Zusammenfassung
Es soll ein Fragebogen entwickelt werden, mit welchem der Constant-Score (CS) zur Erfassung der Schulterfunktion ohne erneute Untersuchung des Patienten erhoben werden kann.
Zur Bestimmung der Retestreliabilität wurde innerhalb von 1 Woche von 47 zur Schulteroperation anstehenden Patienten der Bogen 2-mal selbstständig ausgefüllt. Zur Validierung erfolgte eine Erhebung des CS durch den Arzt.
Die mittlere Trennschärfe des modifizierten CS-Patientenbogens zur stationären Aufnahme lag bei r=0,47. Die mittlere Itemschwierigkeit betrug 0,40, die Retestreliabilität 0,675 (p=0,000), die Interne Konsistenz des Patientenbogens 0,80 und die der Arztuntersuchung 0,85. Die Validierung anhand der Konstrukt-, Diskriminations- und Kontentvalidität war erfolgreich, der CS-Bogen korrelierte hochsignifikant mit dem vom Arzt erhobenen Score.
Diese statistischen Analysen zeigen, dass der CS-Bogen ein reliables und valides Instrument zur Erhebung des CS darstellt und somit für Verlaufsstudien eingesetzt werden kann.
Abstract
The aim was to develop a German questionnaire for self-assessment of shoulder function equivalent to the Constant-Score (CS).
To evaluate the retest reliability, the CS questionnaire was completed twice within 1 week by 47 patients prior to shoulder surgery. For validation the CS was assessed by the physician after the second self-test.
The medium selectivity of the CS questionnaire at hospital admission was 0.47, the medium item difficulty 0.40, the test-retest reliability 0.675 (p=0.000), the internal consistency of the questionnaire 0.80, and of the physician’s CS evaluation 0.85. Construct, content, and discriminative validity of the questionnaire could be demonstrated. A high correlation of the patient-based questionnaire with the physician-assessed CS was found (p=0.82).
The statistical analyses demonstrated that the CS questionnaire is a reliable and valid instrument to evaluate the CS and can therefore be used for follow-up studies.
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Literatur
Beaton DE, Richards RR (1996) Measuring function of the shoulder. A cross-sectional comparison of five questionnaires. J Bone Joint Surg Am 78: 882–890
Boehm TD, Mueller T, Rehwald C, Gohlke F, Barthel T, Eulert J (1997) Age and sex related Constant Murely Score. J Shoulder Elbow Surg 6: 194
Brinker MR, Cuomo JS, Popham GJ, O’Connor DP, Barrack RL (2002) An examination of bias in shoulder scoring instruments among healthy collegiate and recreational athletes. J Shoulder Elbow Surg 11: 463–469
Cohen J (1988) Statistical power analysis for the behavioral sciences, 2nd edn. Erlbaum, Hillsdale, NJ, p 62
Conboy V, Morris R, Kiss J, Carr A (1996) An evaluation of the Constant-Murley shoulder assessment. J Bone Joint Surg Br 78: 229–232
Constant CR, Murley AHG (1987) A clinical method of functional assessment of the shoulder. Clin Orthop 214: 160–164
Constant CR (1991) Schulterfunktionsbeurteilung. Orthopade 20: 289–294
Ellman H, Hanker G, Bayer M (1986) Repair of the rotator cuff. End-result study of factors influencing reconstruction. J Bone Joint Surg Am 68: 1136–1144
Gerber C (1996) Use of Constant Score for assessing shoulder instability. Instructional course, 9th Congress of the SECEC/ESSES, Nottingham
Germann G, Wind G, Harth A (1999) The DASH (Disabilities of the Arm- Shoulder-Hand) Questionnaire a new instrument for evaluating upper extremity treatment outcome. Handchir Mikrochir Plast Chir 31: 149–152
Gschwendt (1996) 9th Congress of the SECEC/ESSES, Nottingham Book of Abstracts, p 124
Hudak PL, Amadio PC, Bombardier C (1996) Development of an upper extremity outcome measure: the DASH (Disabilities of the Arm, Shoulder and Hand). The Upper Extremity Collaborative Group (UECG). Am J Indust Med 29: 602–608
Kay SP, Amstutz HC (1986) Shoulder hemiarthroplasty at UCLA. Clin Orthop 228: 42–48
Richards RR, Kai-Nan An, Bilgiani LU et al. (1994) A standarized method for the assessment of shoulder function. J Shoulder Elbow Surg 3: 347–352
Kirkley A, Griffin S, McLintock H, Ng L (1998) The development and evaluation of a disease-specific quality of life measurement tool for shoulder instability. The Western Ontario Shoulder Instability Index (WOSI). Am J Sports Med 26: 764–772
Kirschenbaum D, Coyle MP, Leddy JP et al. (1993) Shoulder strength with rotator cuff tears. Clin Orthop 288: 174–178
Lippitt SB, Harryman DT II, Matsen, FA III (1993) A practical tool for evaluating function: the simple shoulder test. The American Academy of Orthopaedic Surgeons, Rosemont, Ill, pp 501–518
Löhr J, Schuetz U, Hauser C, Schwyzer HK, Simmen BR (2000) Introduction of a visual score correlating to the Constant Shoulder Functional Score. 14th Open Congress of the European Society of Surgery of the Shoulder and Elbow. Lissabon, 2000, Book of Abstracts, p 124
McKee MD, Yoo DJ (2000) The effect of surgery for rotator cuff disease on general health status. J Bone Joint Surg Am 82: 970–979
Roach K E, Budiman-Mak E, Songsiridej N, Lertratanakul Y (1991) Development of a shoulder pain and disability index. Arthrit Care Res 4: 143–149
Rowe CR, Patel D, Southmayd WW (1978) The Bankart procedure. A long-term endresult study. J Bone Joint Surg Am 60: 1–16
Skutek M, Fremerey RW, Zeichen J, Bosch U (2000) Outcome analysis following open rotator cuff repair. Early effectivness validated using four different shoulder assessment scales. Arch Orthop Trauma Surg 120: 432–436
Skutek M, Zeichen J, Fremerey RW, Bosch U (2001) Outcomeanalyse nach offener Rekonstruktion von Rotatorenmanschettenrupturen. Unfallchirurg 104: 480–487
Taylor AJ, Neumann L, Almeida I, Wallace WA (1998) Strength assessement for the constant score: comparison of the isobex, a fixed spring balance and the Nottingham myometer. 7 International Congress of Shoulder Surgery, Sydney, Book of Abstracts, p 271
Walker SW, Couch WH, Boester GA, Sprowl DW (1987) Isokinetic strength of the shoulder after repair of a torn rotator cuff. J Bone Joint Surg Am 69: 1041–1044
Williams GN, Gangel TJ, Arciero RA, Uhorchak JM, Taylro DC (1999) Comparison of the single assessment numeric evaluation method and two shoulder rating scales. Am J Sports Med 27: 214–221
Wolfgang GL (1974) Surgical repair of tears of the rotator cuff of the shoulder J Bone Joint Surg Am 56: 14–25
Wülker N, Kohn D, Grimm C (1991) Bewertung der Schulterfunktion mit unterschiedlichen Scores. Orthop Prax 12: 750–754
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Boehm, D., Wollmerstedt, N., Doesch, M. et al. Entwicklung eines Fragebogens basierend auf dem Constant-Murely-Score zur Selbstevaluation der Schulterfunktion durch den Patienten. Unfallchirurg 107, 397–402 (2004). https://doi.org/10.1007/s00113-004-0757-3
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DOI: https://doi.org/10.1007/s00113-004-0757-3