Oxford shoulder score oss english version for the united kingdom. Aug 28, 20 we have compared the widely used and wellinvestigated constant murley score and modified it to allow a patientbased score. The constant murley score was introduced to determine the functionality after the treatment of a shoulder injury. Aug 16, 2019 the online version of this article a correlation of 0,49 complies with a significant but moderate correlation between the simple shoulder test and the constant murley shoulder score. Fabre t, piton c, leclouerec g, gervaisdelion f, durandeau a. The score was first presented in a university thesis in 1986 and the methodology was published in 1987. It is a summative scale that provides a global score based on weighted measures of physical impairments in range of motion rom and strength, along with patient report of. There are about 34 scores for shoulder function assessment but the constant murley score cms, originally published in the english language, is one of the most used. Reliable and valid tools to assess shoulder function are important in research and clinical practice. Convergent validity of the constant murley outcome measure.
The most efficient pros were the ucla, the quick disabilities of thearm, shoulder, and hand score quickdash, and constant scores. The blandaltman agreement plots for a the constant murley score n 108, b the power score n 108, and c the pain score n 108 are shown. A clinical method of functional assessment of the shoulder. It was approved and recommended by the executive committee of the european society for surgery of the shoulder and the elbow and has been widely used as an assessment method ever since 2,3,4. Constant score as described by constant and murley 1987. Studies evaluating the content validity of the constantmurley score suggest that the description in the original publication is insufficient to accomplish standardization between centers and evaluators. The constantmurley score is the primary outcome measure in this study. The observed bias, or the mean difference between the patientbased and the clinicianbased methods, is.
There is no consensus on the optimal treatment for midshaft clavicular fracture. The ases has been found to be comparable to the shoulder pain and disability index spadi and the constant murley score in terms of responsiveness 3. Ases shoulder score patientreported outcome measure. Free online constant shoulder score calculator orthotoolkit about the score originally published in 1987 in clinical orthopaedics and related research and revised in 2008 in the journal of shoulder and elbow surgery, the constant murley score was designed to assess the functional state of a normal, a diseased, or a treated shoulder. The danish version of the modified constantmurley shoulder. The role of anterior deltoid reeducation in patients with. However, no standardised test protocol was included in these new recommendations and the validity and usefulness of the score therefore remains questionable.
The purpose of this study was to determine normal constant scores in a contemporary population and compare these values with those originally established by constant. A modified version of the ases questionnaire, the mases also compares favorably to other shoulder rating scales 6. Free online constant shoulder score calculator orthotoolkit. A patientderived constant murley score is comparable to a clinicianderived score. The maximum score of 100 points would correspond to an asymptomatic shoulder with complete function and strength of approximately 11 kg. Detailed knowledge about this score will enable clinicians and researchers to gain a better understanding of its value. Outcome data included a patientderived constant murley score, a visual analog score vas, a satisfaction score, the 11item version of the disabilities of the arm, shoulder and hand score, and. The constantmurley score cms is widely used to evaluate disabilities associated with shoulder injuries, but it has been criticized for relying on imprecise terminology and a lack of. Clinical orthopaedics and related research 214 1987. Pdf modification of the constantmurley shoulder score. The best score is 100 points, 25 of which concern the ability of the patient to lift 25 pounds with his arm as an assessment of muscle strength. The constant score in normal shoulders sciencedirect. Outpatient clinic shoulder unit constant score patients details operationdiagnosis. Despite this limitation, the constantmurley score correlates strongly or 0.
A patientderived constantmurley score is comparable to a. Constant score patients details operationdiagnosis. The constant murley score cms is a 100points scale composed of a number of individual parameters. Grading the constant shoulder score difference between normal and. The constantmurley score cms is a widely used scoring system. Treatment of chronic rotatorcuff impingement by arthroscopic subacromial decompression. Even in larger condtant of patients makes this method a better comparison of the functional results than the constant murley score reference parameters out of healthy age and gender related control groups. We used the method described by moseley 1972 and recommended by constant and murley 1987 to assess muscle strength. The adjusted score represents the gender and agematched function of the shoulder and is useful in the evaluation of shoulder outcomes. A patientderived constant murley score is comparable to a. The constantmurley 4 score was validated previously, and has high reliability. Do functional scores of flap donor sites recover after. A search of 3 databases medline, cinahl, and embase and a manual search yielded 35 relevant publications. Constantmurleyscorepatientcompletedportion patientname.
No 15 pts, mild pain 10 pts, moderate 5 pts, severe or permanent 0. It is calculated after a clinical examination and is divided in 4 subscores. The constantmurley shoulder outcome score has become the most commonly used outcome measure for assessing the outcomes of the treatment of shoulder disorders. Constant with the assistance of the late alan murley during the years 19811986.
In this group, the mean value of the parameters of the constantmurley score at t0 reached the maximum of 100 points. May 05, 2019 introduction the constantmurley score cms was presented in as an jurley to evaluate overall shoulder function, irrespective of diagnosis 1. The objective of this study was to evaluate the psychometric properties of the constantmurley score cms in various shoulder pathologies. Modification of the constantmurley shoulder scoreintroduction of the individual relative constant score. The constant murley shoulder outcome score has become the most commonly used outcome measure for assessing the outcomes of the treatment of shoulder disorders.
For women, patients aged less than 50 years had a signi. The constant score was calculated by each observer and a diagnosis of arthritis, dislocation or impingement recorded for each patient. Background the constantmurley score cms is a widely used scoring system. Correlation between the ucla and constantmurley scores in.
The present study aimed to assess the interrater reliability of the objective component of the cms. The constantmurley score cs is a wellestablished functional score for the shoulder, described in 1987, and widely used in international studies. Our results suggest that a patientbased questionnaire can be used interchangeably or in place of a clinicianbased questionnaire for subjective and objective items of the constant murley score. We conducted a metaanalysis to compare the effectiveness of nonoperative treatment, plate fixation, and intramedullary pin fixation in terms of the constantmurley score cms for treatment of midshaft clavicular fracture. How comprehensive and efficient are patientreported. The constant score was first published in 1987 reference.
It is widely used in shoulder trials, is well accepted by surgeons, has good reliability and responsiveness, and has been improved by further clarifications from the originating centre and published standardised protocols. The present study aimed to assess the interrater reliability of theobjectivecomponentofthecms. The european society of shoulder and elbow surgery esse promotes the constantmurley score for a comprehensive and comparable assessment of shoulder function. Fialka c, oberleitner g, stampfl p, brannath w, hexel m, vecsei v. The constantmurley score cms is a 100points scale composed of a number of individual parameters. Do you know the best pro measure to use for your shoulder patients. These parameters define the level of pain and the ability to carry out the normal daily activities of the patient. An evaluation of the constantmurley shoulder assessment. Patients with a scapular graft showed a significant reduction p.
Five of 6 items are necessary for determination of the symptoms score and 22 of 24 items for the function score 11. Translation, cultural adaptation, validity and reliability. Even in larger condtant of patients makes this method a better comparison of the functional results than the constantmurley score reference parameters out of healthy age and gender related control groups. Constantmurley score cms questionnaire is one of the most frequently used shoulderspecific scoring system, which can be specifically used to assess pain and disability in patients with shoulder complaints 7. Materials and methods three independent observers assessed in random order 25 consecutive patients attending a shoulder and elbow clinic. The ucla scale presents reliability ranging from moderate to very high. The constantmurley score again improved significantly p. At this point, it is relevant to mention that subacromial pathology was the most frequent shoulder condition in consfant various articles regarding. Modification of the constantmurley shoulder scoreintroduction of the individual relative constant score individual shoulder assessment. The reliability of the constantmurley shoulder scoring. The brazilian version of the constantmurley score cmsbr.
The least efficient scores were the joa andsf36 scores. Pdf reliability of shoulder abduction strength measure. A standard method of mutley strength measurement for the constant score with a spring balance. The constantmurley shoulder test is a valid instrument for health status and is useful for patients with various upper extremity symptoms. Qurious web will have no obligation to provide a refund of any amounts previously paid to rotatemysite. Pdf chinese version of the constantmurley questionnaire. May 10, 2018 the constantmurley score cms was presented in 1987 as an instrument to evaluate overall shoulder function, irrespective of diagnosis. Despite the popularity of the constant murley score cms, a combined patientreport and objective health professional administered. Relative constantmurley shoulder scores are based on an age and sexmatched normal population from constants original research. The objective of this study was to evaluate the psychometric properties of the constantmurley score cms in various shoulder. Convergent validity of the constantmurley outcome measure.
As between you and, all modifications or enhancements to the software made by you or members of your household in using this website is true and accurate. The constantmurley score cms questionnaire is one of the most frequently used shoulderspecific scoring system, which can be specifically used to assess pain and disability in patients with shoulder complaints. The constant murley score is the primary outcome measure in this study. The present study was designed to evaluate a chinese translational version of cms and subsequently assess its reliability and validity. Grading the constant shoulder score difference between normal and abnormal side 30. Despite the popularity of the constant murley score cms, a combined patientreport and objective health professional administered shoulder outcome measure, minimal information. Pdf a patientderived constantmurley score is comparable. Is the constant score reliable in assessing patients with.
The constant score cs, developed as a scoring system to. B 17 the constant murley score correlates strongly with shoulder specific questionnaires. Reliability of shoulder abduction strength measure for the constant murley score. Disabilities of the arm, shoulder, and hand questionnaire dash and its short version quickdash, shoulder pain and disability index spadi, american shoulder and elbow surgeons ases society standardized shoulder assessment form, constant murley score cs, simple shoulder test sst, oxford shoulder score oss, shoulder disability questionnaire. Do you have pain in your s houlder normal activities. The european society for shoulder and elbow surgery esses adopted the scoring system of c constant and a murley 1, 2, 3, 4, 5. B 17 the constantmurley score correlates strongly with shoulder specific questionnaires. Cms questionnaire is recognized as an excellent gauge in assessment of response to treatment in patients with subacromial pain. Convergent validity of the constantmurley outcome measure in. The danish version of the modified constantmurley shoulder score. However, its objective component is open to interrater variability. Introduction the constantmurley score cms was presented in as an jurley to evaluate overall shoulder function, irrespective of diagnosis 1.
315 1200 1439 326 1006 875 1392 297 897 1572 1545 1159 980 864 1265 1680 594 925 224 856 166 995 157 801 774 134 357 631 803 1073 824 422 153 1110 193 1363 721 1212 1375 511 372 1020 1071