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Measurement of shoulder activity level.
Robert H Brophy1, Richard L Beauvais, Edward C Jones
1Sports Medicine and Shoulder Service and the Foster Center for Clinical Outcome Research, Hospital for Special Surgery, New York, NY 10021, USA.
Clinical Orthopaedics and Related Research
|October 6, 2005
Summary
A new shoulder activity scale was developed to measure how often patients engage in physical activities. This tool demonstrates excellent reliability and validity for predicting shoulder disorder outcomes.
Area of Science:
- Orthopedics
- Rehabilitation Medicine
- Sports Medicine
Background:
- Existing shoulder assessment tools primarily measure pain and function, neglecting patient activity levels.
- Patient activity level is a crucial factor influencing the outcomes of shoulder disorders.
- A validated measure of shoulder activity is needed to predict patient prognosis.
Purpose of the Study:
- To develop a brief, easily administered measure of shoulder activity.
- To assess the reliability and validity of the newly developed shoulder activity scale.
- To establish the scale's utility in predicting outcomes for shoulder disorders.
Main Methods:
- The shoulder activity scale was developed using established principles: item generation, reduction, pretesting, and reliability/validity testing.
- The scale comprises five activities rated on a five-point frequency scale (0-4 points).
- Additional questions assess participation in contact and overhead sports.
Main Results:
- The developed activity scale demonstrated excellent reliability and construct validity.
- The scale is quick to complete, facilitating its use in clinical settings.
- The scale effectively measures shoulder activity frequency.
Conclusions:
- The new shoulder activity scale is a reliable and valid tool for assessing patient activity levels.
- This scale can be used alongside existing outcome measures to define patient cohorts.
- Shoulder activity level, as measured by this scale, can serve as a prognostic factor in shoulder disorders.