Is the Constant score reliable in assessing patients with frozen shoulder?60 shoulders scored 3 years after manipulation under anaesthesia

Othman, A. Y.; Taylor, Geoffrey J.

doi:10.1080/00016470410001708230

Cited by 58 publications

(34 citation statements)

References 4 publications

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“…Both the Constant Score 19,20,21,22 and Oxford Score 24,31 have been validated for the assessment of shoulder conditions. Both of these scoring systems have shown significant benefits of physiotherapy intervention in this study.…”

Section: Resultsmentioning

confidence: 99%

A blinded, randomized, controlled trial assessing conservative management strategies for frozen shoulder

Russell

Jariwala

Conlon

et al. 2014

Journal of Shoulder and Elbow Surgery

111

102

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In order to assess current conservative physiotherapy strategies we assessed all primary care referrals for frozen shoulder to our physiotherapy department over a 12-month period.17% of referrals met the criteria of a diagnosis of primary idiopathic frozen shoulder. 75 patients where randomly assigned one of three groups: group exercise class, individual multimodal physiotherapy and home exercises alone. All participants received education about frozen shoulder, advice on sleep, posture and pain relief. A single independent physiotherapist, who was blinded to the treatment groups, made all assessments. The Constant Score, Oxford Shoulder Score and SF-36 outcome measures were performed at baseline, six weeks, six months and one year. The Exercise Class lead to a significant improvement in shoulder symptoms and that this was greater than individual multimodal physiotherapy or home exercises alone with both Oxford and Constant scores. These findings were not demonstrated with the SF-36. This study demonstrates that a hospital based exercise class produces rapid recovery from a frozen shoulder with a minimum number of visits to the hospital and was more effective than individual physiotherapy or a home exercise programme. We would not recommend SF-36 as a valid patient reported outcome measure for the use in shoulder pathology.

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Section: Resultsmentioning

confidence: 99%

A blinded, randomized, controlled trial assessing conservative management strategies for frozen shoulder

Russell

Jariwala

Conlon

et al. 2014

Journal of Shoulder and Elbow Surgery

111

102

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show abstract

“…First, we used the Constant-Murley score, a popular score for assessing shoulder function. However, the reliability of the Constant-Murley score has been questioned [9], and for frozen shoulder may not be the best choice when muscle strength is included, because most patients with frozen shoulder cannot abduct their shoulders enough to lift 25 pounds reliably [16]. We used no other objective functional scores, but adopted the age-and gender-related Constant-Murley scores.…”

Section: Discussionmentioning

confidence: 99%

The Natural History of Idiopathic Frozen Shoulder: A 2- to 27-year Followup Study

Vastamäki

Kettunen

Vastamäki

2012

Clinical Orthopaedics &Amp; Related Research

128

115

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Background The natural history of spontaneous idiopathic frozen shoulder is controversial. Many studies claim that complete resolution is not inevitable. Based on the 40-year clinical experience of the senior author, we believed most patients with idiopathic frozen shoulder might have a higher rate of resolution than earlier thought. Questions/purposes We determined the length of symptoms, whether spontaneous frozen shoulder recovered without any treatment, and whether restored ROM, pain relief, and function persisted over the long term. Methods We retrospectively reviewed 83 patients treated for frozen shoulder (84 shoulders; 56 women) 2 to 27 years (mean, 9 years) after initial consultation. The mean age at onset of symptoms was 53 years. Fifty-one of the 83 patients (52 shoulders) were treated with observation or benign neglect only (untreated group), and 32 had received some kind of nonoperative treatment before the first consultation with the senior author (nonoperative group). We also evaluated all 20 patients (22 shoulders; 13 women) with spontaneous frozen shoulder who underwent manipulation under anesthesia during the same time (manipulation group). The mean age of these patients was 49 years. The minimum followup was 2 years (mean, 14 years; range, 2-24 years). We determined duration of the disease, pain levels, ROM, and Constant-Murley scores. Results The duration of the disease averaged 15 months (range, 4-36 months) in the untreated group, and 20 months (range, 6-60 months) in the nonoperative group. At last followup the ROM had improved to the contralateral level in 94% in the untreated group, in 91% in the nonoperative group, and in 91% in the manipulation group. Fifty-one percent of patients in the untreated group, 44% in the nonoperative group, and 30% in the manipulation group were totally pain free at rest, during the night, and with exertion. Pain at rest was less than 3 on the VAS in 94% of patients in the untreated group, 91% in the nonoperative group, and 90% of the manipulation group. The Constant-Murley scores averaged 83 (86%) in the untreated group, 81 (77%) in the nonoperative group, and 82 (71%) in the manipulation group, reaching the normal age-and gender-related Constant-Murley score. Conclusions We found 94% of patients with spontaneous frozen shoulder recovered to normal levels of function and motion without treatment.

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“…The Constant score did not undergo formal validation during its development. Recently, the Constant score has been specifically validated for total shoulder arthroplasty 17 , rotator cuff repair, adhesive capsulitis of the shoulder 18 , and proximal humeral fractures 19 . The Constant score is a 100-point scale of which 35 points are based on patient-rated assessment.…”

Section: The Constant Shoulder Scorementioning

confidence: 99%

Upper Extremity-Specific Measures of Disability and Outcomes in Orthopaedic Surgery

Smith¹,

Calfee

Baumgarten

et al. 2012

The Journal of Bone and Joint Surgery-American Volume

243

141

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Is the Constant score reliable in assessing patients with frozen shoulder?60 shoulders scored 3 years after manipulation under anaesthesia

Cited by 58 publications

References 4 publications

A blinded, randomized, controlled trial assessing conservative management strategies for frozen shoulder

A blinded, randomized, controlled trial assessing conservative management strategies for frozen shoulder

The Natural History of Idiopathic Frozen Shoulder: A 2- to 27-year Followup Study

Upper Extremity-Specific Measures of Disability and Outcomes in Orthopaedic Surgery

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