

Manipal Whitefield Hospital, BANGLORE, KARNATAKA, INDIA

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Anatomic Location

Shoulder Rotator Cuff

Diagnosis / Condition

Tears

Treatment / Technique

Repair / Reconstruction

Sports Medicine

Medical Aspects Rehabilition / Physical Therapy Outcome Studies

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.

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.

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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 .

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 .

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Conclusion

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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 .

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 .

Background

Purpose

Methods

Results

Conclusion