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Validation of the Sydney Hamstring Origin Rupture Evaluation (SHORE).
Sofie R French1, Rajiv Kaila2, Selin Munir1
1Australian Institute of Musculoskeletal Research, Sydney, Australia.
The Bone & Joint Journal
|March 3, 2020
Summary
The Sydney Hamstring Origin Rupture Evaluation (SHORE) is a validated tool for assessing hamstring surgery outcomes. It is reliable, practical, and sensitive to clinical changes in patients.
Area of Science:
- Orthopedic surgery
- Sports medicine
- Clinical outcomes assessment
Background:
- Hamstring injuries often require surgical intervention.
- Accurate assessment of patient outcomes post-surgery is crucial.
- Existing tools may lack specificity or comprehensive validation.
Purpose of the Study:
- To validate the Sydney Hamstring Origin Rupture Evaluation (SHORE) tool.
- To assess its psychometric properties for evaluating outcomes after hamstring surgery.
Main Methods:
- Prospective study of 70 patients undergoing unilateral hamstring surgical repair.
- Patients completed the SHORE preoperatively and at 6 months, and SHORE and PHAT at 3 years.
- Psychometric properties (internal consistency, reproducibility, reliability, sensitivity, ceiling effect) were evaluated.
Main Results:
- The SHORE demonstrated excellent completion rates (100%), high internal consistency (0.78), and good reproducibility (0.82).
- It showed high correlation with the Perth Hamstring Assessment Tool (PHAT) and greater sensitivity to clinical change.
- No ceiling effect was noted at 6 months, but present in both tools at 3 years.
Conclusions:
- The SHORE is a validated patient-reported outcome measure (PROM).
- It is a short, practical, reliable, valid, and responsive tool for assessing hamstring injury and surgical repair outcomes.
- The SHORE is suitable for clinical use in evaluating symptoms and function.

