BackgroundThe Oxford Shoulder Score (OSS) is a simple and reliable, joint-specific, self-reported outcome measure. It can be applied in patients with shoulder disease other than instability. The purpose of this study was to perform a translation, cultural adaptation of the Polish version of the OSS and to evaluate its selected psychometric properties in patients after arthroscopic rotator cuff repair.MethodsSixty-nine subjects participated in the study, with a mean age 55.5 (ranging from 40 to 65 years). The OSS has been translated using the widely accepted guidelines. All patients completed the Polish version of OSS (OSS-PL), the short version of the Disabilities of Arm, Shoulder and Hand Questionnaire (QuickDASH), the Short Form-36 v. 2.0 (SF-36) and the 7-point Global Rating of Change Scale (GRC).ResultsHigh internal consistency of 0.96 was found using Cronbach’s alpha coefficient. Reliability of the OSS resulted in Intraclass Correlation Coefficient (ICC) = 0.99, Standard Error of Measurement (SEM) = 1.14 and Minimal Detectable Change (MDC) = 3.15. The validity analysis showed a moderate (General health r = 0.34) to high (Physical role functioning r = 0.82) correlation between the OSS-PL and SF-36 and a high correlation between the OSS-PL and the QuickDASH (r = − 0.92).ConclusionsThe Polish version of OSS is a reliable and valid, self-reported questionnaire, which can be applied in patients with a rotator cuff tear undergoing reconstruction surgery. The very good psychometric properties of the Polish version of the OSS indicate that it can be used in clinical practice and scientific research.

BackgroundThe Western Ontario Rotator Cuff Index (WORC) is a joint specific outcome tool that assesses the quality of life in patients with various rotator cuff problems.Our purpose was to evaluate selected psychometric characteristics (internal consistency, validity, reliability and agreement) of the Polish version of WORC in patients undergoing rotator cuff repair.MethodsSixty-nine subjects took part in the study with a mean age 55.5 (range 40–65). All had undergone arthroscopic rotator cuff repair in 2015–2016. Data from 57 patients in whom symptoms in the shoulder joint had not changed within 10–14 days were analyzed in a WORC test-retest using the Intraclass Correlation Coefficient (ICC), Standard Error of Measurement (SEM) and Minimal Detectable Change (MDC). WORC was compared to the short version of the Disabilities of Arm, Shoulder and Hand Questionnaire (QuickDash) and the Short Form-36 v. 2.0 (SF-36).ResultsHigh internal consistency of 0.94 was found using Cronbach’s alpha coefficient. Reliability of the WORC resulted in ICC = 0.99, agreement assessed with SEM and MDC amounted to 1.62 and 4.48 respectively. The validity analysis of WORC showed strong correlations with QuickDash and SF-36 PCS (Physical Component Summary), while moderate with SF-36 MCS (Mental Component Summary). WORC had no floor or ceiling effect.ConclusionsThe Polish version of the WORC is a reliable and valid tool with high internal consistency for assessing the quality of life in patients undergoing arthroscopic rotator cuff repair.

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Introduction: One of the key goals in the recovery process in patients after the procedure of surgical repair of the rotator cuff is the reduction of pain complaints and achievement of satisfactory improvement in such domains as occupational activity, lifestyle, sports, recreation, or mood. Aim of the research: To evaluate the effect of selected factors on the quality of life of patients who had undergone arthroscopic reconstruction of the rotator cuff within 1-2 years of the surgery. Material and methods: The study was conducted in a group of 69 patients aged 40-65 years, after arthroscopic reconstruction of the rotator cuff in the Specialist Hospital in Rudna Mała. The quality of life was measured using the WORC, which is a disease-specific research instrument. Results: The highest quality of life was noted subsequently in the following domains: physical symptoms (x = 22.28), emotions (x = 24.21), and lifestyle (x = 26.74), whereas the lowest quality of life was seen in the domains of work (x = 38.48) and sports and recreation (x = 36.18). The highest overall quality of life was observed in patients with university education level (p = 0.011), occupationally active (p = 0.017), who performed intellectual work (p = 0.001), and received rehabilitation for a period longer than 8 weeks (p = 0.003). Conclusions: The respondents' university education level, occupational activity, intellectual work, and rehabilitation for a period longer than 8 weeks were the factors that strongly determined the quality of life of patients. Physical symptoms, such as the domain of the WORC, most strongly determined the overall quality of life of the respondents. Streszczenie Wprowadzenie: W procesie zdrowienia pacjentów po zabiegu rekonstrukcji pierścienia rotatorów jednym z kluczowych celów jest zmniejszenie dolegliwości bólowych i osiągnięcie zadowalającej poprawy w takich obszarach jakości życia, jak aktywność zawodowa, styl życia, sport, rekreacja czy nastrój. Cel pracy: Ocena wpływu wybranych czynników na jakość życia pacjentów po artroskopowej rekonstrukcji stożka rotatorów w okresie 1-2 lat od zabiegu. Materiał i metody: Badania przeprowadzono u 69 osób po artroskopowej rekonstrukcji stożka rotatorów w wieku 40-65 lat, operowanych w latach 2015-2016 w Szpitalu Specjalistycznym im. Świętej Rodziny w Rudnej Małej. Pomiaru jakości życia dokonano przy użyciu kwestionariusza WORC, który jest specyficznym narzędziem badawczym umożliwiającym ocenę jakości życia pacjentów w pięciu kategoriach. The effect of selected factors on the quality of life of patients after arthroscopic reconstruction of a rotator cuff 1-2 years after surgery Medical Studies/Studia Medyczne 2018; 34/4 Wyniki: Najlepszą jakość życia odnotowano kolejno w następujących dziedzinach: objawy fizyczne (x = 22,28), emocje (x = 24,21) i styl życia (x = 26,74), a najgorszą jakość życia w dziedzinach praca (x = 38,48) oraz sport i rekreacja (x = 36,18). Lepszą ogólną jakością życia cechowały się osoby z wyższym wykształceniem (p = 0,011), aktywne zawodowo (p = 0,017), prac...

The right to dispose of real estate has unique properties in the countries of the Sahel, a result of an overlapping of local and postcolonial traditions. The features and dynamic of this phenomenon determine the economic development in the region as well as the spatial changes taking place there. Analyzing the legal codifications of the Sahel states of Niger, Burkina Faso and Senegal, and two Burkina Faso case studies – the Sawadogo forest in Ouahigouya and the Pazaani district mosque in Wagadugu – the author discusses the operation of the existing laws and their adaptation to the local economic and natural circumstances. Law-imposed restrictions on the disposal of real estate are also pointed out. The analysis shows that the tradition enshrined in law has impeded economic growth in the conditions of liberal economy. The current legal practice in this field has been evolving following the example of developed economies, which has brought with it both opportunities and threats.

Apart from imaging and physical examination for shoulder instability (SI), medical history with patient feedback should be considered to assess the patient’s condition and recovery. The aim of this study was to evaluate psychometric properties of the Polish version of Western Ontario Shoulder Instability Index (WOSI)—one of the most frequently used patient-reported outcome measures for SI. During examination 1, 74 patients after arthroscopic repair for SI (age = 30.01 ± 8.98) were tested. Examinations 2 and 3 involved 71 and 51 patients, respectively. They completed the Polish version of the WOSI, the shortened version of the Disabilities of Arm, Shoulder and Hand Questionnaire (QuickDASH), the Short Form-36 version 2.0 (SF-36 v. 2.0) and 7-point Global Rating Change scale (GRC). The WOSI-PL demonstrated high internal consistency (Cronbach’s alpha for total = 0.94), and test–retest reliability (Total ICC2,1 = 0.99). High construct validity was found (89%) as the a priori hypotheses were confirmed. All domains and total scores of WOSI-PL showed a moderate to strong degree of responsiveness (ES = 0.37–0.44; SMR = 0.87–1.26). Minimal clinically important difference (MCID) for the Total WOSI-PL was 126.43 points/6% (95%CI 67.83–185.03) by the anchor-based method and 174.05 points/8% (95%CI 138.61–233.98) by the distribution-based method. The Polish version of the WOSI can be considered a reliable, valid and responsive PROM. It is recommended for assessing the quality of life in patients after arthroscopic repair for SI and can be applied in research and in the clinical setting for monitoring treatment and facilitating patient-centred therapeutic decisions.

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WstępKwestionariusz Western Ontario Rotator Cuff (WORC) jest specyficznym narzędziem badawczym do oceny jakości życia pacjentów z różnymi problemami w obrębie stożka rotatorów. Badania podjęto ze względu na brak w Polsce tego typu narzędzia badawczego. Uzyskano zgodę na utworzenie wersji polskiej WORC od właściciela praw autorskich -Sharon Griffin. CelCelem niniejszej pracy jest przedstawienie etapów adaptacji lingwistycznej angielskiej wersji kwestionariusza WORC do wersji polskiej.