The results from primary tendon repair were superior to those from physiotherapy plus secondary repair , with between-group mean differences of 5.3 points on the Constant score ( p = 0.05 ) , 9.0 points on the American Shoulder and Elbow Surgeons score ( p < 0.001 ) , 1.1 cm on a 10-cm visual analog scale for pain ( p < 0.001 ) , and 1.0 cm on a 10-cm visual analog scale for patient satisfaction ( p = 0.03 ) .