title: The relationship between functional disability and health-related quality of life in patients with a rotator cuff tear.
abstract: OBJECTIVE
  To determine the relationship between functional disability and health-related quality of life (HRQoL) in rotator cuff tear (RCT) patients.
  
  
  METHODS
  In 67 RCT patients (mean age, 54 years; 57% males), functional disability was self-reported with the American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form (ASES), HRQoL with the Short-Form 36 Health Survey (SF-36), and pain by visual analogue scale. ASES results were divided into tertiles (12-38, 39-51, and 52-82).
  
  
  RESULTS
  Mean ASES score was 48 (range, 12-82). Patients with the highest functional disability and highest pain level had the lowest HRQoL. For the highest, middle, and lowest ASES categories, respectively, mean SF-36 Physical Component Summary (PCS) scores were 35 SD 5, 36 SD 8, and 41 SD 6 (p< 0.001) (r = 0.47 for ASES vs. PCS; p< 0.001), and Mental Component Summary (MCS) scores were 50 SD 13, 56 SD 10, and 58 SD 8 (p = 0.011) (r = 0.37 for ASES vs. MCS; p= 0.003).
  
  
  CONCLUSIONS
  Patients with higher functional disability had lower HRQoL. RCT extensively affects patients' lives; therefore, capturing both generic and shoulder-specific measures of RCT problems is recommended.
authors.affiliation: Department of Health Sciences, University of Jyväskylä, Jyväskylä, Finland. kirsti.piitulainen@ksshp.fi
authors.forename: Kirsi
authors.initials: K
authors.lastname: Piitulainen
authors.forename: Jari
authors.initials: J
authors.lastname: Ylinen
authors.forename: Hannu
authors.initials: H
authors.lastname: Kautiainen
authors.forename: Arja
authors.initials: A
authors.lastname: Häkkinen
mesh_terms: D000328:Adult; D001175:Arthrography; D004185:Disability Evaluation; D005260:Female; D006304:Health Status; D006306:Health Surveys; D006801:Humans; D007592:Joint Diseases / Q000453:epidemiology / Q000503:physiopathology / Q000601:surgery; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement; D010361:Patients / Q000523:psychology*; D011788:Quality of Life / Q000523:psychology*; D016059:Range of Motion, Articular; D020127:Recovery of Function; D017006:Rotator Cuff / Q000503:physiopathology / Q000601:surgery; D000070636:Rotator Cuff Injuries; D012421:Rupture; D012785:Shoulder Joint / Q000503:physiopathology*; D011795:Surveys and Questionnaires; D016896:Treatment Outcome