Entwicklung eines Fragebogens basierend auf dem Constant-Murely-Score zur Selbstevaluation der Schulterfunktion durch den Patienten

Boehm, Dorota; Wollmerstedt, N.; Doesch, M; Handwerker, Mark J.; Mehling, E.; Gohlke, Frank

doi:10.1007/s00113-004-0757-3

Cited by 59 publications

(30 citation statements)

References 19 publications

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“…Moreover, self-assessment questionnaires require a minimal setup and can be completed by mail making them inexpensive [12]. Furthermore, this eliminates the well-recognized examiner observation or selection bias of physicians rating the patients they treated before much better than other physicians or patients themselves [19]. Finally multiple studies have clearly demonstrated that the evaluation by self-assessment questionnaires is highly reliable, valid and responsive [1,12,20].…”

Section: Discussionmentioning

confidence: 99%

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The Munich Shoulder Questionnaire (MSQ): development and validation of an effective patient-reported tool for outcome measurement and patient safety in shoulder surgery

Schmidutz¹,

Beirer

Braunstein³

et al. 2012

Patient Saf Surg

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BackgroundOutcome measurement in shoulder surgery is essential to evaluate the patient safety and treatment efficiency. Currently this is jeopardized by the fact that most patient-reported self-assessment instruments are not comparable. Hence, the aim was to develop a reliable self-assessment questionnaire which allows an easy follow-up of patients. The questionnaire also allows the calculation of 3 well established scoring systems, i.e. the Shoulder Pain and Disability Index (SPADI), the Constant-Murley Score (CMS), and the Disabilities of the Arm, Shoulder and Hand (DASH) Score. The subjective and objective items of these three systems were condensed into a single 30-questions form and validated against the original questionnaires.MethodsA representative collective of patients of our shoulder clinic was asked to fill in the newly designed self-assessment Munich Shoulder Questionnaire (MSQ). At the same time, the established questionnaires for self-assessment of CONSTANT, SPADI and DASH scores were handed out. The obtained results were compared by linear regression analysis.ResultsFifty one patients completed all questionnaires. The correlation coefficients of the results were r = 0.91 for the SPADI, r = -0.93 for the DASH and r = 0.94 for the CMS scoring system, respectively.ConclusionsWe developed an instrument which allows a quantitative self-assessment of shoulder function. It provides compatible data sets for the three most popular shoulder function scoring systems by one single, short 30-item. This instrument can be used by shoulder surgeons to effectively monitor the outcome, safety and quality of their treatment and also compare the results to published data in the literature.

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Section: Discussionmentioning

confidence: 99%

“…As a result, performing clinical studies is time consuming, expensive and a logistical challenge, especially when physical presence of the patient is required [3-5,16,19]. In addition, many procedures are performed on outpatients in centers far away from the home of the patients.…”

Section: Introductionmentioning

confidence: 99%

The Munich Shoulder Questionnaire (MSQ): development and validation of an effective patient-reported tool for outcome measurement and patient safety in shoulder surgery

Schmidutz¹,

Beirer

Braunstein³

et al. 2012

Patient Saf Surg

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“…Shoulder function was ascertained in all patients with the Constant score [27,28] and the DASH (disabilities of the arm, shoulder and hand) questionnaire [29]. The Constant score is a test procedure with mixed weightings and is used as an instrument for the assessment of shoulder function.…”

Section: Methodsmentioning

confidence: 99%

Co-occurrence of outlet impingement syndrome of the shoulder and restricted range of motion in the thoracic spine - a prospective study with ultrasound-based motion analysis

Theisen¹,

Wagensveld²,

Timmesfeld

et al. 2010

BMC Musculoskelet Disord

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BackgroundShoulder complaints, and especially the outlet-impingement syndrome, are a common condition. Among other things, poor posture has been discussed as a cause. A correlation between impingement syndrome and restricted mobility of the thoracic spine (T) has been described earlier, but there has been no motion analysis of the thoracic spine to show these correlations. In the present prospective study, we intended to find out whether there is a significant difference in the thoracic sagittal range of motion (ROM) between patients with a shoulder outlet impingement syndrome and a group of patients who had no shoulder pathology. Secondly, we wanted to clarify whether Ott's sign correlates with ultrasound topometric measurements.MethodsTwo sex- and age-matched groups (2 × n = 39) underwent a clinical and an ultrasound topometric examination. The postures examined were sitting up straight, sitting in maximal flexion and sitting in maximal extension. The disabilities of the arm, shoulder and hand (DASH) score (obtained by means of a self-assessment questionnaire) and the Constant score were calculated. Lengthening and shortening of the dorsal projections of the spine in functional positions was measured by tape with Ott's sign.ResultsOn examination of the thoracic kyphosis in the erect seated posture there were no significant differences between the two groups (p = 0.66). With ultrasound topometric measurement it was possible to show a significantly restricted segmental mobility of the thoracic spine in the study group compared with the control group (p = 0.01). An in-depth look at the mobility of the subsegments T1-4, T5-8 and T9-12 revealed that differences between the groups in the mobility in the lower two sections of the thoracic spine were significant (T5-8: p = 0.03; T9-12: p = 0.02). The study group had an average Constant score of 35.1 points and the control group, 85.5 (p < 0.001). On the DASH score the patient group reached 34.2 points and the control group, 1.4 (p < 0.001). The results of Ott's sign differed significantly between the two collectives (p = 0.0018), but showed a weak correlation with the ultrasound topometric measurements (study group flexion/extension: r = 0.36/0.43, control group flexion/extension: r = 0.29/0.26).ConclusionThe mobility of the thoracic spine should receive more attention in the diagnosis and therapy of patients with shoulder outlet impingement syndrome.

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“…Als niedriges Aktivitätslevel wurden Summenwerte von 0-5 festgelegt, als mittleres eines zwischen 6-10 Punkten, als ein hohes eines mit einem Punktwert von 11-20 und als sehr hoch mit Werten größer 20. Die Patienten erhielten zusätzlich einen Fragebogen mit modifiziertem Constant-Murley-Score (CS) als reliables und valides Selbstevaluations-Instrument [1,5].…”

Section: Introductionunclassified

Sports with shoulder prosthesis – expert opinion versus patient reality

2007

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Sports are gaining more and more importance in our ageing society. Apart from pain relief and improvement in mobility, patients with total joint replacement would like to participate in sports. It is still unknown, if complications as wear and loosening increase with sporting activity or if the endoprothesis rather is protected by better physical strength and coordination.The study is based upon the retrospective questioning of 34 shoulder experts asking for their recommendations and 79 patients having received a shoulder endoprothesis-implantation describing their post-op level of sporting activity and intensity after surgery.The different forms of sport were rated with regard to their suitability both qualitatively and quantitatively and compared to recommendations in the specialist literature. The survey additionally made an analysis of difficulties, complications and degrees of enlightenment possible.The results of our study show that half of the surveyed patients are active in sports after their shoulder replacement, more than a third of them however received no guidance or could not remember receiving explicit medical advice on this issue. Two-thirds of all patients indicated having difficulties in reentering into sports after surgery.The Constant score in athletics was higher than in the non-participating sports group. 84 % of the patients who remain active after surgery were fully content with their shoulder joint replacement in comparison to the inactive group with only 73 % being confident. The middle activity level of the active patients did not achieve their pre-operative values; the surgeons' recommendations were generally observed and forms of sports in which the patients participated occasionally adapted.Zusammenfassung Sport gewinnt in unserer alternden Gesellschaft eine immer größere Bedeutung. Patienten wollen auch nach Endoprothesen-Implantationen neben einer Schmerzlinderung und Beweglichkeitsverbesserung wieder sportlich aktiv werden. Nach wie vor ist ungeklärt, ob bei sportlicher Aktivität vermehrte Komplikationen wie Verschleiß und Lockerung auftreten oder ob das künstliche Gelenk aufgrund der verbesserten Muskelkraft und Koordination nicht sogar geschützt wird.Wir befragten daher im Rahmen unserer Studie retrospektiv 34 Schulter-Spezialisten nach ihren Empfehlungen und 79 Patienten mit Schulterendoprothese nach ihrer sportlichen Aktivität und Intensität postoperativ.Die verschiedenen Sportarten wurden qualitativ und quantitativ nach ihrer Eignung bewertet und mit Erfahrungen aus der Literatur verglichen. Die versendeten Fragebögen ergaben zusätzlich die Auswertung von Schwierigkeiten, Komplikationen und Aufklärungs-raten.Die Hälfte der von uns befragten Patienten ist nach ihrem Gelenkersatz wieder sportlich aktiv, ein Drittel erhielt jedoch keine Empfehlung hinsichtlich der postoperativen Sportausübung oder konnte sich nicht mehr erinnern. Zwei Drittel der Patienten gaben Schwierigkeiten beim Sport-Wiedereinstieg an.

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Entwicklung eines Fragebogens basierend auf dem Constant-Murely-Score zur Selbstevaluation der Schulterfunktion durch den Patienten

Cited by 59 publications

References 19 publications

The Munich Shoulder Questionnaire (MSQ): development and validation of an effective patient-reported tool for outcome measurement and patient safety in shoulder surgery

The Munich Shoulder Questionnaire (MSQ): development and validation of an effective patient-reported tool for outcome measurement and patient safety in shoulder surgery

Co-occurrence of outlet impingement syndrome of the shoulder and restricted range of motion in the thoracic spine - a prospective study with ultrasound-based motion analysis

Sports with shoulder prosthesis – expert opinion versus patient reality

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