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Titre : | Assessing shoulder disability in orthopaedic specialist care : Introducing the Copenhagen Shoulder Abduction Rating (C-SAR) (2022) |
Auteurs : | Mikkel Bek Clausen ; Adam Witten ; Karl Bang Christensen ; Mette Kreutzfeldt Zebis ; Morten Foverskov ; Ann Cools ; Per Hölmich ; Kristian Thorborg |
Type de document : | Article |
Dans : | Musculoskeletal Science and Practice (Vol. 61, October 2022) |
Article en page(s) : | p. 102593 |
Note générale : | https://doi.org/10.1016/j.msksp.2022.102593 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Epaule ; Kinésithérapie (spécialité) ; Lésions de l'épaule ; Orthopédie |
Résumé : | Background Differences in shoulder-disability among common shoulder-disorders in orthopaedic specialist care is unknown. Furthermore, rating of shoulder-disability using patient-reported outcomes is time-consuming, and a faster approach is needed. Objectives First, compare shoulder-disability among common shoulder-disorders. Secondly, rate shoulder-disability according to the new and quick Copenhagen Shoulder Abduction Rating (C-SAR) and investigate criterion validity of C-SAR. Methods Cross-sectional study including 325 consecutive patients with shoulder-disorders in orthopaedic specialist care. We assessed shoulder abduction range-of-motion and pain during testing (NRS:0-10), and shoulder-disability using Shoulder Pain and Disability Index (SPADI) subscales. Patients were sub-grouped using C-SAR, which is based on shoulder abduction range-of-motion and pain during testing: Severe (range-of-motion ?90°), Medium (range-of-motion >90°, NRS:>5), Mild (range-of-motion >90°, NRS:?5). Shoulder-disability was compared among diagnostic categories and C-SAR subgroups using ANCOVA-models. Results Most patients were diagnosed with either subacromial impingement (n = 211) or full-thickness/complete rotator-cuff tear (n = 18), but adhesive capsulitis (n = 22) was the diagnostic category related to worst SPADI scores. Data for C-SAR subgrouping were available from 187/229 (82%) patients with rotator-cuff related disorders (subacromial impingement or rotator-cuff tears). C-SAR subgrouping was not feasible for patient with adhesive capsulitis or glenohumeral injury. Differences in shoulder-disability between Mild (n = 67) and Medium (n = 56) C-SAR subgroups were large for both SPADI-subscales (ES: 1.0, p |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2468781222000935 |