The Elbow Self-Assessment Score (ESAS): development and validation of a new patient-reported outcome measurement tool for elbow disorders

Beirer, Marc; Friese, Henrik; Lenich, Andreas; Crönlein, Moritz; Sandmann, Gunther H.; Biberthaler, Peter; Kirchhoff, Chlodwig; Siebenlist, Sebastian

doi:10.1007/s00167-015-3647-z

Cited by 39 publications

(30 citation statements)

References 23 publications

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“…Comparable to other studies, the correlation between patient-and assessor-rated CROM was medium to good between movement directions. [49][50][51] For example, measurements ranged from 0.86 to 0.90 when evaluating mouth opening with a cardboard scale. 49 In that study, the higher correlation probably resulted from proper use, with patients instructed to use the scale in front of a mirror, allowing them to make adjustments.…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, sensorimotor control could have been impaired in our patients. 45 Using the elbow self-assessment score, 51 patients also used visual inspection and control to judge their movement based on pictures of the desired movement. 51 However, our results are closer to those published for the Patient's Global Impression of Change and the Clinical Global of Change scales for measuring the perception of change.…”

Section: Discussionmentioning

confidence: 99%

“…45 Using the elbow self-assessment score, 51 patients also used visual inspection and control to judge their movement based on pictures of the desired movement. 51 However, our results are closer to those published for the Patient's Global Impression of Change and the Clinical Global of Change scales for measuring the perception of change. 50 Although they used Likert-type scales 52 and we used the VAS, both measures rely on the subjective judgment of the user, making it reasonable to compare the correlations.…”

Section: Discussionmentioning

confidence: 99%

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Patient's Subjective Impression of Cervical Range of Motion

Langenfeld

Bastiaenen

Sieben

et al. 2018

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Patient's Subjective Impression of Cervical Range of Motion

Langenfeld

Bastiaenen

Sieben

et al. 2018

Spine

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“…For subjective evaluation, patients rated their satisfaction for elbow use on a scale of 1–6 (1—very good; 2—good; 3—satisfied; 4—sufficient; 5—insufficient; 6—poor) patients additionally fulfilled the Elbow Self Assessment Score (ESAS) [ 14 ]. Objective assessment consisted of a physical examination for active elbow range of motion (ROM) for extension and flexion as well as forearm rotation on the injured and uninjured arm.…”

Section: Methodsmentioning

confidence: 99%

Reduction and stabilization of radial neck fractures by intramedullary pinning: a technique not only for children

et al. 2016

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BackgroundIsolated radial neck fractures occur only in rare cases. The majority of cases are non-displaced or minimally displaced and can be treated conservatively. Conservative treatment, however, might result in secondary displacement and/or malunion. On the other hand, open reduction and internal fixation (ORIF) as standard surgical approach in adults is associated with non-union, implant-related complications and reduced range of motion. For isolated radial neck fractures with an intact radial head, the procedure of centromedullary pinning—as widely used in the treatment of paediatric radial neck fractures—might be an alternative operative technique in adults as well. The purpose of this retrospective case series therefore was to evaluate the functional outcome of radial neck fractures treated by intramedullary pinning.MethodsBetween 02/2009 and 12/2014, a total of eight patients with isolated radial neck fractures (Mason type-III; Judet Type II and III) were treated with centromedullary pinning using titanium elastic nails (TEN). The mean age of the patients was 39 years (range 23–90 years) with a mean interval from injury to surgery of 2.9 days (range 1–7 days). Subjective and objective criteria included patient’s satisfaction, pain rating on a visual analogue scale (VAS) and active range of motion (ROM) compared to the contralateral armside. Functional scoring included the Morrey Elbow Score (MEPS), the QuickDASH and the Elbow Self Assessment Score (ESAS). Furthermore, follow-up radiographs were evaluated.ResultsSeven of the eight patients were available for follow-up after a mean of 36 months (range 6–64 months). Patients’ satisfaction was rated very good in four cases, good in two cases and sufficient in one case. An unrestricted active ROM compared to the contralateral side for extension-flexion arc and for pronation-supination-arc with full strength was rated in all cases. The Elbow Self Assessment Score was 98.52 ± 1.95 (range 96–100), the calculated Mayo elbow performance score was 95.71 ± 7.32 (range 85–100) and the QuickDASH score was 6.81 ± 10.42 (range 0–27). There were no complications as infection, non-union, heterotopic ossifications or secondary loss of reduction of the radial head. Only one patient complained about pain resulting from an affection of the superficial radial nerve.ConclusionIn the present cohort, good to excellent results without relevant complications were seen. The technique of intramedullary pinning as described in the treatment of isolated radial neck fractures in children represents a suitable and reliable method in adults as well. In selected cases, this technique can be recommended as an alternative, minimal-invasive approach to the radial head plate osteosynthesis.

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“…Zur Bewertung von Ellenbogenbeschwerden stehen bisher 4 ins Deutsche adaptierte Fragebögen zur Ergebnismessung aus der Patientenperspektive (Health-Related Patient-Reported Outcomes [HR-PRO]) zur Verfügung: Der "Disabilities of the Arm, Shoulder and Hand" (DASH) [4,5], "Patient-Rated Tennis Elbow Evaluation" (PRTEE) [6], "American Shoulder and Elbow Surgeons Elbow Questionnaire" (pASES-eG) [7] und der "Oxford Elbow Score" (OES) [3]. Darüber hinaus existiert der "Elbow Self-Assessment Score" (ESAS), ein von Beirer et al entwickelter Fragebogen zur Selbstbeurteilung bei Ellenbogenbeschwerden [8]. HR-PROs messen die Gesundheitsaspekte aus der Perspektive von Patienten ohne Interpretationen des medizinischen Personals.…”

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Translation of the Mayo Elbow Performance Score (MEPS) into German (MEPS-G)

et al. 2019

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Background The Mayo Elbow Performance Score is a clinical assessment to rate the performance of the elbow from a medical and/or therapeutic perspective. It is simple and efficient to operate and therefore frequently used in research as well as in clinics. However, an adequate translation of the MEPS into the German language and a verification of the quality criteria for the use in the German health system are currently lacking. Goal of the Study The aim of this study is to translate the MEPS and to review the applicability of the German version (MEPS-G) in Germany. Materials and Methods The translation was undertaken on the basis of a guideline for cultural adaptation. Two independent translations were created, combined and translated back into English by two native speakers. The back translations were reviewed and the German version was amended accordingly. The suitability of the final questionnaire was verified in a pretest with 73 participants. Results The MEPS was converted into the German version MEPS-G and was tested. Apart from minor adjustments, the questionnaire was translated into German without difficulty. The time to complete the assessment was on average 2.5 min (± 1.6). Conclusion First analyses of the psychometric properties of the German MEPS showed identical values as the English version. The detailed quality criteria will be reviewed in a subsequent study.

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The Elbow Self-Assessment Score (ESAS): development and validation of a new patient-reported outcome measurement tool for elbow disorders

Abstract: Diagnostic study, Level III.

Cited by 39 publications

References 23 publications

Patient's Subjective Impression of Cervical Range of Motion

Patient's Subjective Impression of Cervical Range of Motion

Reduction and stabilization of radial neck fractures by intramedullary pinning: a technique not only for children

Translation of the Mayo Elbow Performance Score (MEPS) into German (MEPS-G)

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