Central Neuromuscular Dysfunction, Functionality, Psychological Status and Rotator Cuff Surgery

Considering the fact that The problems experienced by the patients are not only physiological but also psychological and social. Unfortunately, there is no sufficient study focus on all these concepts. Generally, studies focus on only physiological dimensions such as functional level, muscle strength and pain. The aim of this study, in addition to assessment methods commonly used for functional level, muscle strength and pain, is to evaluate central neuromuscular function on individuals who have undergone rotator cuff tear surgery with transcranial magnetic stimulation. Furthermore, psychological resilience, which is considered as a positive psychological trait, will also be evaluated. Until now, only one study has evaluated the role of psychological resilience in the postoperative process of rotator cuff surgery. This study has shown that the correlation between functionality and psychological resilience. As a result of our study, the influence of resiliency on postoperative outcomes following rotator cuff surgery will be determined and central neuromuscular function, shoulder functional level, and psychological resilience changes will be revealed in physiological and psychological concepts. Furthermore, this study may show that psychological resilience has a potential role on predicting functional level and pain. It is planned that the results obtained will guide the postoperative rehabilitation of rotator cuff surgery for further studies on multidimensional perspectives.

Inclusion Criteria: * Inclusion Criteria for Patient Group: 1. Volunteer to participate in the study, 2. Be between the ages of 30 and 65, 3. Individuals who have been diagnosed with massive rotator cuff tear and the who have undergone rotator cuff tear surgery, 4. At least 6 months have passed after the surgery, 5. In the last 6 months, patients have not undergone shoulder surgery except for rotator cuff tear surgery, 6. Arthroscopic surgical method was performed by Prof. Dr. Gazi Huri, 7. The absence of another lesion involving the shoulder joint, such as SLAP (Superior Labrum Anterior Posterior), recurrent shoulder dislocation, arthroplasty, except for massive complete tear in the patient will be included in the study. * Inclusion Criteria for Control Group : 1. Demographic characteristics (age and gender) similar to the study group, 2. Not having any diagnosis related to the shoulder joint. Exclusion Criteria: 1. Having any additional pathology (SLAP (Superior Labrum Anterior Posterior), recurrent shoulder dislocation, arthroplasty etc.) concerning the shoulder joint, 2. Having a history of surgery involving the shoulder, 3. Having a neuromuscular and/or metabolic disease, 4. Presence of active infection 5. Other coexisting neuromuscular and musculoskeletal pathologies, 6. To have been diagnosed with bilateral RMY, 7. Metal implants in the head and neck, 8. Being pregnant, 9. Those who use drugs that can change cortical excitability, 10. Being a cancer patient, 11. Individuals with cognitive and psychiatric disorders will not be included in this study.