Sex Differences in Strength, Self-Estimation, and Pain Perception Based on Physical Activity After Rotator Cuff...

Area of Science:

• Orthopedics
• Sports Medicine
• Rehabilitation

Background:

• The impact of physical activity on recovery after arthroscopic rotator cuff repair (ARCR) is not well understood.
• Potential sex differences in recovery outcomes following ARCR require further investigation.

Purpose of the Study:

• To investigate the effects of physical activity levels on pain, self-estimation, and strength recovery after ARCR.
• To explore potential sex differences in these outcomes.

Main Methods:

• Patients undergoing ARCR were categorized into high physical activity (HPA) and low physical activity (LPA) groups.
• Pain (VAS) and shoulder function (ASES) were assessed preoperatively and up to 24 weeks postoperatively.
• Isokinetic shoulder strength was measured at 12 and 24 weeks postoperatively.

Main Results:

• Both HPA and LPA groups showed significant improvements in pain and function over time.
• The HPA group reported significantly less pain and better function at 6 and 12 weeks post-ARCR.
• Women in the LPA group experienced higher pain levels at 12 weeks compared to men in the LPA group.

Conclusions:

• Higher physical activity is linked to improved early pain relief and functional self-estimation after ARCR.
• Structured physical activity may enhance postoperative outcomes, particularly within the first 12 weeks.
• Sex-based differences in pain perception warrant consideration in ARCR recovery protocols.