Lisätietoa aiheesta

Olkavaivojen mittareita ja yleisiä oirekyselyjä

Lisätietoa aiheesta
12.4.2022
Käypä hoito -työryhmä Olkapään jännevaivat
  • Olkavaivojen mittareita (ks. oheinen taulukko).
Taulukko 1. Olkavaivojen mittareita.
PisteytysSkaalaKoostumusMCID Huomioitavaa
p = pistettä
subj. = subjektiivinen, potilaan oma arvio
obj. = objektiivinen, tutkijan määrittelemä
ADL = activities of daily living, päivittäistoiminnot
MCID = minimal clinically important difference, pienin kliinisesti merkittävä ero
* instabiliteetti, tunne siitä että nivel ei pysy paikoillaan.
CS
Constant–Murley score
«Constant CR. Age related recovery of shoulder function after injury. Thesis. Cork, Ireland: University College; 1986»1 		0–100
0 huonoin, 100 paras
  • kipu (subj.) 15 p
  • ADL-toiminnot (subj.) 20 p
  • liikelaajuudet (obj.) 40 p
  • voima (obj.) 25 p
10,4
«Kukkonen J, Kauko T, Vahlberg T ym. Investigating minimal clinically important difference for Constant score in patients undergoing rotator cuff surgery. J Shoulder Elbow Surg 2013;22:1650-5 »2 		Yhdistelmä subjektiivisia ja objektiivisia mittauksia
Ikä- ja sukupuoliriippuvainen (erilaiset normiarvot eri ikäisillä, eri sukupuolilla)
DASH
Disabilities of the Arm, Shoulder and Hand
«Hudak PL, Amadio PC, Bombardier C. Development of an upper extremity outcome measure: the DASH (disabilities of the arm, shoulder and hand) [corrected]. The Upper Extremity Collaborative Group (UECG) »3 		0–100
0 paras, 100 huonoin 		30-kohtainen (+ 8 kohdan valinnainen osio) kyselylomake (subj.) yläraajan toiminnoista
Tulkinnassa pisteet muunnetaan skaalalle 0–100 		10
«Franchignoni F, Vercelli S, Giordano A ym. Minimal clinically important difference of the disabilities of the arm, shoulder and hand outcome measure (DASH) and its shortened version (QuickDASH). J Ort»4, «Sorensen AA, Howard D, Tan WH ym. Minimal clinically important differences of 3 patient-rated outcomes instruments. J Hand Surg Am 2013;38:641-9 »5 		Mittaa molempien yläraajojen toimintaa
Quick-DASH
«Beaton DE, Wright JG, Katz JN ym. Development of the QuickDASH: comparison of three item-reduction approaches. J Bone Joint Surg Am 2005;87:1038-46 »6 		0–100
0 paras, 100 huonoin 		11-kohtainen kyselylomake yläraajan toiminnoista
Tulkinnassa pisteet muunnetaan skaalalle 0–100 		noin 15
«Franchignoni F, Vercelli S, Giordano A ym. Minimal clinically important difference of the disabilities of the arm, shoulder and hand outcome measure (DASH) and its shortened version (QuickDASH). J Ort»4, «Sorensen AA, Howard D, Tan WH ym. Minimal clinically important differences of 3 patient-rated outcomes instruments. J Hand Surg Am 2013;38:641-9 »5		Mittaa molempien yläraajojen toimintaa
Lyhennetty versio DASH:sta
UCLA
University of California Los Angeles
«Amstutz HC, Sew Hoy AL, Clarke IC. UCLA anatomic total shoulder arthroplasty. Clin Orthop Relat Res 1981;155:7-20 »7 		0–35 p
0 huonoin, 35 paras
  • kipu (subj.) 10 p
  • ADL-toiminnot (subj.) 10 p
  • voima/liike (obj.) 10 p
  • potilastyytyväisyys (subj.) 5 p
Ei tiedossa
ASES
American Shoulder and Elbow Surgeons
«Richards RR, An KN, Bigliani LU ym. A standardized method for the assessment of shoulder function. J Shoulder Elbow Surg 1994;3:347-52 »8 		0–100 p
0 huonoin, 100 paras 		10-kohtainen kyselylomake
  • kipu
  • epätukevuusoireet*
  • ADL-toiminnot

Tulkinnassa pisteet muunnetaan skaalalle 0–100 		12–17 p
«Tashjian RZ, Deloach J, Green A ym. Minimal clinically important differences in ASES and simple shoulder test scores after nonoperative treatment of rotator cuff disease. J Bone Joint Surg Am 2010;92:»9, «Piitulainen K, Paloneva J, Ylinen J ym. Reliability and validity of the Finnish version of the American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form, patient self-report section. »18		ASES:ssa on myös objektiivinen osio, jota kuitenkin käytetään vain harvoin
«Smith MV, Calfee RP, Baumgarten KM ym. Upper extremity-specific measures of disability and outcomes in orthopaedic surgery. J Bone Joint Surg Am 2012;94:277-85 »10
SST
Simple Shoulder Test
«L'Insalata JC, Warren RF, Cohen SB ym. A self-administered questionnaire for assessment of symptoms and function of the shoulder. J Bone Joint Surg Am 1997;79:738-48 »11 		0–12
0 huonoin, 12 paras 		12-kohtainen kyselylomake,
vastaukset kyllä/ei 		2
«Tashjian RZ, Deloach J, Green A ym. Minimal clinically important differences in ASES and simple shoulder test scores after nonoperative treatment of rotator cuff disease. J Bone Joint Surg Am 2010;92:»9
SPADI
Shoulder Pain and Disability Index
«Roach KE, Budiman-Mak E, Songsiridej N ym. Development of a shoulder pain and disability index. Arthritis Care Res 1991;4:143-9 »12 		0–100
0 paras, 100 huonoin 		13-kohtainen kyselylomake VAS-janalla
  • kipu
  • toimintakyky
18
«Breckenridge JD, McAuley JH. Shoulder Pain and Disability Index (SPADI). J Physiother 2011;57:197 »13
WORC
Western Ontario Rotator Cuff index
«Kirkley A, Alvarez C, Griffin S. The development and evaluation of a disease-specific quality-of-life questionnaire for disorders of the rotator cuff: The Western Ontario Rotator Cuff Index. Clin J Sp»14 		0–2 100
0 paras, 2 100 huonoin 		21-kohtainen kyselylomake VAS-janalla
  • fyysiset oireet
  • urheilu
  • työ
  • elämäntapa
  • tunteet
245
«Kirkley A, Alvarez C, Griffin S. The development and evaluation of a disease-specific quality-of-life questionnaire for disorders of the rotator cuff: The Western Ontario Rotator Cuff Index. Clin J Sp»14
OSS
Oxford Shoulder Score
«Dawson J, Fitzpatrick R, Carr A. Questionnaire on the perceptions of patients about shoulder surgery. J Bone Joint Surg Br 1996;78:593-600 »15 		12–60
(vanha versio):
12 paras, 60 huonoin
0–48 (uusi versio):
0 huonoin, 48 paras 		12-kohtainen kyselylomake
  • kipu
  • ADL-toiminnot
Ei tiedossaPisteiden skaala ja tulkinta muuttunut uudemmassa versiossa
RC-QOL
Rotator Cuff Quality of Life
«Hollinshead RM, Mohtadi NG, Vande Guchte RA ym. Two 6-year follow-up studies of large and massive rotator cuff tears: comparison of outcome measures. J Shoulder Elbow Surg 2000;9:373-81 »16 		0–100
0 huonoin, 100 paras 		34-kohtainen kyselylomake VAS-janalla
  • oireet
  • urheilu
  • työ
  • elämäntapa
  • sosiaaliset asiat
  • tunteet

Tulkinnassa pisteet muunnetaan skaalalle 0–100 		Ei tiedossa

Yleisiä oirekyselyitä (VAS, MYMOP, SF-36)

Kirjallisuutta

  1. Constant CR. Age related recovery of shoulder function after injury. Thesis. Cork, Ireland: University College; 1986
  2. Kukkonen J, Kauko T, Vahlberg T ym. Investigating minimal clinically important difference for Constant score in patients undergoing rotator cuff surgery. J Shoulder Elbow Surg 2013;22:1650-5 «PMID: 23850308»PubMed
  3. Hudak PL, Amadio PC, Bombardier C. Development of an upper extremity outcome measure: the DASH (disabilities of the arm, shoulder and hand) [corrected]. The Upper Extremity Collaborative Group (UECG) Am J Ind Med 1996;29:602-8 «PMID: 8773720»PubMed
  4. Franchignoni F, Vercelli S, Giordano A ym. Minimal clinically important difference of the disabilities of the arm, shoulder and hand outcome measure (DASH) and its shortened version (QuickDASH). J Orthop Sports Phys Ther 2014;44:30-9 «PMID: 24175606»PubMed
  5. Sorensen AA, Howard D, Tan WH ym. Minimal clinically important differences of 3 patient-rated outcomes instruments. J Hand Surg Am 2013;38:641-9 «PMID: 23481405»PubMed
  6. Beaton DE, Wright JG, Katz JN ym. Development of the QuickDASH: comparison of three item-reduction approaches. J Bone Joint Surg Am 2005;87:1038-46 «PMID: 15866967»PubMed
  7. Amstutz HC, Sew Hoy AL, Clarke IC. UCLA anatomic total shoulder arthroplasty. Clin Orthop Relat Res 1981;155:7-20 «PMID: 7226634»PubMed
  8. Richards RR, An KN, Bigliani LU ym. A standardized method for the assessment of shoulder function. J Shoulder Elbow Surg 1994;3:347-52 «PMID: 22958838»PubMed
  9. Tashjian RZ, Deloach J, Green A ym. Minimal clinically important differences in ASES and simple shoulder test scores after nonoperative treatment of rotator cuff disease. J Bone Joint Surg Am 2010;92:296-303 «PMID: 20124055»PubMed
  10. Smith MV, Calfee RP, Baumgarten KM ym. Upper extremity-specific measures of disability and outcomes in orthopaedic surgery. J Bone Joint Surg Am 2012;94:277-85 «PMID: 22298061»PubMed
  11. L'Insalata JC, Warren RF, Cohen SB ym. A self-administered questionnaire for assessment of symptoms and function of the shoulder. J Bone Joint Surg Am 1997;79:738-48 «PMID: 9160947»PubMed
  12. Roach KE, Budiman-Mak E, Songsiridej N ym. Development of a shoulder pain and disability index. Arthritis Care Res 1991;4:143-9 «PMID: 11188601»PubMed
  13. Breckenridge JD, McAuley JH. Shoulder Pain and Disability Index (SPADI). J Physiother 2011;57:197 «PMID: 21843839»PubMed
  14. Kirkley A, Alvarez C, Griffin S. The development and evaluation of a disease-specific quality-of-life questionnaire for disorders of the rotator cuff: The Western Ontario Rotator Cuff Index. Clin J Sport Med 2003;13:84-92 «PMID: 12629425»PubMed
  15. Dawson J, Fitzpatrick R, Carr A. Questionnaire on the perceptions of patients about shoulder surgery. J Bone Joint Surg Br 1996;78:593-600 «PMID: 8682827»PubMed
  16. Hollinshead RM, Mohtadi NG, Vande Guchte RA ym. Two 6-year follow-up studies of large and massive rotator cuff tears: comparison of outcome measures. J Shoulder Elbow Surg 2000;9:373-81 «PMID: 11075319»PubMed
  17. Tashjian RZ, Deloach J, Porucznik CA ym. Minimal clinically important differences (MCID) and patient acceptable symptomatic state (PASS) for visual analog scales (VAS) measuring pain in patients treated for rotator cuff disease. J Shoulder Elbow Surg 2009;18:927-32 «PMID: 19535272»PubMed
  18. Piitulainen K, Paloneva J, Ylinen J ym. Reliability and validity of the Finnish version of the American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form, patient self-report section. BMC Musculoskelet Disord 2014;15:272 «PMID: 25112412»PubMed