oxford shoulder score mcid

Oxford shoulder score. Questionnaire issued to patients (couldn’t find any administration instructions). How would you describe … 160. Oxford shoulder score The OSS was developed in Oxford (UK) by Dawson et al. There is no data, which clearly state the MCID for the Constant score. Aim:whether non-operative man… Original Literature: Amstutz, HARLAN C., AL Hoy Sew, and Ian C. Clarke. 2100 signifies an extreme decrease in shoulder related quality of life. on a shelf at shoulder level without bending elbow. MCID for CMS, UCLA and OSS were determined using simple linear regression according to … 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 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… 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 Do you have pain in your s houlder (normal activities)? Numerous studies show that patients who failed conservative management, benefit from open, mini open and arthroscopic rotator cuff repair (ARCR). 4 October 2018 | Journal of Orthopaedic Surgery and Research, Vol. The mean DASH score (0 best, 100 worst) at 2 years was 18.5 points for the operative 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 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). Oxford Shoulder Score. Concentric. The purpose of our study was to compare the outcomes of ARCR in patients older than 75 years and younger than 75 years of age. ical treatments. No existing studies report the minimal clinically important difference (MCID) of WOOS, but the MCID of the OSS was investigated and found to be 6 points or 12.5% of a maximum score . The minimum score is a 12 indicating least difficulty. It is short, reproducible, valid and sensitive to clinically important changes. To assess the responsiveness and minimal change for the Oxford Elbow Score (OES) using anchor- and distribution-based approaches. The attractive properties of the OES have meant it has been widely adopted. Outcome measures: Oxford Shoulder Score (primary), SF-12 (secondary), EuroQol 5D. 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%). Professor Rangan et al; published in JAMA (Journal of American Medical Association). on a shelf at shoulder level without bending elbow. 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). ASES Shoulder Score reported in main analyses. The MCID change scores varied in relation to the baseline level of function. [31] for patients with shoulder problems. 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 13, No. A prospective observational study of 104 patients undergoing elbow surgery at a specialist orthopaedic hospital was carried out. Interventions were plate fixation, hemiarthroplasty or IM nailing. 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. 3 2 1 0 X 13. 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. 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. 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 … Methods A prospective observational study of 104 patients undergoing elbow surgery at a specialist ortho-paedic hospital was carried out. 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. The pennsylvania shoulder score (PSS) is a 100-point shoulder specific scale comprised of pain (30%), satisfaction (10%), and function (60%). Place a one gallon container (8-10 lbs.) 2. 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. Oxford Shoulder Score – English for the United Kingdom 2 / 3 PROBLEMS WITH YOUR SHOULDER Tick ( ) one box for every question. There is no MCID defined for the total score of OES, but Dawson et al. Constant score 1. Oxford Knee Score© Department of Public Health, University of Oxford, Old Road Campus, Oxford OX3 7LF, UK. 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. for assessing the impact on patients’ quality of life of degenerative conditions such as arthritis and rotator cuff problems. 5 In this instance, the MCID was calculated by taking the mean change score of everyone who reported changing one increment on the qualitative improvement scale. MARX Knee PRO Measure. 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. 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 For the CMS, the mean difference in final score was significantly higher for the US-guided lavage group by 11.7 out of 100 points (95% CI 0.01 to 23.39, p<0.05) at 6 weeks. Few studies have evaluated the outcomes of glenoid baseplate migration after reverse shoulder arthroplasty (RSA). The secondary outcome measures were the Oxford Shoulder Score … The results of ARCR between the cohorts were then compared. Shoulder and Hand scores showed a statistically significant improvement (MD, 23.92; 95% CI, 9.47-38.37). There are three pain VAS scores: one each for pain at rest, pain with everyday activities, and pain with strenuous activities. 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). if 1 question missed divide by 40) Total disability score: / 80 x 100 = % 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. The outcome developed is a questionnaire that is to be completed by the patient, relative, friend, or … All three groups were assessed via the Oxford Shoulder Score (OSS) and compared to established criteria for target score change/MCID. 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. “UCLA anatomic total shoulder arthroplasty.”. Clinical orthopaedics and related research 155 (1981): 7-20. Eccentric. a 100-points scale composed of a number of individual parameters. The primary purpose of this study is to evaluate the radiographic factors associated with glenoid baseplate migration after RSA using a … 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 Shoulder Questionnaire has been shown to correlate well with both the Constant Score and the SF36 assessment and to be sensitive to surgical intervention. There are five response options for each question, corresponding to a score ranging from 1 (least difficult) to 5 (most difficult). 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. Material and methods: 306 patients were followed up for 24-month. The maximum score is a 60 indicating most difficulty. At 2-week, 66% of patients reported a change in VAS pain that exceeds the MCID change of 1.7/10. Improvements were also observed in other relevant outcomes such as shoulder pain, kinesiophobia, and level of prolonged … The SPADI score is often presented as a percentage thus the following calculations are performed. The Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire is a 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 (0 to 48 scale, higher = better, reported as mean with range and P value ‐ back‐translated to SD) Intermediate. 20 The MCID of the OSS has only recently been defined as >4.5 points for elective shoulder surgery. 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. The Oxford Shoulder Instability Score; validation in Dutch and first-time assessment of its smallest detectable change Determination and comparison of the smallest detectable change (SDC) and the minimal important change (MIC) of four-shoulder patient-reported outcome measures (PROMs) Reference for Grading: Fabre T, Piton C, Leclouerec G, Gervais-Delion F, Durandeau A. Entrapment of the suprascapular nerve. 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. 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. MARX focuses on four activity points: running, deceleration, cutting (changing directions while running), and pivoting. 11-20. This study compared the responsiveness and minimal clinically important differences of the Oxford Instability Shoulder Score (OISS) and Shoulder Rating Questionnaire (SRQ). 1. 10, 11 CMS, UCLA, and OSS are also common PROMs used in the assessment of patient outcome after arthroscopic RC repair with good reliability and validity, and … Oxford Shoulder Score (OSS), Shoulder Pain and Disability Index (SPADI), and Constant score were completed at baseline and 6 months. 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]. Scores range from 0 to 35 with a score of 0 indicating worse shoulder function and 35 indicating better shoulder function. 34 The recurrence rate was not significantly different between female and male patients (13.3% vs 14.8%; P ≥ .999; risk ratio, … 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. The SDQ is very short but cannot be recommended due to absence of data on or weakness of psychometric properties. Reach a shelf above your head without bending your elbow. ... 37, 38), the Oxford Shoulder Questionnaire , the Shoulder Rating Questionnaire , and the University of Pennsylvania Shoulder Scale (41, 42). /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 … for patients with shoulder problems. Patient satisfaction is determined from 0-10 on numeric rating scale. It contains 12 items related to pain and shoulder function. However, there is a paucity of literature addressing ARCR and outcomes in patients older than the age of 75 years. MARX was developed in 2001 as an patient-reported outcome measure with the goal of finding a patient’s general level of activity. 1. 8. Oxford Shoulder Scores The Oxford Shoulder Questionnaire relies on the patient’s subjective assessment of pain and ADL impairment to provide the assessment. 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. MARX focuses on four activity points: running, deceleration, cutting (changing directions while running), and pivoting. 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 … <11. change for the Oxford Elbow Score (OES) using anchor-and distribution-based approaches. 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. Excellent. Backgroung: Increasing trend of operative intervention for proximal humerus fractures and half are displaced and majority involve the surgical neck. Have you had any trouble dressing yourself because of your shoulder? 35 ± 10.5. 3 This was derived from the distribution method of half a SD. 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. Pain score in points / 50 x 100. These scores are added to give a total score of 1900. 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… MARX Knee PRO Measure. The highest or most symptomatic score is 1900 and the best or asymptomatic score is 0. P = 0.32 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). The Oxford Shoulder Score (OSS) is a validated patient-reported outcome measure (PROM) whose use has seen an increase over the past few years. Selection of Shoulder Outcomes Scores and Where From Here to the Future Richard J. Hawkins, M.D. In patients with total shoulder arthroplasty [10], shoulder impingement [8] and a variety of upper extremity diagnoses [9], the AUCs were found to be 0.71 (0.60-0.82), 0.79 (0.69-0.89) and 0.67, respectively. The stiff group underwent manipulation under anesthesia (MUA) prior to ARCR being performed. Shoulder MRI was performed at baseline and 6 months to assess fat fraction and Goutallier classification pre- and post- treatment. ... (MCID) (MIC) Measuring clinical change —(MDC) (SDC) Measuring statistical change. Poon 2014. Clin Orthop Relat Res. Risk Ratio (M‐H, Fixed, 95% CI) 1.49 [0.75, 2.95] 5.1 Score included pain, motion, and function. Conclusions: Improvements in Disabilities of the Arm, Shoulder and Hand scores at 6 months (23.92) surpassed MCID criteria for conservatively managed upper-extremity musculoskeletal pathology (10.83)dsuggesting that saline solution 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. Simple Shoulder Test (SST). 3. 113,114 In addition, the … 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. Its uptake has steadily increased in a number of countries and its use has also been extended. score) using the formula: [10 − VAS pain score]×5+5 3 × ADL score ThepainscoreandtheADLscoreare weighted equally via this formula. Mean Difference (IV, Fixed, 95% CI) Totals not selected. for assessing the impact on patients’ quality of life of degenerative conditions such as arthritis and rotator cuff problems. The shoulder activity level metric was developed for use in addition to traditional scores that measure pain and function. Most patients improved their pain score ratings at the se-cond postoperative visit (Table 3). 1987 Jan; (214):160-4. link to pubmed. The scores from both dimensions are averaged to derive a total score. Patients completed the OES and the Disabilities of the Arm, Shoulder and Hand ... (MCID) of 10.4 for the Constant score, 24. The OSS was developed in Oxford (UK) by Dawson et al. There are five response options for each question, corresponding to a score ranging from 1 (least difficult) to 5 (most difficult). 5 Unsatisfactory function (only 'poor' or 'fair' category ) at 1 year Show forest plot. During the past 4 weeks… Have you had any trouble dressing yourself because of your shoulder? Mean change in score divided by the SD of the change in score. This was a multi-centre RCT in the UK. This is the smallest difference in a score which the patient perceives as being beneficial. 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 Complications recorded. 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 A clinical method of functional assessment of the shoulder. It is very short, but there is a lack of psychometric testing data. 23. Interpretation of scores Total pain score: / 50 x 100 = % (Note: If a person does not answer all questions divide by the total possible score, eg. This study compared the responsiveness and minimal clinically important differences of the Oxford Instability Shoulder Score (OISS) and Shoulder Rating Questionnaire (SRQ). This study compared the responsiveness and minimal clinically important differences of the Oxford Instability Shoulder Score (OISS) and Shoulder Rating Questionnaire (SRQ). 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. 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. PENN SHOULDER SCORE Part II: Function: Please circle the number that best describes the level of difficulty you might have performing each activity. The distribution-based estimates of the MCID for the VAS score … It’s a shoulder-specific instrument designed to assess the outcome of all shoulder surgeries (with the exception of instability surgery). MCID for the three domains is 19, 9, and 18, respectively . have reported the MCID for each of the three domains—pain, function, and social-psychological—for a group of patients with different pathologies including TEA for osteoarthritis and rheumatoid arthritis. Patients completed the OES and the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaires (both scored on a 0 … sive surgery tended to have higher VAS scores (Table 2). Psychological symptoms and the MCID of the DASH score in shoulder surgery. 4 Oxford Shoulder Score (0 (worst function) to 48 (best function)) Show forest plot. 2 year follow up, measures taken at 6, 12 and 24 months. No difficulty Some difficulty Much difficulty Can’t do at all Did not do before injury 1. Place a soup can (1-2 lbs.) 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 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. 27. The question is whether an ingrowth central cage implant that has undergone early migration can restabilize due to cage ingrowth. 14. However, routine clinical practice within the organisations involved would normally consider a change of approximately 15 points to be clinically important. 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. The MCID is defined as the minimal change in the score that is considered to be worthwhile or important, 26 and is traditionally difficult to calculate. The median pain VAS scores reduced from 26 (13–47) to 20 (11–36), P¼0.002. 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). No =15 pts, Mild pain = 10 pts, Moderate = 5 pts, Severe or permanent = 0. Test-retest reliability (ICC 2,1) was 0.87 (95 % CI 0.53 to 0.97) . Nevertheless, Younis et al reported asymptomatic Oxford shoulder scores as significantly different from the presumed perfect score of 48. 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. 81 Daily pain and number of repetitions per exercise during home exercises were rated in the participants' diary. The results of the present study are in accordance with previous studies [8-10]. Score interpretation. During the past 4 weeks… How would you describe the worst pain you had from your shoulder? Accordingly, we chose the MCID to be 15. 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. MCID = minimal clinically important difference, pienin kliinisesti merkittävä ero CS Constant–Murley score «Constant CR. 3 2 1 0 X 12. The Oxford Shoulder Score was developed specifically for surgical conditions and is often used in the UK. None Mild Moderate Severe Unbearable 2. 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 MARX was developed in 2001 as an patient-reported outcome measure with the goal of finding a patient’s general level of activity. 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. MCID: The smallest change that represents an important difference for the patient (same unit as the original measurement). Process: 2 independent and blinded specialists classified the fractures based on the Neer classification. Good. Reverse polarity TSR with eccentric glenosphere position vs concentric position. Reach the small of your back to tuck in your Function. 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. 38 ± 10.5. 0 is the best possible score, meaning the patient is experiencing no decrease in shoulder related quality of life. 3 2 1 0 X Place a soup can (1-2 lbs.) It contains 12 items related to pain and shoulder function. 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. Reference for Score: Constant CR, Murley AH.

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