11-20. Test-retest reliability (ICC 2,1) was 0.87 (95 % CI 0.53 to 0.97) . Accordingly, we chose the MCID to be 15. [31] for patients with shoulder problems. 34 The recurrence rate was not significantly different between female and male patients (13.3% vs 14.8%; P ≥ .999; risk ratio, … Oxford Shoulder Score. The scores from both dimensions are averaged to derive a total score. 14. This is the smallest difference in a score which the patient perceives as being beneficial. Improvements were also observed in other relevant outcomes such as shoulder pain, kinesiophobia, and level of prolonged … 0 is the best possible score, meaning the patient is experiencing no decrease in shoulder related quality of life. 1. The validated, patient-reported Oxford shoulder score (OSS) was introduced around 10 years ago, primarily for the assessment of outcomes of shoulder surgery (excluding shoulder stabilisation) in randomised trials. Clin Orthop Relat Res. on a shelf at shoulder level without bending elbow. Discussion This retrospective, case-control study aims to ascertain whether patients older than 75 years of age with RCT will benefit from ARCR when conservative management has failed. 27. Most patients improved their pain score ratings at the se-cond postoperative visit (Table 3). Aim: To determine the Minimal Clinically Important Difference (MCID) for Constant-Murley score (CMS), University of California Los Angeles (UCLA) shoulder score, and Oxford Shoulder Scores (OSS) after arthroscopic rotator cuff (RC) repairs. Minimal Clinical Important Difference (MCID) 10.83-15: 15.91-20: Responsiveness Good responsiveness to self-rated changes before and after most arm, shoulder, and hand diagnoses and surgeries; Comparable responsiveness compared to other joint and disease-specific measures a 100-points scale composed of a number of individual parameters. The attractive properties of the OES have meant it has been widely adopted. OUT-PATIENT CLINIC SHOULDER UNIT CONSTANT SCORE Patient’s Details Operation/Diagnosis: Date: Side: R L Examination: Pre-op 3 months 6months 1 year 2 years ___ years A.- Pain (/15): Average (1 + 2) A 1. 3 2 1 0 X Place a soup can (1-2 lbs.) Results • Significant improvement over time • Baseline and 6 weeks (p<0.001) • 6 week and 6 months (p<0.001) • 6 months and 1 year (p<0.001) • Both Constant and Oxford Scores 33. 5 Unsatisfactory function (only 'poor' or 'fair' category ) at 1 year Show forest plot. The minimum score is a 12 indicating least difficulty. Interventions were plate fixation, hemiarthroplasty or IM nailing. 23. The concept of MCID has been gaining increasing attention in the recent years and used in various literatures measuring patient outcomes to quantify the observed change in PROMs.4, 5 Various MCID specific to each Orthopaedic procedure has also been developed and reported in recent literatures.6, 7, 8, 9, 10, 11 The Oxford Shoulder Score (OSS), Constant-Murley score (CMS), and … if 1 question missed divide by 40) Total disability score: / 80 x 100 = % Simple Shoulder Test (SST). A post hoc power analysis performed using the aforementioned data points found that statistical comparison of the Oxford Shoulder Score at the 24-month follow-up yielded a power of .20. The stiff group underwent manipulation under anesthesia (MUA) prior to ARCR being performed. Functional outcomes assessment in shoulder surgery Table 1 General shoulder measures Measure Description Validity Reliability Responsiveness MCID The constant 10 items: Criterion validity with WORC, Penn, Very good Excellent 10.4 score [36,39,74,75] Physical Examination (4 motion, 1 SST, Oxford, and others. The secondary outcome measures were the Oxford Shoulder Score … The Oxford Shoulder Questionnaire has been shown to correlate well with both the Constant Score and the SF36 assessment and to be sensitive to surgical intervention. Process: 2 independent and blinded specialists classified the fractures based on the Neer classification. The overall comparison of the Oxford Shoulder Score demonstrated a consistent trend of the reverse TSA group scoring higher; at 2 years, the mean Oxford Shoulder Score was 40.8 points (95% CI, 38.8 to 42.7 points) for the reverse TSA group compared with 36.5 points (95% CI, 34.0 to 39.0 points) for the ORIF group, a significant mean difference of 4.3 points (95% CI, 1.2 to 7.4 points; p = 0.007). 3 This was derived from the distribution method of half a SD. Patient satisfaction is determined from 0-10 on numeric rating scale. ... (MCID) of 10.4 for the Constant score, 24. A systematic review of the literature was conducted to identify studies reporting anchor-based MCID values for the patient-reported outcomes recommended by the American Shoulder and Elbow Surgeons (ASES): Veterans Rand 12 score, ASES score, Single Assessment Numeric Evaluation (SANE) score, Western Ontario Rotator Cuff (WORC) score, Western Ontario Osteoarthritis Score (WOOS), Western Ontario Shoulder Instability Index (WOSI), Pennsylvania Shoulder Score, and Oxford Shoulder Score … Given that the two components have 5 and respectively 8 items, the preliminary results range between 0 to 50 and 0 to 80, the overall result ranging from 0 to 130. In order to present this in a clinically more meaningful format, the score can be reported as a percentage of normal by subtracting the total from 1900, dividing by 1900 and multiplying by 100. Oxford Shoulder Score (OSS), Shoulder Pain and Disability Index (SPADI), and Constant score were completed at baseline and 6 months. Psychological symptoms and the MCID of the DASH score in shoulder surgery. 2 year follow up, measures taken at 6, 12 and 24 months. These scores are added to give a total score of 1900. The Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire is a The shoulder activity level metric was developed for use in addition to traditional scores that measure pain and function. The SDQ is very short but cannot be recommended due to absence of data on or weakness of psychometric properties. The OSS was developed in Oxford (UK) by Dawson et al. Reference for Score: Constant CR, Murley AH. Available psychometric information for the DASH in people with a proximal humeral fracture provides some evidence of convergent validity and longitudinal validity (compared with, for example, Oxford Shoulder Score, Constant Score and EuroQol) [11, 21]. Oxford shoulder score. This was a multi-centre RCT in the UK. The Oxford Shoulder Score (OSS) is a validated patient-reported outcome measure (PROM) whose use has seen an increase over the past few years. MCID values for RSA used in this study were as follows: ASES score, 10.3; Constant score, -0.3; UCLA score, 7.0; SST score, 1.4; SPADI score, 20.0; Active shoulder abduction, -1.9; active FF, -2.9; active shoulder ER, -5.3. It is short, reproducible, valid and sensitive to clinically important changes. 108-111 It was suggested to demonstrate reliability and construct validity for patients following shoulder joint operations, 112 and reliability and responsiveness following shoulder surgery. Minimal clinically important difference (MCID) for patient-reported shoulder outcomes The current utility of the MCID for patient-report shoulder outcome instruments is limited by poor study methodology, inadequate reporting, and a lack of data. 13, No. 1. ASES Shoulder Score reported in main analyses. 20 The MCID of the OSS has only recently been defined as >4.5 points for elective shoulder surgery. 81 Scores range from 0 to 35 with a score of 0 indicating worse shoulder function and 35 indicating better shoulder function. The maximum score is a 60 indicating most difficulty. The median pain VAS scores reduced from 26 (13–47) to 20 (11–36), P¼0.002. The primary purpose of this study is to evaluate the radiographic factors associated with glenoid baseplate migration after RSA using a … Ninety-three patients referred to physiotherapy with shoulder instability (100 shoulders) completed the questionnaires at the initial appointment and at 1 and 9 months later. Clinical orthopaedics and related research 155 (1981): 7-20. ... (MCID) (MIC) Measuring clinical change —(MDC) (SDC) Measuring statistical change. MCID for CMS, UCLA and OSS were determined using simple linear regression according to … lities of the Arm, Shoulder, and Hand), disease-specific (eg, Rotator Cuff Quality of Life, Western Ontario Rotator Cuff Index), or condition-specific (eg, Oxford Shoulder Instability Questionnaire). 13.67, MCID 9.5 to o12.8 for acute pain and 15.35 for chronic pain Oxford Elbow Score (35) G for pain, function, psychosoc H with DASH and SF36 for function M with MEPS, DASH, SF36 for pain only L (ES >1.49) overall score, 1.15 for pain and function, 1.13 psychosoc DASH (1415) E How would you describe … /P.T.O PROBLEMS WITH YOUR KNEE During the past 4 weeks.. 9tick one box for every question 1 During the past 4 weeks..... How would you describe the … Complications recorded. This study compared the responsiveness and minimal clinically important differences of the Oxford Instability Shoulder Score (OISS) and Shoulder Rating Questionnaire (SRQ). It consists of five activities: carrying objects weighing ≥8 lb by hand, handling objects overhead, weight lifting or weight training with the arms, executing a swinging motion (swinging a baseball bat or golf club), and lifting objects weighing ≥25 lb. A prospective observational study of 104 patients undergoing elbow surgery at a specialist orthopaedic hospital was carried out. ... 37, 38), the Oxford Shoulder Questionnaire , the Shoulder Rating Questionnaire , and the University of Pennsylvania Shoulder Scale (41, 42). Concentric. for patients with shoulder problems. 3 2 1 0 X 13. Risk Ratio (M‐H, Fixed, 95% CI) 1.49 [0.75, 2.95] 5.1 Score included pain, motion, and function. There are five response options for each question, corresponding to a score ranging from 1 (least difficult) to 5 (most difficult). However, routine clinical practice within the organisations involved would normally consider a change of approximately 15 points to be clinically important. MCID: The smallest change that represents an important difference for the patient (same unit as the original measurement). Numerous studies show that patients who failed conservative management, benefit from open, mini open and arthroscopic rotator cuff repair (ARCR). The Oxford Shoulder Score was developed specifically for surgical conditions and is often used in the UK. Patients completed the OES and the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaires (both scored on a 0 … 160. Professor Rangan et al; published in JAMA (Journal of American Medical Association). The mean DASH score (0 best, 100 worst) at 2 years was 18.5 points for the operative Aim:whether non-operative man… Oxford Shoulder Score (OSS), a 12-item scale rated on a five-point Likert scale from 0-4 (0=poor function, 4=good function). Oxford shoulder score The OSS was developed in Oxford (UK) by Dawson et al. MARX Knee PRO Measure. 38 ± 10.5. MCID for American Shoulder and Elbow Surgeon Score (ASES), Simple Shoulder Test Score (SST), and Disabilities of the Arm, Shoulder, and Hand outcome measure (DASH) has been developed and validated in the literature. There are three pain VAS scores: one each for pain at rest, pain with everyday activities, and pain with strenuous activities. MCID = minimal clinically important difference, pienin kliinisesti merkittävä ero CS Constant–Murley score «Constant CR. al shoulder surgery follow‐up care uses ‘virtual clinic’ model: ts report their outcomes online –pre and 3 & 12 months post surgery ation informs clinician’s judgement re need for 2nd & 3rd face‐to‐face follow‐up OP appointment(s) Measures used in shoulder pathway: •EQ-5D • Oxford Shoulder Score sive surgery tended to have higher VAS scores (Table 2). 1987 Jan; (214):160-4. link to pubmed. Secondary outcomes included Constant–Murley score, the visual analogue scale for pain, the quality of life questionnaire 15D, EuroQol Group’s 5-dimension self-reported questionnaire EQ-5D, the Oxford Shoulder Score, and complica-tions. To assess the responsiveness and minimal change for the Oxford Elbow Score (OES) using anchor- and distribution-based approaches. Daily pain and number of repetitions per exercise during home exercises were rated in the participants' diary. By extrapolating MICD from OSS to WOOS, based on the known MCID for OSS, we estimated the accepted clinically meaningful change (ACMC) of WOOS to 237.5 points (12.5%). Eccentric. Higher score= more disabled MDC= 10.7-12.2 MCID 10.2 Reliability .91-.97 ... Penn Shoulder Score, Questionnaire 4 pain questions, 1 satisfaction question, rated 0-10 no pain or worst possible, ... Oxford shoulder score VAS Pain scale: 0-10 none to worst pain There is no MCID defined for the total score of OES, but Dawson et al. Results • Short Form - 36 • Significant improvements in bodily pain (p=0.011) mental health (p=0.009) and social function (p<0.001) • No other significant differences between groups or over time Place a soup can (1-2 lbs.) Home > The Oxford Shoulder Score (OSS) The Oxford Shoulder Score (OSS) The Oxford Shoulder Score (OSS) is a 12-item patient-reported PRO specifically designed and developed for assessing outcomes of shoulder surgery e.g. 1. At 2-week, 66% of patients reported a change in VAS pain that exceeds the MCID change of 1.7/10. Clinical outcomes, including the ROM, visual analog score (VAS) for pain, Constant shoulder score (CSS), Oxford shoulder score, and University of California Los Angeles (UCLA) shoulder score, were collected by independent personnel preoperatively and at 3, 6, and 12 months after surgery. The Constant-Murley Score (CS) is the most commonly used scoring system for evaluation of various disorders of the shoulder.23 It consists of both objective (range of motion and strength) and subjective measurements (pain assessment, workload and leisure time activities), which are summarised in a score between 0 and 100. <11. No =15 pts, Mild pain = 10 pts, Moderate = 5 pts, Severe or permanent = 0. Identification of Shoulder-specific Patient Acceptable Symptom State in Patients with Rheumatic Diseases Undergoing Shoulder Surgery Anne Christie, Hanne Dagfinrud, Andrew M. Garratt, Hanne Ringen Osnes, Kåre Birger Hagen Good. Looking at the self-reported outcomes, participants improved above the minimal clinically important difference (MCID) in WOSI total score (51%; MCID 10.4–14% [59, 60]), which will be the primary outcome to evaluate the treatment effectiveness in the definitive RCT. Oxford Shoulder Instability Score: OSIS: 2: 0: 48: Patient-Specific Functional Scale: PSFS: 2: 0: 10: Penn Shoulder Score: PSS: 2: 0: 100: Bostrom Shoulder Movement Impairment Scale: Bostrom: 1: 5: 30: Functional Shoulder Scale: FSS: 1: 0: 100: Neer Function Score: Neer: 1: 100: 0: Shoulder Function Index: SFInX: 1: 0: 100: SF-12 Mental Component Score: SF-12 MCS: 1: 0: 100: SF-12 Physical Component Score… for assessing the impact on patients’ quality of life of degenerative conditions such as arthritis and rotator cuff problems. During the past 4 weeks… Have you had any trouble dressing yourself because of your shoulder? Place a one gallon container (8-10 lbs.) Our hypothesis was that reverse total shoulder arthroplasty (TSA) yields better clinical results compared with open reduction and internal fixation (ORIF) using an angular stable plate. Score interpretation. Material and methods: 306 patients were followed up for 24-month. 4 October 2018 | Journal of Orthopaedic Surgery and Research, Vol. For ASAD, patients are asked for pre and post-operative Oxford shoulder scores (OSS)8 and EQ5D scores (a validated, generic measure of health status) 9. The Oxford Hip Score (OHS) The Oxford Hip Score (OHS) is a short 12-item patient-reported PRO specifically designed and developed to assess function and pain with patients undergoing hip replacement surgery. Function. Mean change in score divided by the SD of the change in score. Postoperatively, female patients had a significantly lower SST score compared with men (8.8 ± 1.9 vs 10.3 ± 1.6; P = .005), but the difference was less than the minimal clinically important difference (MCID) for the SST score after shoulder arthroplasty (2.4 points). It contains 12 items related to pain and shoulder function. Original Literature: Amstutz, HARLAN C., AL Hoy Sew, and Ian C. Clarke. All three groups were assessed via the Oxford Shoulder Score (OSS) and compared to established criteria for target score change/MCID. It contains 12 items related to pain and shoulder function. Reference for Grading: Fabre T, Piton C, Leclouerec G, Gervais-Delion F, Durandeau A. Entrapment of the suprascapular nerve. The ASES was found to have test-retest reliability; construct and discriminant validity; and responsiveness to clinical change for patients with various shoulder pathologies; and a MCID of 6.4. The results of ARCR between the cohorts were then compared. Outcomes were measured using Visual Analog Scale (VAS), Constant Shoulder Score (CSS), and Oxford Shoulder Score (OSS) recorded at the preoperative, 6- , 12-, and 24-month time points. MARX focuses on four activity points: running, deceleration, cutting (changing directions while running), and pivoting. Reverse polarity TSR with eccentric glenosphere position vs concentric position. The outcome developed is a questionnaire that is to be completed by the patient, relative, friend, or … Questionnaire issued to patients (couldn’t find any administration instructions). Reach a shelf above your head without bending your elbow. There are five response options for each question, corresponding to a score ranging from 1 (least difficult) to 5 (most difficult). P = 0.32 However, there is a paucity of literature addressing ARCR and outcomes in patients older than the age of 75 years. ical treatments. MARX focuses on four activity points: running, deceleration, cutting (changing directions while running), and pivoting. 8. Few studies have evaluated the outcomes of glenoid baseplate migration after reverse shoulder arthroplasty (RSA). The MCID change scores varied in relation to the baseline level of function. The Oxford Shoulder Questionnaire has been shown to correlate well with both the Constant Score and the SF36 assessment and to be sensitive to surgical intervention. During the past 4 weeks… How would you describe the worst pain you had from your shoulder? 2. It’s a shoulder-specific instrument designed to assess the outcome of all shoulder surgeries (with the exception of instability surgery). 6 They suggested that PROMs can only be used effectively if the background population range is known so that postoperative improvements can be forecast more accurately. MARX was developed in 2001 as an patient-reported outcome measure with the goal of finding a patient’s general level of activity. The average change in VAS pain score at each study timepoint meet the MCID value of at least 1.73 cm change on a 10 cm scale (13). Oxford Shoulder Score – English for the United Kingdom 2 / 3 PROBLEMS WITH YOUR SHOULDER Tick ( ) one box for every question. No rationale has been presented for the weighting scheme of this instru-ment.4 Normative scores range from 92 to 99.5 The time to administer the test is 3 to 5 minutes, and scoring takes approximately 2 minutes.6,7 A CS score with a MCID of 10.4 for rotator cuff repair; adverse findings on post-treatment medical imaging - determined by the reviewing surgeon based on imaging secondary outcomes identified; positive signs of instability, weakness or other primary pathology during clinical follow-up - as determined by the reviewing surgeon based on strength and instability tests identified as secondary outcomes; failure to improve shoulder… “UCLA anatomic total shoulder arthroplasty.”. No difficulty Some difficulty Much difficulty Can’t do at all Did not do before injury 1. The Oxford Shoulder Score improved in both groups at 6 weeks and 12 months; however, no significant statistical differences between groups were observed (p≥0.05). None Mild Moderate Severe Unbearable 2. Backgroung: Increasing trend of operative intervention for proximal humerus fractures and half are displaced and majority involve the surgical neck. PENN SHOULDER SCORE Part II: Function: Please circle the number that best describes the level of difficulty you might have performing each activity. There is no data, which clearly state the MCID for the Constant score. Outcome measures: Oxford Shoulder Score (primary), SF-12 (secondary), EuroQol 5D. The pennsylvania shoulder score (PSS) is a 100-point shoulder specific scale comprised of pain (30%), satisfaction (10%), and function (60%). Nevertheless, Younis et al reported asymptomatic Oxford shoulder scores as significantly different from the presumed perfect score of 48. 4 Oxford Shoulder Score (0 (worst function) to 48 (best function)) Show forest plot. Selection of Shoulder Outcomes Scores and Where From Here to the Future Richard J. Hawkins, M.D. Mean Difference (IV, Fixed, 95% CI) Totals not selected. Have you had any trouble dressing yourself because of your shoulder? To determine the Minimal Clinically Important Difference (MCID) for Constant-Murley score (CMS), University of California Los Angeles (UCLA) shoulder score, and Oxford Shoulder Scores (OSS) after arthroscopic rotator cuff (RC) repairs.

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