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首页> 外文期刊>The journal of orthopaedic and sports physical therapy >The simple shoulder test is responsive in assessing change following shoulder arthroplasty.
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The simple shoulder test is responsive in assessing change following shoulder arthroplasty.

机译：简单的肩部测试可以有效地评估肩关节置换术后的变化。

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STUDY DESIGN: Prospective cohort study with repeated measures. OBJECTIVE: To establish the responsiveness of the Simple Shoulder Test (SST) in comparison to other commonly used clinical outcomes in patients undergoing shoulder arthroplasty. BACKGROUND: Responsiveness statistics are a useful means to compare different outcomes in terms of their ability to detect clinical change. While the responsiveness of the SST has been established for rotator cuff repair, it has not been determined for patients undergoing arthroplasty. METHODS: Patients undergoing shoulder arthroplasty (n=120) were evaluated prior to surgery and 6 months after. The evaluation included the SST, Disabilities of the Arm, Shoulder and Hand questionnaire, range of motion, and isometric strength. Responsiveness to change was assessed using standardized response mean (SRM), while longitudinal construct validity was evaluated using Pearson correlation. Receiver operating characteristics curves were plotted to determine clinically important difference of SST. RESULTS: The SST and Disabilities of the Arm, Shoulder and Hand questionnaire were highly responsive (SRM, >1.70) for this population. For the assessment of impairment, range of motion (SRM, 0.64-1.03) was moderately to highly responsive, while isometric strength was minimally to moderately responsive (SRM, 0.32-0.69). The clinically important difference of the SST was established at 3.0 SST points. Pearson correlations indicated moderate associations between the change scores of the SST and the Disabilities of the Arm, Shoulder and Hand questionnaire (r=0.49). CONCLUSIONS: The SST has been previously shown to be valid and highly reliable. The present results show that the SST is also responsive following shoulder arthroplasty and that it has a clinically important difference of 3.0 SST points. This should provide confidence to clinicians who wish to use a brief shoulder-specific measure in their practice.
机译：研究设计：前瞻性队列研究，采用重复措施。目的：建立与肩关节置换术患者其他常用临床结果相比，简单肩测验（SST）的反应性。背景：反应性统计数据是比较不同结局检测临床变化能力的有用手段。虽然已经确定了SST对肩袖修复的反应性，但对于接受关节置换术的患者尚未确定。方法：在手术前和术后6个月对接受肩关节置换术的患者（n = 120）进行评估。评估包括SST，手臂，肩膀和手部残疾问卷，运动范围和等距强度。使用标准响应平均值（SRM）评估对变化的响应能力，而使用Pearson相关性评估纵向构建的有效性。绘制接收器工作特性曲线以确定SST在临床上的重要差异。结果：该人群的SST和手臂，肩膀和手部残疾问卷具有很高的响应度（SRM，> 1.70）。对于损伤的评估，运动范围（SRM，0.64-1.03）为中度至高响应性，而等距强度为最小至中度响应（SRM，0.32-0.69）。 SST的临床重要差异确定为3.0 SST点。皮尔森相关性表明SST的变化评分与手臂，肩膀和手部残疾问卷之间的相关性中等（r = 0.49）。结论：先前已证明SST有效且高度可靠。目前的结果表明，SST在肩关节置换术后也有反应，并且在临床上具有3.0个SST点的重要差异。这应该为希望在实践中使用针对肩膀的简短措施的临床医生提供信心。

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