Older Age as a Prognostic Factor of Attenuated Pain Recovery After Shoulder Arthroscopy

• DOI: 10.1016/j.pmrj.2015.09.004
• Publication Date: 2015-09-13T00:21:48Z
• Authors: Corey B. Simon; Joseph L. Riley; Rogelio A. Coronado; Carolina Valencia; Thomas W. Wright; Michael W. Moser; Kevin W. Farmer; Steven Z. George
• Keywords: Adult; Male; Pain, Postoperative; Shoulder Joint; Recovery of Function; Middle Aged; Prognosis; 3. Good health; Arthroscopy; Young Adult; 03 medical and health sciences; Treatment Outcome; 0302 clinical medicine; Shoulder Pain; Humans; Prospective Studies; Range of Motion, Articular; Aged; Follow-Up Studies; Pain Measurement

Shoulder pain and surgery are common among older adults. However, the extent to which age affects recovery after shoulder is not well understood.To assess influence of on postoperative factors 3 6 months arthroscopy.Prospective cohort study.University-affiliated outpatient orthopedic surgical center.A convenience sample 139 persons between 20 79 years who experienced pain, had musculoskeletal dysfunction based imaging physician assessment, were scheduled for an arthroscopic procedure.Postoperative outcomes compared younger, middle-aged, adults before at using analysis variance modeling. Movement-evoked experimental laboratory correlate processing assessed each time point. The 3- 6-month determined via multivariate regression analyses accounting preoperative, intraoperative, prognostic factors.Older higher movement-evoked intensity (F2,108 = 5.18, P .007) response (F2,111 7.24, .001) with young middle-aged After controlling key factors, remained a positive predictor 3-month (R(2) 0.05; standardized [St.] β 0.263, .031) 0.07; St. 0.295, .014). Further, 0.04; 0.231, .004), despite no group differences in outcome. Older was found be strongest pain.Older may experience more related movement, as endogenous excitation, first few arthroscopy. Future age-related research should consider use outcomes, utility such measures clinical care.