J Korean Orthop Assoc.  2013 Aug;48(4):281-289.

When Does the Quality of Life Improve after Rotator Cuff Repair?

• Cho CH
• Lim YJ

Abstract

PURPOSE
The purpose of this study was to investigate when the quality of life improve after rotator cuff repair.
MATERIALS AND METHODS
Eighty-five consecutive cases with rotator cuff repair were studied. Patients completed the visual analogue scale (VAS), University of California Los Angeles scale (UCLA), American Shoulder and Elbow Surgeon's scale (ASES), Korean Shoulder scale (KSS), and the World Health Organization Quality of Life Scale abbreviated version (WHOQOL-BREF) preoperatively and at postoperative 3, 6, and 12 months. For evaluation of serial recovery pattern, section I (preoperatively-postoperative 3 months), section II (postoperative 3 months-postoperative 6 months), and section III (postoperative 6 months-postoperative 12 months) were divided.
RESULTS
The mean WHOQOL-BREF score was significantly improved from 58.8 preoperatively to 66.4 at postoperative 12 months, with improvement of VAS, ULCA, ASES, and KSS scores. On serial recovery pattern, all measurements in section I, VAS, UCLA, and KSS scores in section II, and UCLA score in section III, were significantly improved. Female sex had a negative effect on all outcome measurements at postoperative 12 months.
CONCLUSION
Our results showed improvement of quality of life as well as reduced pain and increased function at 3 months after rotator cuff repair. Further recovery of clinical outcomes showed gradual progress until postoperative 12 months.

Keyword

rotator cuff; pain; quality of life; WHOQOL-BREF

MeSH Terms

California
Elbow
Female
Humans
Los Angeles
Quality of Life
Rotator Cuff
Shoulder
World Health Organization

Figure

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  Figure 1 Recovery pattern of visual analogue scale (VAS) score. The graph shows that VAS score significantly decreases in section I and II. *The difference was statistically significant (p<0.05). Preop, preoperative; PO, postoperative.

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  Figure 2 Recovery pattern of the University of California Los Angeles scale (UCLA) score. The graph shows that UCLA score significantly increases in all sections. *The difference was statistically significant (p<0.05). Preop, preoperative; PO, postoperative.

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  Figure 3 Recovery pattern of the American Shoulder and Elbow Surgeon's scale (ASES) score. The graph shows that ASES score significantly decreases in section I. *The difference was statistically significant (p<0.05). Preop, preoperative; PO, postoperative.

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  Figure 4 Recovery pattern of Korean Shoulder scale (KSS) score. The graph shows that KSS score significantly decreases in section I and II. *The difference was statistically significant (p<0.05). Preop, preoperative; PO, postoperative.

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  Figure 5 Recovery pattern of World Health Organization Quality of Life Scale abbreviated version (WHOQOL-BREF) score. The graph shows that WHOQOL-BREF score significantly decreases in section I. *The difference was statistically significant (p<0.05). Preop, preoperative; PO, postoperative.

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