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|Title: ||Disability and Satisfaction after Rotator Cuff Decompression or Repair: A Sex and Gender Analysis|
|Authors: ||Razmjou, H|
|Keywords: ||Disability and Satisfaction after Rotator Cuff Decompression or Repair: A Sex and Gender Analysis|
|Issue Date: ||1-Apr-2011|
|Publisher: ||BMC Musculoskeletal Disorders|
|Citation: ||BMC Musculoskeletal Disorders 2011;12:66|
|Abstract: ||Background: Rotator-cuff pathology is the most common cause of pain and disability in the shoulder.
Examining the combined effect of biological and societal factors on disability would potentially identify
existing differences between men and women with rotator cuff pathology which would help to provide
suggestions for better models of care. Purpose of this study was to determine the overall differences in
disability between men and women and to examine the relationship between factors that represent sex
(biological factors) and gender (non-biological factors) with disability and satisfaction with surgical outcome
6 months after rotator cuff surgery.
Methods: Patients with impingement syndrome and/or rotator cuff tear who underwent rotator cuff surgery
completed the Western Ontario Rotator Cuff (WORC) index, the American Shoulder & Elbow Surgeons (ASES)
assessment form, and the Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH) outcome measures prior
to surgery and 6 months post-operatively. They also rated their satisfaction with surgery at their follow-up
Results and Discussion: One hundred and seventy patients entered into the study (85 men and 85 women). One
hundred and sixty patients (94%) completed the 6-month assessment. Women reported more disability both prior
to and after surgery. Disability at 6 months was associated with pain-limited range of motion, participation
limitation, age and strength. Satisfaction with surgery was associated with level of reported disability, expectations
for improved pain, pain-limited range of motion and strength.
Conclusions: The results of this study indicate that women with rotator cuff pathology suffer from higher levels of
pre- and post-operative disability and sex and gender qualities contribute to these differences. Gender-sensitive
approach will help to identify existing differences between men and women which will help to promote more
effective and tailored care by health professionals.|
|Appears in Collections:||UofT Faculty publications|
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