Usefulness of Shoulder36 in rotator cuff tears: Comparison with Simple Shoulder Test

J Orthop Surg (Hong Kong). 2019 Jan-Apr;27(1):2309499018819060. doi: 10.1177/2309499018819060.

Abstract

Background: In patients with rotator cuff tears, Shoulder36 (Sh36) was compared to the Simple Shoulder Test (SST) to determine a broader use of Sh36 worldwide.

Methods: Sh36, SST, "Constant score," and the Japanese Orthopaedic Association score (JOA) were used to evaluate 230 patients (male, 116; female, 114) during the first visit, analyzed by staff blinded to the study. Pearson's correlation coefficient was used for the statistical analysis.

Results: The correlation coefficient between the Constant score and each domain in Sh36 was as follows: r = 0.68 (vs. pain, p < 0.01); r = 0.69 (vs. range of motion, p < 0.01); r = 0.74 (vs. muscle strength, p < 0.01); r = 0.62 (vs. general health, p < 0.01); r = 0.66 (vs. ability of daily living, p < 0.01); and r = 0.65 (vs. ability for sports, p < 0.01). The correlation coefficient between the JOA and each domain in Sh36 was as follows: r = 0.76 (vs. pain, p < 0.01); r = 0.73 (vs. range of motion, p < 0.01); r = 0.78 (vs. muscle strength, p < 0.01); r = 0.68 (vs. general health, p < 0.01); r = 0.71 (vs. ability of daily living, p < 0.01); and r = 0.70 (vs. ability for sports, p < 0.01). The correlation coefficient between the SST and each domain in Sh36 was as follows: r = 0.73 (vs. pain, p < 0.01); r = 0.70 (vs. range of motion, p < 0.01); r = 0.75 (vs. muscle strength, p < 0.01); r = 0.67 (vs. general health, p < 0.01); r = 0.69 (vs. ability of daily living, p < 0.01); and r = 0.64 (vs. ability for sports, p < 0.01).

Conclusion: A strong association exists between the SST and each domain in the Sh36, in patients with rotator cuff tears ( r = 0.64-0.73), suggesting the usefulness of Sh36 for patient-based scoring.

Keywords: Shoulder36; Simple Shoulder Test; elbow and shoulder; rotator cuff tear.

MeSH terms

  • Activities of Daily Living
  • Adult
  • Aged
  • Female
  • Humans
  • Male
  • Middle Aged
  • Muscle Strength / physiology
  • Range of Motion, Articular / physiology*
  • Reproducibility of Results
  • Rotator Cuff Injuries / diagnosis*
  • Rotator Cuff Injuries / physiopathology*
  • Shoulder Joint / physiopathology*
  • Surveys and Questionnaires
  • Treatment Outcome