Use of the Liverpool Elbow Score as a postal questionnaire for the assessment of outcome after total elbow arthroplasty

Ashmore, Alexander; Gozzard, C; Blewitt, N.

doi:10.1016/j.jse.2006.08.008

Cited by 9 publications

(7 citation statements)

References 9 publications

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“…Pearson’s correlation coefficients of at least 0.86 resulted for all subscales of the MWQ. Compared to other validation studies these results indicate a high construct validity in a self-reported score [ 13 , 22 , 23 ].…”

Section: Discussioncontrasting

confidence: 46%

The Munich Wrist Questionnaire (MWQ) – development and validation of a new patient-reported outcome measurement tool for wrist disorders

Beirer

Serly

Vester

et al. 2016

BMC Musculoskelet Disord

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BackgroundAlthough self-assessment questionnaires for the wrist joint are numerous, most validation studies focus on a specific pathology and patient collectives. In addition the available questionnaires focus on subjective parameters such as pain, usual and specific activities but the range of motion (ROM) as an essential objective parameter in wrist disorders is rarely considered. Therefore the purpose of the presented study was to develop and validate a new universally applicable self-assessment score, the Munich Wrist Questionnaire (MWQ), which allows for the assessment of subjective as well as objective parameters of the wrist joint.MethodsThe MWQ consists of 16 items addressing three domains: pain, work and activities of daily living and wrist function including range of motion and grip strength. In a prospective clinical study validity, reliability and responsiveness of the MWQ of physical active patients were evaluated.ResultsValidation study included 100 patients (mean age 41 years, SD 16.3 years; range, 18–77 years). Test-retest reliability was substantial, with intraclass correlation coefficients ranging from 0.75 to 0.83 for the three domains. Construct validity and responsiveness were confirmed by correlation coefficients of at least 0.86 for construct validity and for responsiveness ranging from 0.61 to 0.65.ConclusionsThe MWQ presents a valid and reliable instrument for a qualitative self-assessment of subjective and objective parameters (e.g. range of motion) of the wrist joint. Quantitative measurement of wrist function may not longer be limited to specific wrist disorders or patient groups. The MWQ seems to allow for a broad application in clinical research and may facilitate the comparison of treatment results in wrist disorders.Electronic supplementary materialThe online version of this article (doi:10.1186/s12891-016-1029-4) contains supplementary material, which is available to authorized users.

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Section: Discussioncontrasting

confidence: 46%

The Munich Wrist Questionnaire (MWQ) – development and validation of a new patient-reported outcome measurement tool for wrist disorders

Beirer

Serly

Vester

et al. 2016

BMC Musculoskelet Disord

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“…In fact, validity was shown by good correlations with DASH ( r = 0.79; r = 0.89 preoperatively and 0.86 postoperatively in our study) and NHP (Nottingham Health Profile, r = 0.54) in the original publication study for arthritis [ 6 ]. Additionally, a good correlation (SCC, 0.84; 0.66 in this study) was also shown with MEPS for patients undergoing total elbow arthroplasty [ 8 ]. Currently, the method of choice to determine responsiveness remains unknown, though various statistics are available [ 32 ].…”

Section: Discussionsupporting

confidence: 61%

“…After being demonstrated to be a reliable, valid and responsive outcome tool, the LES began to be used to assess outcomes after total elbow replacement in the management of rheumatoid arthritis [ 7 , 8 ], posttraumatic arthritis [ 8 – 10 ], olecranon fractures [ 10 ] and distal humeral fractures [ 11 , 12 ]. However, there have been no published validation studies of LES for patients with stiff elbows undergoing arthrolysis.…”

Section: Introductionmentioning

confidence: 99%

Validation of the Liverpool Elbow Score for evaluation of elbow stiffness

Sun

Fan

2018

BMC Musculoskelet Disord

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BackgroundThe Liverpool Elbow Score (LES) has been widely used to assess the outcomes of total elbow replacement in various conditions. However, there have been no published validation studies on LES for patients with stiff elbows undergoing arthrolysis. The purpose of this study was to find out whether LES could be equally applied to evaluate joint function in patients with elbow stiffness.MethodsA total of 63 patients with elbow stiffness were included in this retrospective validation study. The LES combines a nine-item patient-answered questionnaire (PAQ) and a six-item clinical assessment score (CAS), and can also be divided to evaluate two different parameters: elbow motion capacity (EMC) and elbow-related symptoms (ERS). Construct validity was assessed by correlating LES with previously validated scoring systems, and Spearman correlation coefficients (SCCs) were calculated. Effect size (ES) and standardized response mean (SRM) were calculated to determine responsiveness.ResultsThere were no ceiling or floor effects in the target population. Good-to-excellent validity was determined based on total score (0.45–0.89), PAQ (0.42–0.88), CAS (0.35–0.60), EMC (0.46–0.86), and ERS (0.36–0.59). High responsiveness (ES/SRM) was observed in total score (2.80/2.24), PAQ (2.34/1.78), CAS (2.90/2.34), EMC (2.92/2.35), and ERS (0.55/0.52).ConclusionOur results suggest that the LES is a valid elbow-specific scoring system that can be used to evaluate joint function in patients with elbow stiffness, though some items included had some weakness either.

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“…Therefore, outcome assessment is feasible using a postal/telephone questionnaire, as patients can provide reliable and valid judgements about their health status and treatment outcomes. 21 In a study of 25 elbow fractures treated with plate fixation and followed up for a mean of 34 months, 20%…”

Section: Discussionmentioning

confidence: 99%

“…telephone, using the patient-answered questionnaire (PAQ) portion of the Liverpool Elbow Score (LES). 20,21 It consisted of 9 items about daily functioning of the elbow during the previous 4 weeks; total scores could range from 0 to 36. Patient satisfaction and any symptoms attributed to the hardware were also recorded.…”

Section: Recordsmentioning

confidence: 99%

Plate Osteosynthesis for Severe Olecranon Fractures

Muñoz-Mahamud

Fernández-Valencia

Riba

2010

J Orthop Surg (Hong Kong)

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Purpose. To review outcomes of 10 patients who underwent plate osteosynthesis for severe olecranon fractures. Methods. Records of 7 men and 3 women aged 33 to 73 years who underwent plate osteosynthesis for severe olecranon fractures were reviewed. All had some degree of soft-tissue injury; 6 presented with associated fractures. Seven patients were treated with a limited contact dynamic compression plate, and the remaining 3 received a locking compression plate. Patients were followed up for fracture healing, range of motion, nerve damage, heterotopic ossification, infection, hardware complaints, and the need of a secondary surgical procedure. The Mayo Elbow Performance Score (MEPS) was determined at the final follow-up. The patient-answered questionnaire (PAQ) portion of the Liverpool Elbow Score (LES) was evaluated 2 to 37 months later by telephone. 2010;18(1):80-4 2010;18(1):80-4 and severe soft-tissue swelling; all had been treated with the limited contact dynamic compression plate. Four patients underwent plate removal owing to hardware complaints. One patient underwent a secondary procedure to restore complete range of elbow motion. The mean MEPS score was 84 (range, 35-100); 5 patients attained excellent scores, one good, 2 satisfactory, and 2 unsatisfactory. The mean PAQ portion of the LES score was 31 (range, 23-36). Conclusion. Plate osteosynthesis achieves satisfactory results for severe olecranon fractures. The deep infection rate is higher in patients with severe softtissue injury. Journal of Orthopaedic Surgery

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Use of the Liverpool Elbow Score as a postal questionnaire for the assessment of outcome after total elbow arthroplasty

Cited by 9 publications

References 9 publications

The Munich Wrist Questionnaire (MWQ) – development and validation of a new patient-reported outcome measurement tool for wrist disorders

The Munich Wrist Questionnaire (MWQ) – development and validation of a new patient-reported outcome measurement tool for wrist disorders

Validation of the Liverpool Elbow Score for evaluation of elbow stiffness

Plate Osteosynthesis for Severe Olecranon Fractures

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