scholarly journals Os instrumentos de avaliação do estado funcional do ombro

2018 ◽  
Vol 8 (3) ◽  
pp. 202
Author(s):  
Rodrigo da Silva Assis Coelho
Keyword(s):  
Shoulder Pain ◽  
Simple Shoulder Test ◽  
De Se ◽  
Hand Scale

A avaliação do estado funcional do ombro se tornou imprescindível, na tentativa de se compreender e documentar o impacto da dor e dos sintomas das diversas patologias do ombro sobre a funcionalidade. Este estudo tem por objetivo fazer uma revisão sistematizada do conteúdo e da qualidade psicométrica dos instrumentos de avaliação do estado funcional do ombro. Foi realizada uma revisão sistemática sobre o assunto em 5 bases de dados eletrônicas. Foram analisados 19 instrumentos e o respectivo conteúdo. A qualidade psicométrica dos instrumentos foi avaliada através de uma lista de checagem aplicada sobre os instrumentos originais. Os instrumentos Disability of the Arm, Shoulder, and Hand scale (DASH), Simple Shoulder Test (SST) e Shoulder Pain and Disability Index (SPADI) são os mais estudados, utilizados e que apresentam as melhores propriedades psicométricas. Nenhum destes instrumentos foi adaptado para ser utilizado no Brasil.Palavras-chave: ombro, avaliação, funcional, desabilidade.

scholarly journals Glenoidplasty With Posterior Labral Reattachment for Posterosuperior Glenoid Impingement

2020 ◽  
Vol 8 (3) ◽  
pp. 232596712090789
Author(s):  
Geoffroy Nourissat ◽  
Julien Provost ◽  
Marie Vigan ◽  
Claire Cammas
Keyword(s):  
Shoulder Pain ◽  
National Level ◽  
Sport Activity ◽  
Surgical Techniques ◽  
Case Series ◽  
Online Questionnaire ◽  
Level Of Evidence ◽  
Simple Shoulder Test ◽  
Recreational Athletes

Background: Posterosuperior glenoid impingement (PSGI), also known as shoulder internal impingement, is a cause of shoulder pain in athletes involved in overhead-throwing sports. PSGI is a condition mostly treated by rehabilitation. Surgery is indicated after unsatisfactory nonoperative management. However, with most of the surgical techniques proposed, the shoulder remains persistently painful during sport activity. Hypothesis: We aimed to evaluate the efficiency of adding posterior labral reattachment to glenoidplasty as a surgical treatment for PSGI. Our hypothesis was that posterior labral reattachment would have a positive effect on shoulder pain. To our knowledge, this combined procedure has not been previously described. Study Design: Case series; Level of evidence, 4. Methods: We retrospectively reviewed 11 male patients with PSGI treated with glenoidplasty and posterior labral reattachment at a single institution during a 7-year period and with a minimum 30-month follow-up after surgery. Most patients were recreational athletes, with 5 of them practicing at the national level and 1 being a professional athlete. Patients completed an online questionnaire consisting of the Simple Shoulder Test (SST), the Kerlan-Jobe Orthopaedic Clinic (KJOC) shoulder and elbow questionnaire, and a specific PSGI survey. Pre- and postoperative shoulder pain were analyzed using the paired t test, with significance set at P < .05. Results: All 11 patients investigated sought surgery because of persistent shoulder pain while practicing their sport. The patients underwent glenoidplasty and posterior labral fixation, and data for 9 patients were available for analysis (mean age, 29 years; range, 24-42 years). At a minimum 30-month follow-up, most patients (77.8%) showed decreased pain, and 8 patients were able to return to their previous sports activities, with 7 returning at the same or higher level. There was 1 patient who had to change sports because of a lack of force, while a second patient temporarily changed sport and then returned to his sport but at an inferior level. Pre- and postoperative pain differed significantly ( P < .05). Surgery did not impair daily life in all patients. Conclusion: Glenoidplasty associated with posterior labral reattachment significantly diminished shoulder pain in athletes involved in throwing sports. Most patients were able to return to their previous sport at the same or higher level. Posterior labral fixation may improve the benefit of glenoidplasty by decreasing pain.

scholarly journals Coracoid syndrome: a neglected cause of anterior shoulder pain

Joints ◽  
2016 ◽  
Vol 04 (01) ◽  
pp. 031-038
Author(s):  
Antonio Gigante ◽  
Carlo Bottegoni ◽  
Pamela Barbadoro
Keyword(s):  
Shoulder Pain ◽  
Repeated Measures ◽  
Trigger Point ◽  
Biceps Tendon ◽  
Case Series ◽  
Coracoid Process ◽  
Level Of Evidence ◽  
Simple Shoulder Test ◽  
Anterior Shoulder Pain ◽  
Eq Vas

Purpose: the present prospective open-label study was designed to gain further insights into a condition thought to constitute a neglected but not uncommon syndrome characterized by anterior shoulder pain and tenderness to palpation over the apex of the coracoid process, not related to rotator cuff or pectoralis minor tendinopathy, long head of the biceps tendon disorders, or instability. The aim was to clarify its prevalence, clinical characteristics, differential diagnosis and response to corticosteroid injections. Methods: patients with primary anterior shoulder pain precisely reproduced by deep pressure on the apex of the coracoid process were recruited. Patients with clinical or instrumental signs of other shoulder disorders were excluded. Patients were given an injection of triamcinolone acetonide 40 mg/ml 1 ml at the coracoid trigger point. They were evaluated after 15, 30 and 60 days and at 2 years using Equal Visual Analog Scale (EQ-VAS) and the italian version of the Simple Shoulder Test (SST). Results: between January 1 and December 31 2010, we treated 15 patients aged 26-66 years. The majority were women (86.67%). At 15 days, 6 (40%) patients reported complete resolution of their symptoms, while 9 (60%) complained of residual symptoms and received another injection. At 30 days, 14 (93.33%) patients were pain-free and very satisfied. At 2 years, the 14 patients who had been asymptomatic at 30 days reported that they had experienced no further pain or impaired shoulder function. The analysis of variance for repeated measures showed a significant effect of time on EQ-VAS and SST scores. Conclusions: the present study documents the existence, and characteristics, of a “coracoid syndrome” characterized by anterior shoulder pain and tenderness to palpation over the apex of the coracoid process and showed that the pain is usually amenable to steroid treatment. This syndrome should be clearly distinguished from anterior shoulder pain due to other causes, in order to avoid inappropriate conservative or surgical treatment. Level of evidence: Level IV, therapeutic case series.

scholarly journals Comparison of the University of California–Los Angeles Shoulder Scale and the Simple Shoulder Test With the Shoulder Pain and Disability Index: Single-Administration Reliability and Validity

2000 ◽  
Vol 80 (8) ◽  
pp. 759-768 ◽  
Author(s):  
Toni S Roddey ◽  
Sharon L Olson ◽  
Karon F Cook ◽  
Gary M Gartsman ◽  
William Hanten
Keyword(s):  
Factor Analysis ◽  
Los Angeles ◽  
Shoulder Pain ◽  
Reliability And Validity ◽  
Factor Loading ◽  
Self Report ◽  
University Of California ◽  
Simple Shoulder Test ◽  
Cronbach Alpha ◽  
The University

Abstract Background and Purpose. Shoulder scales are often used to evaluate treatment efficacy, yet little is known about the psychometric properties of these scales. Only one scale has undergone psychometric scrutiny: the Shoulder Pain and Disability Index (SPADI). This study compared 2 shoulder measures—the University of California-Los Angeles (UCLA) Shoulder Scale and the Simple Shoulder Test (SST)—with the SPADI. Subjects. One hundred ninety-two patients with shoulder disorders were recruited from one physician's office to complete the self-report sections of the 3 scales. Methods. Cronbach alpha values and standard errors of measurement (SEM) were calculated for each of the multi-item subscales. Validity was examined through calculation of correlation coefficients among the 3 scales. Factor analysis was completed to assess the underlying constructs of the SPADI and the SST. Results. Cronbach alpha values ranged from .85 to .95. The SEM values for the multi-item scales ranged from 4.75 to 11.65. Evidence for validity to reflect function was indicated by the correlation between the SST and the SPADI disability subscale. The factor analysis of the SPADI revealed loading on 1 factor, whereas the SST loaded on 2 factors. Conclusion and Discussion. All scales demonstrated good internal consistency, suggesting that all items for each scale measure the same construct. However, the SEMs for all scales were high. Factor loading was inconsistent, suggesting that patients may not distinguish between pain and function.

scholarly journals Minimal important difference and patient acceptable symptom state for pain, Constant-Murley score and Simple Shoulder Test in patients with subacromial pain syndrome

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Kari Kanto ◽  
Tuomas Lähdeoja ◽  
Mika Paavola ◽  
Pasi Aronen ◽  
Teppo L. N. Järvinen ◽  
...  
Keyword(s):  
Shoulder Pain ◽  
Minimal Important Difference ◽  
Pain Syndrome ◽  
Global Rating ◽  
Simple Shoulder Test ◽  
Subacromial Pain Syndrome ◽  
Constant Murley Score ◽  
Patient Acceptable Symptom State ◽  
The Mean ◽  
Pain At Rest

Abstract Background The results of clinical trials should be assessed for both statistical significance and importance of observed effects to patients. Minimal important difference (MID) is a threshold denoting a difference that is important to patients. Patient acceptable symptom state (PASS) is a threshold above which patients feel well. Objective To determine MID and PASS for common outcome instruments in patients with subacromial pain syndrome (SAPS). Methods We used data from the FIMPACT trial, a randomised controlled trial of treatment for SAPS that included 193 patients. The outcomes were shoulder pain at rest and on arm activity, both measured with the 0–100 mm visual analogue scale (VAS), the Constant-Murley score (CS), and the Simple Shoulder Test (SST). The transition question was a five-point global rating of change. We used three anchor-based methods to determine the MID for improvement: the receiver operating characteristic (ROC) curve, the mean difference of change and the mean change methods. For the PASS, we used the ROC and 75th percentile methods and calculated estimates using two different anchor question thresholds. Results Different MID methods yielded different estimates. The ROC method yielded the smallest estimates for MID: 20 mm for shoulder pain on arm activity, 10 points for CS and 1.5 points for SST, with good to excellent discrimination (areas under curve (AUCs) from 0.86 to 0.94). We could not establish a reliable MID for pain at rest. The PASS estimates were consistent between methods. The ROC method PASS thresholds using a conservative anchor question threshold were 2 mm for pain at rest, 9 mm for pain on activity, 80 points for CS and 11 points for SST, with AUCs from 0.74 to 0.83. Conclusion We recommend the smallest estimate from different methods as the MID, because it is very unlikely that changes smaller than the smallest MID estimate are important to patients: 20 mm for pain VAS on arm activity, 10 points for CS and 1.5 points for SST. We recommend PASS estimates of 9 mm for pain on arm activity, 80 points for CS, and 11 points for SST. Trial registration ClinicalTrials.gov NCT00428870 (first registered January 29, 2007).

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