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Updated: May 8, 2026

Reverse Total Shoulder Arthroplasty
Published on: July 5, 2011
Correlation Between Patient-Reported and Clinician-Measured Shoulder Range of Motion in Patients Undergoing Shoulder
Casey Beleckas1, Daniel F Schodlbauer, Jonathan C Levy
1From the Levy Shoulder to Hand Center at Paley Orthopedic and Spine Institute Boca Raton, FL (Beleckas, Schodlbauer, Levy).
Patient-reported shoulder range of motion (ROM) strongly correlates with clinician measurements for elevation and internal rotation, and moderately for abduction. This validates remote assessment of shoulder mobility.
Area of Science:
- Orthopedics
- Rehabilitation Medicine
- Digital Health
Background:
- Growing interest in remote patient monitoring for clinical and research applications.
- Need for validated methods to assess shoulder range of motion (ROM) outside of in-person visits.
Purpose of the Study:
- To evaluate the correlation between patient-reported and clinician-measured (CM) shoulder ROM.
- To assess the reliability of patient-reported outcomes for shoulder mobility.
Main Methods:
- Retrospective cohort study of 13,842 patient visits over 16 years.
- Collected patient-reported and CM shoulder ROM (elevation, abduction, internal rotation) using a picture-based survey and direct measurement.
- Utilized Spearman correlation analysis to compare ROM measures.
Main Results:
- Strong correlations observed between patient-reported and CM elevation (r=0.70) and internal rotation (r=0.66).
- Moderate correlation found between patient-reported and CM abduction (r=0.59).
- Arthroplasty subgroup showed strong correlations across all three ROM measures.
Conclusions:
- Patient-reported shoulder ROM is a reliable proxy for clinician measurements, particularly for elevation and internal rotation.
- Remote assessment of shoulder mobility is feasible, reducing the need for in-person evaluations.
- Findings support the integration of patient-reported outcome measures in remote orthopedic care.
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