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,





From
Department of Orthopaedic Surgery, Washington University School of Medicine, St Louis, Missouri,
Oakland University Program in Physical Therapy, Rochester, Michigan,
Port Huron Hospital Sport and Spine, Fort Gratiot, Michigan, || Henry Ford Hospital, Detroit, Michigan, ¶ Physical Therapy Specialists, Troy, Michigan, # Wayne State University, Detroit, Michigan, ** Orthocare Physical Therapy, Roseville, Michigan, and 
William Beaumont Hospital, Royal Oak, Michigan
* Address correspondence to Jeff D. Placzek, MD, PT, Michigan Hand and Wrist, 47601 Grand River Avenue, Suite A222, Novi, MI 48374 (e-mail: placzek{at}oakland.edu).
Background: Several shoulder function scores are used in research, with no universally adopted standard. This study compares 6 shoulder outcome scales.
Hypothesis: Correlations exist between shoulder outcome scales, allowing conversion between scales. Shoulder scales are correlated with age.
Study Design: Regression and correlation study.
Methods: Seventy subjects with shoulder pain completed 6 shoulder outcome scales. Pearson correlations were calculated between the total scores of the 6 instruments, between the components of the scales, and with age. Regression equations were calculated between scales.
Results: The range of r values for total scores was 0.495
r
0.770, P
.01. In general, a scales components were themselves highly correlated and added little new information to the scale (0.260
r
0.705, P
.05). Most of the scale scores were highly correlated with age (0.291
r
0.582, P
.05). Constants reported corrections for age reduced (from r = 0.582 to r = 0.250, P < .05) but did not eliminate age as a confounding variable.
Conclusions: Correlations exist between shoulder outcome scales, but existing shoulder scales are not equivalent in their assessments of function; they contain redundant information and, in some cases, may reflect a patients age better than his/her shoulder function. The utility of conversion equations is minimized as a result of low to moderate correlations between scales.
Key Words: outcomes shoulder function assessment
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