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First published on May 18, 2004, doi:10.1177/0363546503262193
This version was published on July 1, 2004
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The American Journal of Sports Medicine 32:1270-1277 (2004)
© 2004 American Orthopaedic Society for Sports Medicine

Shoulder Outcome Measures

A Comparison of 6 Functional Tests

Jeff D. Placzek, MD, PT*,{dagger},{ddagger}, Steven C. Lukens, MPT§, Sabrina Badalanmenti, MPT||, Paul J. Roubal, PhD, MS, D. Carl Freeman, PhD#, Kim M. Walleman, MPT**, Amy Parrot, MPT{dagger}{dagger} and J. Michael Wiater, MD{dagger}{dagger}

From {dagger} Department of Orthopaedic Surgery, Washington University School of Medicine, St Louis, Missouri, {ddagger} 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 {dagger}{dagger} 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 scale’s 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). Constant’s 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 patient’s 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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