Not all Rowe scores are the same! Which Rowe score do you use?

Jensen, K.-U.; Bongaerts, G.; Bruhn, R.; Schneider, Silke L.

doi:10.1016/j.jse.2009.02.003

Cited by 31 publications

(22 citation statements)

References 9 publications

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“…The original Rowe and Constant scores are not PROMs but observer-based measurement instruments, and the Constant score is considered not applicable to shoulder instability [50,51]. We used only PROMs for the Dutch validation.…”

Section: Discussionmentioning

confidence: 99%

Measurement properties of the Western Ontario Shoulder Instability Index in Dutch patients with shoulder instability

Linde

Willems²,

Kampen

et al. 2014

BMC Musculoskelet Disord

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BackgroundThe Western Ontario Shoulder Instability index (WOSI) is a patient-reported outcome measure for patients with shoulder instability. The purpose of this study was to validate the WOSI in a Dutch population by evaluating its structural validity, internal consistency, measurement error, reliability, and construct validity. Floor and ceiling effects were also addressed.MethodsTwo cohorts were recruited, including a total of 138 patients with shoulder instability. Confirmatory factor analysis was used to assess the structural validity and Cronbach’s α to assess internal consistency. The measurement error was calculated as the smallest detectable change (SDC). Reliability (test–retest) was estimated in a subgroup of 99 patients who completed the re-test after a mean of 13 days (5–30 days). Reliability was calculated with the intraclass correlation coefficient (ICC). Construct validity was evaluated by comparing the WOSI with the Oxford Shoulder Instability Score (OSIS), the Simple Shoulder Test, the Oxford Shoulder Score, the Disability of the Arm, Shoulder, and Hand assessment (DASH), and the Short Form-36 Health Survey. Measurement properties were evaluated for both the total WOSI score and its four domains.ResultsFactor analysis did not confirm the validity of the four domains. Best results were found for a one-factor model. Internal consistency was good, with Cronbach’s α ranging from 0.93 to 0.96. Reliability was excellent (ICC 0.88–0.92 for all subscales). The measurement error (SDC) was 23.0% for the total WOSI and 23% to 28% for the subscales (on a scale of 0–100). Regarding the construct validity, 76% of the results were in accordance with the hypotheses, including a high correlation with the OSIS (0.82) and DASH (0.81) assessments. No floor or ceiling effects were found.ConclusionThe Dutch version of WOSI showed good reliability and validity in a cohort of patients with shoulder instability, although the factor structure remains unclear.

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Section: Discussionmentioning

confidence: 99%

Measurement properties of the Western Ontario Shoulder Instability Index in Dutch patients with shoulder instability

Linde

Willems²,

Kampen

et al. 2014

BMC Musculoskelet Disord

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“…Jensen et al . 19 show that there are significant differences between the four versions of the Rowe Score and that the same patients submitted to Bankart repair can present different scores, depending on which version of the score was used. In the present study we used the Rowe et al 10 (1978) score, since it is the only one that clearly assigns a score to recurrent dislocations and, in the authors' opinion, this is a characteristic of shoulder instability that must be taken into account in the pre- and postoperative evaluation, besides evaluating the success or failure of the treatment.…”

Section: Discussionmentioning

confidence: 95%

Tradução e adaptação cultural do Rowe score para a língua portuguesa

Marcondes

Vasconcelos²,

Marchetto³

et al. 2012

Acta ortop. bras.

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OBJECTIVE: To translate and culturally adapt the Rowe score for use in Brazil. METHODS: The translation and cross-cultural adaptation process initially involved the steps of translation, synthesis, back-translation and revision by the Translation Group. The pre-final version of the questionnaire was then created. The Stability and Function fields were applied to 20 patients with anterior shoulder luxation, and the Mobility field was applied to 20 health professionals. RESULTS: It was found that some of the patients had difficulty understanding some of the expressions of the questionnaire, so these were replaced with terms that were easier to understand. All health professionals understood the translation of the Mobility field. The altered questionnaire was then reapplied to another 20 patients, and this time it was understood by all the assessed subjects. CONCLUSION: After a careful process of translation and cultural adaptation, a definitive version of the Rowe questionnaire was obtained in Brazilian Portuguese. Level of Evidence II, Development of diagnostic criteria on consecutive patients.

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“…Pre-and postoperative physical evaluations were performed by the operating surgeon, and follow-up functional questionnaires were completed by a senior surgeon (E-R.C.). All patients were evaluated at final follow-up using the American Shoulder and Elbow Surgeon (ASES) score, 21 Rowe instability score, 22,23 Constant shoulder score, 24 and visual analog scale (VAS) for pain (0, no pain; 10, worst pain). Range of motion (ROM) in forward elevation, external rotation, and internal rotation were recorded preoperatively and at final follow-up.…”

Section: Methodsmentioning

confidence: 99%

Arthroscopic Pancapsular Plication for Multidirectional Shoulder Instability in Overhead Athletes

Li¹,

Huang²,

Chiang³

et al. 2012

Orthopedics

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Treating shoulder multidirectional instability with an open stabilization procedure has been reported to have good results. However, few studies exist of arthroscopic plication, especially in overhead athletes. The purpose of this study was to evaluate the clinical outcomes of arthroscopic pancapsular plication for multidirectional instability in overhead athletes.Twenty-three athletes with symptomatic multidirectional instability were treated with arthroscopic pancapsular plication and evaluated at a mean follow-up of 36.3 months (range, 24-61 months). Mean patient age was 23.3 years (range, 19-33 years). Functional outcomes were evaluated with the American Shoulder and Elbow Surgeons (ASES) score, Constant shoulder score, and Rowe instability score. The degree of pain and range of motion were also recorded. All postoperative functional scores were rated good to excellent, with an average ASES score of 88.4 (range, 82-95), average Constant shoulder score of 88.1 (range, 81-100), and average Rowe instability score of 86.7 (range, 80-100). Five patients returned to the same level of competitive sports, and 18 returned to a limited level. All patients were satisfied with the stability postoperatively. No significant change was observed in postoperative range of motion, but patients who returned to a limited level of sports had lower functional scores and more pain than did those who fully returned to sports.Arthroscopic pancapsular plication for treating multidirectional instability in overhead athletes can provide good stability. However, the low rate of return to a full level of overhead sports is a problem. Further evaluation of the benefits of this procedure for overhead athletes with symptomatic multidirectional instability is needed.

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Not all Rowe scores are the same! Which Rowe score do you use?

Cited by 31 publications

References 9 publications

Measurement properties of the Western Ontario Shoulder Instability Index in Dutch patients with shoulder instability

Measurement properties of the Western Ontario Shoulder Instability Index in Dutch patients with shoulder instability

Tradução e adaptação cultural do Rowe score para a língua portuguesa

Arthroscopic Pancapsular Plication for Multidirectional Shoulder Instability in Overhead Athletes

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