The effect of psychological factors on pain, function and quality of life in patients with rotator cuff tendinopathy: A systematic review

Wai Keung WONG, Ming Yan LI, Patrick Shu Hang YUNG, Hio Teng LEONG (Corresponding Author)

Research output: Journal article publicationJournal articleAcademic researchpeer-review

19 Citations (Scopus)

Abstract

Background: Psychological factors may affect the pain level, shoulder function and quality of life in patients with rotator cuff tendinopathy. Objective: To systematically review the prevalence of psychological factors reported in patients with rotator cuff tendinopathy; and to determine the association between psychological factors and pain, function and quality of life in patients with rotator cuff tendinopathy. Study design: Systematic review Methods: Pubmed, Embase, CINAHL and Web of Science were systematically searched from inception to June 2019. Studies that investigated patients with signs and symptoms suggestive of rotator cuff tendinopathy, and reported psychological variables and patient-reported outcome measures including pain, shoulder function or disability and quality of life. Results: A total of 14 studies were included. Our results showed that 22.8%–26.2% of patients with rotator cuff tendinopathy reported depression; 23% reported anxiety; and 70.2%–89% of patients reported sleep disturbance or insomnia. Overall, nine psychological factors were identified to be associated with pain, function and quality of life in patients with rotator cuff tendinopathy. Low-to-moderate quality of evidence suggests that various psychological factors are associated with pain, function and quality of life in patients with rotator cuff tendinopathy Conclusion: This review identified various psychological factors may affect the pain level, shoulder function and quality of life in patients with rotator cuff tendinopathy, and the causal relationship warrants future high-quality prospective studies.

Original languageEnglish
Article number102173
JournalMusculoskeletal Science and Practice
Volume47
DOIs
Publication statusPublished - Jun 2020
Externally publishedYes

Keywords

  • Patient-reported outcome measures
  • Psychological factors
  • Rotator cuff tendinopathy

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation

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