科研之友
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摘要
Aim. The aim of this study is to identify whether the American Shoulder and Elbow Score (ASES) or the Oxford Shoulder Score (OSS) is most suitable for the follow-up of patients with shoulder disorders. %26lt;br%26gt;Methods. Twenty-nine patients with shoulder ailments (mean age 62, range 15-80) coming to our outpatients department for a first examination or for their follow-up were included in the study. These patients were asked to complete both ASES and OSS after two different orthopedic examinations carried out over a period of 1-4 weeks. No treatment or prescription was given during the first examination. Patients with shoulder instability or those unable to fill in the questionnaires on their own were excluded. The Bland-Altman analysis was used to evaluate the intraobserver reliability and the ANOVA two-way to measure the Intraclass Correlation Coefficient (ICC). The floor and ceiling effects and the Pearson%26apos;s correlation coefficient between the two questionnaires were also evaluated. %26lt;br%26gt;Results. Both the scores showed excellent reliability either dealing with ICC (ASES: 0.90; OSS: 0.89) or with systematic errors (ASES: 0 points; OSS: 0.2 points), but the 95% limits of agreement were respectively 23 (ASES) and 16 (OSS). Only the ASES was associated with a ceiling effect (28%) and a floor effect (3%). A strong correlation was found between the two scores (r=0.99; P%26lt;0.0001). %26lt;br%26gt;Conclusion. The OSS seems to be better than ASES because it is more sensitive, it has a lower dispersion of errors and it is not associated to a ceiling or floor effect.
- 出版日期2012-6
