Related Experiment Video
Updated: Jun 16, 2026
Measurement of Dynamic Scapular Kinematics Using an Acromion Marker Cluster to Minimize Skin Movement Artifact
Published on: February 10, 2015
The Dutch patient-based Constant Murley score cannot be used interchangeably with the clinician-based Constant Murley
Brechtje Hesseling1,2,3, Sander I B Perry4, Max A Hoelen1,3
1Reinier Haga Orthopedic Center, Zoetermeer, The Netherlands.
Background:
To find an alternative for the time-consuming Dutch clinician-based Constant Murley score (c-CMS), we assessed its interchangeability with the patient-based CMS (p-CMS) in patients undergoing arthroplasty. Also, we assessed test-retest reproducibility of both CMS versions.
Methods:
The English p-CMS was translated into Dutch using forward and backward translation. We administered the c-CMS and p-CMS at 2 time points before surgery and 6 months after surgery. Subsequently, we calculated absolute agreement parameters, both between p-CMS and c-CMS, to study interchangeability. For the repeated measurements of c-CMS and p-CMS, agreement was calculated separately to study test-retest reproducibility.
Results:
We recruited 139 patients from 3 different hospitals. Between total p-CMS and total c-CMS, the 95% limits of agreement (LoAs) were -20.4 to 22.6 with a mean bias of 1.1. For test-retest reproducibility of the c-CMS and the p-CMS, LoAs were -15.1 to 15.7 (mean bias 0.3) and -16.6 to 18.8 (mean bias 1.1), respectively. These LoAs were all wider than the shoulder arthroplasty-specific Minimal Clinically Important Differences found in the literature.
Conclusion:
The p-CMS cannot be used interchangeably with the c-CMS. In addition, the CMS has become obsolete for quantifying shoulder functionality; shoulder-specific patient-reported outcome measures with better reproducibility are currently available.
