Measures of Adult Shoulder Function

Buchbinder, Rachelle; Smolen, Josef S; Huang, Hsiaomin; Gagnier, Joel; Jia, Yuanxi; Whittle, Samuel L

doi:10.1002/acr.24230

Cited by 15 publications

(24 citation statements)

References 275 publications

(780 reference statements)

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“…Many region-specific PROMs are available, including more than 30 for the shoulder region. These PROMs should be developed according to recommended guidelines and be tested for their measurement properties before they can be endorsed and used clinically and in research [2,3]. However, with varying degrees of compliance with stated development guidelines and the sheer number of PROMs available, shoulder clinicians can feel confused as to which PROM to use in individual circumstances.…”

Section: Introductionmentioning

confidence: 99%

“…The Disability of Arm, Shoulder, and Hand (DASH) [1], the shorter version of the DASH (Quick-DASH) [4] and the Shoulder Pain and Disability Index (SPADI) [5] are among the most frequently used and recommended shoulder PROMs in both clinical and research fields with the measurement properties of each supported by good quality evidence [3]. Previous studies have suggested that using two PROMs provides a more balanced measure of shoulder function [6,7].…”

Section: Introductionmentioning

confidence: 99%

“…Previous studies have suggested that using two PROMs provides a more balanced measure of shoulder function [6,7]. These three PROMs are available in multiple languages [3,8] including recently published Nepali versions [9][10][11]. They are the only available shoulder or upper limb specific tools in Nepali, the national language of Nepal.…”

Section: Introductionmentioning

confidence: 99%

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A comparison between measurement properties of four shoulder-related outcome measures in Nepalese patients with shoulder pain

Sharma

Ginn

et al. 2022

Qual Life Res

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Purpose The Patient-Specific Functional Scale (PSFS), Disability of the Arm, Shoulder and Hand (DASH), Quick-DASH, and Shoulder Pain and Disability Index (SPADI) are frequently used instruments in shoulder functional assessment. They are available in Nepali and all but the PSFS has been validated for shoulder assessment. Therefore, the aim of this study was to validate the Nepali PSFS in shoulder pain patients and to compare validity, reliability, and responsiveness of all four instruments to provide a recommendation for their use. Method Patients attending physiotherapy completed the Nepali PSFS at baseline and follow-up (1–3 weeks). It was tested for reliability using internal consistency (Cronbach’s α), intraclass correlation coefficient (ICC), construct validity by hypothesis testing and responsiveness by anchor-based method using Area Under the Curve (AUC). The instruments were compared based on reported measurement properties and patients’ preference. Results 156 patients enrolled at baseline and 121 at follow-up. The PSFS showed sufficient reliability (α = 0.70, ICC = 0.82), construct validity (all three hypotheses met) and responsiveness (AUC = 0.83). Measurement property comparison demonstrated adequate reliability and validity, while PSFS was the most responsive instrument. Patients favoured the verbal rating scale of the DASH/Quick-DASH. The DASH had a lower completion rate for ‘culturally sensitive’ and ‘uncommon’ activities. Conclusion The Nepali PSFS is a reliable, valid, and responsive instrument in shoulder functional assessment. The combined use of the Quick-DASH or SPADI with the PSFS is recommended for a comprehensive assessment of Nepali shoulder pain patients in clinical and research settings. They are shorter, more appropriate to the Nepali context and provide balanced self-evaluation.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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A comparison between measurement properties of four shoulder-related outcome measures in Nepalese patients with shoulder pain

Sharma

Ginn

et al. 2022

Qual Life Res

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“…For function, the only statistically significant difference was for the SANE at six months in favour of early rehabilitation (MD:6.54, 95%CI:2.24, 10.84, p=0.003). The mean difference found for outcome measures for function were small and did not reach the minimal clinically important differences (MCID)(36-38). The MCID for the SANE for patients undergoing rotator cuff repair is reported to be 16.9 (37).…”

Section: Discussionmentioning

confidence: 84%

Effectiveness of early versus delayed rehabilitation following rotator cuff repair: systematic review and meta-analyses

Mazuquin

Moffatt

Gill

et al. 2021

Preprint

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Objective: To investigate the effectiveness of early rehabilitation compared with delayed/standard rehabilitation after rotator cuff repair for pain, function, range of movement, strength, and repair integrity. Design: Systematic review and meta-analyses. Methods: We searched databases and included randomised controlled trials (RCTs) comparing early with delayed/standard rehabilitation for patients undergoing rotator cuff repair surgery. We assessed risk of bias of the RCTs using the Cochrane RoB 2 tool. Results: Twenty RCTs, with 1841 patients, were included. The majority of the RCTs were of high or unclear risk of overall bias. We found substantial variations in the rehabilitation programmes, time in the sling and timing of exercise progression. We found no statistically significant differences for pain and function at any follow-up except for the outcome measure Single Assessment Numeric Evaluation at six months (MD: 6.54; 95%CI: 2.24-10.84) in favour of early rehabilitation. We found statistically significant differences in favour of early rehabilitation for shoulder flexion at six weeks (MD: 7.36; 95%CI: 2.66-12.06), three (MD: 8.45; 95%CI: 3.43-13.47) and six months (MD: 3.57; 95%CI: 0.81-6.32) and one year (MD: 1.42; 95%CI: 0.21-2.64) and similar differences for other planes of movement. In terms of repair integrity at one year, regarding early mobilisation, the number needed to harm was 651. Discussion: Current approaches to early mobilisation, based largely on early introduction of passive movement, did not demonstrate significant differences in most clinical outcomes, although we found statistically significant differences in favour of early rehabilitation for range of movement. Importantly, there were no differences in repair integrity between early and delayed/standard rehabilitation. Most rehabilitation programmes did not consider early active movement as soon as the patient feels able. With ongoing variation in rehabilitation protocols there remains a need for large high quality RCT to inform the optimal approach to rehabilitation after rotator cuff repair surgery.

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“…For function, the only statistically significant difference was for the SANE at six months in favour of early rehabilitation (MD:6.54, 95%CI:2.24, 10.84, p = 0.003). The mean difference found for outcome measures for function were small and did not reach the minimal clinically important differences (MCID) [ 37 – 39 ]. The MCID for the SANE for patients undergoing rotator cuff repair is reported to be 16.9 [ 38 ].…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of early versus delayed rehabilitation following rotator cuff repair: Systematic review and meta-analyses

et al. 2021

View full text Add to dashboard Cite

Objective To investigate the effectiveness of early rehabilitation compared with delayed/standard rehabilitation after rotator cuff repair for pain, function, range of movement, strength, and repair integrity. Design Systematic review and meta-analyses. Methods We searched databases and included randomised controlled trials (RCTs) comparing early with delayed/standard rehabilitation for patients undergoing rotator cuff repair surgery. We assessed risk of bias of the RCTs using the Cochrane RoB 2 tool. Results Twenty RCTs, with 1841 patients, were included. The majority of the RCTs were of high or unclear risk of overall bias. We found substantial variations in the rehabilitation programmes, time in the sling and timing of exercise progression. We found no statistically significant differences for pain and function at any follow-up except for the outcome measure Single Assessment Numeric Evaluation at six months (MD: 6.54; 95%CI: 2.24–10.84) in favour of early rehabilitation. We found statistically significant differences in favour of early rehabilitation for shoulder flexion at six weeks (MD: 7.36; 95%CI: 2.66–12.06), three (MD: 8.45; 95%CI: 3.43–13.47) and six months (MD: 3.57; 95%CI: 0.81–6.32) and one year (MD: 1.42; 95%CI: 0.21–2.64) and similar differences for other planes of movement. In terms of repair integrity, early mobilisation does not seem to increase the risk of re-tears (OR:1.05; 95%CI: 0.64–1.75). Discussion Current approaches to early mobilisation, based largely on early introduction of passive movement, did not demonstrate significant differences in most clinical outcomes, although we found statistically significant differences in favour of early rehabilitation for range of movement. Importantly, there were no differences in repair integrity between early and delayed/standard rehabilitation. Most rehabilitation programmes did not consider early active movement as soon as the patient feels able. With ongoing variation in rehabilitation protocols there remains a need for large high quality RCT to inform the optimal approach to rehabilitation after rotator cuff repair surgery.

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Measures of Adult Shoulder Function

Cited by 15 publications

References 275 publications

A comparison between measurement properties of four shoulder-related outcome measures in Nepalese patients with shoulder pain

A comparison between measurement properties of four shoulder-related outcome measures in Nepalese patients with shoulder pain

Effectiveness of early versus delayed rehabilitation following rotator cuff repair: systematic review and meta-analyses

Effectiveness of early versus delayed rehabilitation following rotator cuff repair: Systematic review and meta-analyses

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