Autor: |
Christopher Child, MD, Markus Scheibel, MD, Martina Wehrli, MSc, Marije de Jong, MSc, Daniela Brune, BASc, David Endell, MD, Laurent Audigé, DVM, PhD |
Jazyk: |
angličtina |
Rok vydání: |
2023 |
Předmět: |
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Zdroj: |
JSES International, Vol 7, Iss 6, Pp 2349-2355 (2023) |
Druh dokumentu: |
article |
ISSN: |
2666-6383 |
DOI: |
10.1016/j.jseint.2023.06.017 |
Popis: |
Background: Shoulder strength is an essential assessment to monitor the outcome of treatment interventions. Isometric strength assessment in the Constant Score (CS) was initially measured with a cable tensiometer or spring balance (SB). Some authors have questioned the validity of this strength assessment and the resulting CS. The purpose of this study was to investigate the concordance of strength measurements using an unsecured SB vs. isometric dynamometer and outline the impact of these methods on the CS. Methods: In the context of routine clinical examination as well as participation in a Swiss national cohort study, shoulder strength was measured to calculate baseline (before surgery) and 6-month postoperative CS in adult rotator cuff tear patients who had undergone primary arthroscopic rotator cuff repair. Measurements of each of the operated and contralateral shoulders were made per patient routinely using an unsecured SB and study-specific using an isometric dynamometer in patients with the shoulder at 90° abduction in the scapular plane. Absolute and change values of strength and CS data were presented in scatter plots and assessed using concordance correlation coefficients (CCCs) and Bland-Altman plots. Results: Between June 2020 and October 2021, baseline strength measurements from the operated shoulder of 78 patients ranged from 0.0 to 13.6 kg with a CCC of 0.64 (P |
Databáze: |
Directory of Open Access Journals |
Externí odkaz: |
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