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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
PubMed
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.

Keywords:
HamstringPatient outcomesQuestionnaireValidation

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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.