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Reverse Total Shoulder Arthroplasty
Published on: July 5, 2011
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Resilience correlates with outcomes after total shoulder arthroplasty
John M Tokish1, Michael J Kissenberth1, Stefan J Tolan1
1Steadman Hawkins Clinic of the Carolinas, Greenville Health System, Greenville, SC, USA.
Journal of Shoulder and Elbow Surgery
|February 14, 2017
Summary
Resilience significantly impacts total shoulder arthroplasty outcomes. Patients with low resilience report substantially lower scores on key shoulder function and pain assessments compared to those with high resilience.
Area of Science:
- Orthopedics
- Psychology
- Medical Outcomes Research
Background:
- Resilience, the ability to recover from stress, influences various health outcomes.
- Its role in orthopedic surgery, specifically total shoulder arthroplasty (TSA), is under investigation.
Purpose of the Study:
- To examine the correlation between resilience, measured by the Brief Resilience Scale (BRS), and patient outcomes after TSA.
- To compare outcomes among patients with low, normal, and high resilience.
Main Methods:
- Seventy patients undergoing primary anatomic TSA were followed for a mean of 30 months.
- Patients were grouped into low-resilience (LR), normal-resilience (NR), and high-resilience (HR) based on BRS scores.
- Traditional outcome scores (ASES, SANE, Penn) were calculated for each group.
Main Results:
- Postoperative BRS scores correlated significantly with ASES, Penn, and SANE scores (r=0.41-0.44, P<.004).
- LR patients reported significantly lower Penn (34 points lower) and SANE (40 points lower) scores compared to HR patients.
- The pain subscale of the ASES score accounted for most differences between LR and HR groups.
Conclusions:
- Resilience is a significant predictor of postoperative outcomes following TSA.
- Low resilience is associated with considerably poorer outcomes on standard shoulder assessment scales compared to high resilience.
