Return to Work and Cost Implications of Physical Therapy in Conjunction With Rotator Cuff Repair in the Treatment of Work-Related Rotator Cuff Tears.

IF 1.4 Journal of occupational and environmental medicine Pub Date : 2025-05-01 Epub Date: 2025-02-10 DOI:10.1097/JOM.0000000000003343

Edward J Bernacki, Nicholas F Tsourmas, Dan L Hunt, Nimisha Kalia, Nina Leung, Larry Yuspeh, Judith Green-McKenzie, Paul Kauffman, Xuguang Grant Tao

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Abstract

Objective: The aim of the study was to assess the utilization and costs of physical therapy (PT) and rotator cuff repair (RCR) in the treatment of work-related rotator cuff tears (RCT).

Methods: A total of 8814 lost-time RCT claims filed to a nationwide workers' compensation insurance carrier from 2007 to 2022 were investigated.

Results: 89.1% of claimants with RCTs received both PT and RCR, 8.6% received PT only, and 2.0% had only an RCR. PT accounted for 19.9% of medical costs on average. RCT claimants, who had RCR without PT and no PT or RCR, had the shortest times out from work. Increasing amounts of PT treatment was associated with longer lost time and higher claim costs.

Conclusions: The addition of PT to RCR is associated with increasing time off work and claim costs proportionate to the duration of PT rendered.

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恢复工作和成本的物理治疗结合肩袖修复在治疗工作相关的肩袖撕裂。

目的：评估物理治疗（PT）和肩袖修复（RCR）在治疗工作性肩袖撕裂（RCT）中的应用和成本。方法：对2007年至2022年向全国某工伤保险公司提交的8814份损失时随机对照试验索赔进行调查。结果：89.1%的rct患者同时接受了PT和RCR， 8.6%的患者仅接受了PT， 2.0%的患者仅接受了RCR。PT平均占医疗费用的19.9%。有RCR而没有PT和没有PT或RCR的RCT索赔人的停工时间最短。PT治疗数量的增加与更长的损失时间和更高的索赔费用相关。结论：在RCR中增加PT与增加休假时间和索赔费用成比例的PT提供的持续时间有关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Journal of occupational and environmental medicine

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