Psychosocial screening with UE pain

Question 1

Psychological distress on arthroscopic RCR

and fear avoidance predictable of

Answer 1

Pre-op psychological distress more predictable of arthroscopic repair

-exs negative, poor mood, and think they will do poor with rehab

• fear avoidance- biggest predictors of post op pain and decreased activity level

Question 2

Factors that were associated with better outcome with shoulder pain

Answer 2

1) expectation of full recovery
2) low pain severity at rest
3)absence of a previous operation
4)no pain in c/l shoulder or quadrant
5) change in pain with manual facilitation of scapula- can give positive feedback

Question 3

Outcome measures to use

Answer 3

PROMIS Anxiety and depression

Orebro

TSK-11

Or PCS

Question 4

PROMIS Depression cutoff

Answer 4

x>7

Question 5

PROMIS Anxiety cutoff

Answer 5

x>9

Question 6

Orebro what question/ questions for PCS

And cutoffs for PCS

Answer 6

5- score 8-10

PCS cutoff- moderate- 20/52

High- 30/52

Question 7

Orebro what question /questions for TSK-11

Cutoffs for TSK-11

Answer 7

9-10 (scores 8-10)

TSK
Minimal x<22
Low- 23-28
Moderate- 29-35
High 36+

Question 8

Cognitive components of radar plot

Answer 8

Catastrophizing beliefs (PCS above 20)
kinesiophobia- above 29
Victimizing
Poor expectations of recovery
Pathoanatomic beliefs

Question 9

Affective/EMotional

Answer 9

Anxiety and depression (PROMIS x>9, x>7)
post traumatic stress
stress in life
Mental health

Question 10

Social/environmental

Answer 10

Family assistance
Job satisfaction
equity gaps
Cultural/ethnic norms
Level of education