VALIDATION OF THE RUSSIAN SHOULDER PAIN LEVEL TEST-QUESTIONARY FOR DETECTION OF PATIENTS WITH SUBACROMIAL IMPINGEMENT SYNDROME

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Abstract

Despite multiple available international scales for assessment of anatomical and functional features of shoulder joint, no unified Russian survey for shoulder joint assessment in patients with subacromial impingement syndrome (SIS) has been developed so far.

Purpose — to develop and validate a test-questionary for shoulder pain (SSp) to diagnose SIS in patients with chronic pain syndrome in the shoulder joint.

Material and Methods. Score for shoulder pain (SSp) was validated based on 252 questionnaires including the group of 144 patients with SIS and control group of 108 patients without SIS. age of patients ranged from 50 to 80 years. clinical diagnosis was established using integral clinical and imaging examinations. Internal consistency of survey was evaluated by calculating the cronbach’s alpha. Significance of each question was assessed by calculation of odds ratio (OR). Sensitivity, specificity, accuracy and validation threshold for SIS diagnostics were determined by measuring the area under curve (auc). Re-testing reliability was evaluated by intra-class correlation coefficient (Icc) in 60 patients with an interval of 1–3 days. convergent validity was assessed with aSeS and VaS scores.

Results. Informative value of the full version of SSp was as follows: 97% sensitivity, 90% specificity, 0.96% auc (95% cI 0,93–0,98), р<0,0001. youden’s index (j) equaled 0.88. Validity threshold for SIS diagnostics was above 18. Intra-class correlation coefficient (Icc) was 0,98 (95% cI 0,98–0,99). The authors reported a high inverse correlation with aSeS scale ρ = -0,9498 (r = -0,95; p<0,001) and direct correlation with VaS scale ρ = 0,8279 (r = 0,83; p<0,001). application of a logic regression resulted in a suggested short version of survey which included 13 questions with threshold for SIS diagnosis above 14 scores. This provided for improvement of intra-test reliability up to 0,93 (95% cI up to 0,91) and the level of clinical use of the short survey version.

Conclusion. Short version of survey for shoulder pain (SSp) consisting of 13 questions was validated for clinical use and SIS diagnostics in patients of elderly and middle age with chronic shoulder pain. 

About the authors

M. V. Emel’yanenko

United Hospital and Polyclinic, Administration of President Affairs ; Peoples’ Friendship University of Russia.

Author for correspondence.
Email: fake@neicon.ru

Mikhail V. Emel’yanenko — orthopaediс surgeon, united Hospital and polyclinic; non-staff assistant.

6, Michurinskii pr., 119285, Moscow; 6, ul. Miklukho-Maklaya, 117198, Moscow.

Russian Federation

F. L. Lazko

Peoples’ Friendship University of Russia.

Email: fake@neicon.ru

Fedor L. Lazko — dr. Sci. (Med.), рrofessor of Trauma and Orthopedic department.

6, ul. Miklukho-Maklaya, 117198, Moscow.

Russian Federation

V. E. Gazhonova

United Hospital and Polyclinic, Administration of President Affairs ; Central State Medical Academy of Administration of President Affairs.

Email: fake@neicon.ru

Veronika E. Gazhonova — dr. Sci. (Med.), professor of Radiodiagnosis department; head of uS-angiography department.

6, Michurinskii pr., 119285, Moscow; 19, s. 1A, ul. Marshala Timoshenko, 121359, Moscow.

Russian Federation

References

  1. Urwin M., Symmons D., Alison T. et al. Estimating the burden of musculoskeletal disorders in the community: the comparative prevalence of symptoms at different anatomical sites, and the relation to social deprivation. Ann Rheum Dis. 1998;57(11):649-655.
  2. Van Der Windt D.A., Koes B.W., De Jong B.A., Bouter L.M. Shoulder disorders in general practice: incidence, patient characteristics, and management. Ann Rheum Dis. 1995;54(12):959-964.
  3. Никифоров А.С., Мендель О.И. Болевой синдром в плечелопаточной области: современные подходы к диагностике и лечению. Русский медицинский журнал. Неврология. 2008:6(12):1700-1704.
  4. Greving K., Dorrestijn O., Winters J.C., Groenhof F., Van Der Meer K., Stevens M., Diercks R.L. Incidence, prevalence, and consultation rates of shoulder complaints in general practice. Scand J Rheumatol. 2012;41(2):150-155. doi: 10.3109/03009742.2011.605390.
  5. Artus M., Van Der Windt D.A., Afolabi E.K., Buchbinder R., Chesterton L.S., Hall A., Roddy E., Foster N.E. Management of shoulder pain by uk general practitioners (gps): a national survey. BMJ Open. 2017;7(6):e015711. doi: 10.1136/bmjopen-2016-015711.
  6. Hegedus E.J., Cook C., Lewis J., Wright A., Park J.Y. Combining orthopedic special tests to improve diagnosis of shoulder pathology. Phys Ther Sport. 2015;16(2):87-92. doi: 10.1016/j.ptsp.2014.08.001.
  7. Lewis J. Rotator cuff related shoulder pain: assessment, management and uncertainties. Man Ther. 2016;23:57-68. doi: 10.1016/j.math.2016.03.009.
  8. Diercks R., Bron C., Dorrestijn O., Meskers C., Naber R., De Ruiter T. et al. Guideline for diagnosis and treatment of subacromial pain syndrome: a multidisciplinary review by the dutch Orthopaedic association. Acta Orthop. 2014;85(3):314-322. doi: 10.3109/17453674.2014.920991.
  9. Van Der Heijden G.J., Leffers P., Bouter L.M. Shoulder disability questionnaire design and responsiveness of a functional status measure. J Clin Epidemiol. 2000; 53(1):29-38.
  10. Van Kampen D.A., Van Beers L.W., Scholtes V.A., Terwee C.B., Willems W.J. Validation of the dutch version of the Simple Shoulder Test. J Shoulder Elbow Surg. 2012;21(6):808-814.
  11. Berendes T., Pilot P., Willems J., Verburg H., Te Slaa R. Validation of the dutch version of the Oxford Shoulder score. J Shoulder Elbow Surg. 2010;19(6):829-836. doi: 10.1016/j.jse.2010.01.017.
  12. Paul A., Lewis M., Shadforth M.F., Croft P.R., Van Der Windt D.A., Hay E.M. A Comparison of four shoulderspecific questionnaires in primary care. Ann Rheum Dis. 2004;63(10):1293-1299. doi: 10.1136/ard.2003.012088.
  13. Booker S., Alfahad N., Scott M., Gooding B., Wallace W.A. Use Of scoring systems for assessing and reporting the outcome results from shoulder surgery and arthroplasty. World J Orthop. 2015;6(2):244-251. doi: 10.5312/wjo.v6.i2.244.
  14. Миронов С.П., Ломтатидзе Е.Ш., Цыкунов М.Б., Соломин М.Ю., Поцелуйко С.В., Лазко Ф.Л., Ломтатидзе В.Е. Плечелопаточный болевой синдром. волгоград: Изд-во волгМу, 2006. 287 с.
  15. wright r., baumgarten k. Shoulder outcome measures. J Am Acad Orthop Surg. 2010;18(7):436-444.
  16. Longo U.G., Vasta S., Maffulli N., Denaro V. Scoring systems for the functional assessment of patients with rotator cuff pathology. Sports Med Arthrosc. 2011;19(3): 310-320. doi: 10.1097/jSa.0b013e31820af9b6.
  17. O’Holleran J.D., Kocher M.S., Horan M.P., Briggs K.K., Hawkins R.J. Determinants of patient satisfaction with outcome after rotator cuff surgery. J Bone Joint Surg Am. 2005;87(1):121-126. doi: 10.2106/jBjS.c.01316.
  18. Noorani A.M., Roberts D.J., Malone A.A., Waters T.S., Jaggi A., Lambert S.M., Bayley I. Validation of the Stanmore percentage of normal shoulder assessment. Int J Shoulder Surg. 2012;6(1):9-14. doi: 10.4103/0973-6042.94307.
  19. Альримави М.Х., Маланин Д.А., Соломин М.Ю., Тетерин О.Г. Оценка результатов лечения больных плечелопаточным болевым синдромом с использованием опросников. Бюллетень волгоградского научного центра РАМН. 2006; (4):37-40.
  20. Аскерко Э.А., Дейкало В.П., Цушко В.В. Индексная шкала оценки функции плечевого сустава. Новости хирургии. 2012;(1):100-104.
  21. Michener L.A., Mcclure P.W., Sennett B.J. American Shoulder and elbow Surgeons Standardized Shoulder assessment Form, patient self-report section: reliability, validity, and responsiveness. J Shoulder Elbow Surg. 2002;11(6):587-594. doi: 10.1067/mse.2002.127096.
  22. Bafus B.T., Hughes R.E., Miller B.S,. Carpenter J.E. Evaluation of utility in shoulder pathology: correlating the american Shoulder and elbow Surgeons and constant scores to the euroQol. World J Orthop. 2012;3(3):20-24. doi: 10.5312/wjo.v3.i3.20.
  23. Kalliopi V., Cuéllar R., Silió F. et al. Patient self-report section of the aSeS questionnaire: a Spanish validation study using classical test theory and the Rasch model. Health Qual Life Outcomes. 2016; 14: 147. published online 2016 Oct 18. doi: 10.1186/s12955-016-0552-1.
  24. Piitulainen K., Paloneva J., Ylinen J., et al. 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. doi: 10.1186/1471-2474-15-272.
  25. Haldorsen B., Svege I., Roe Y., Bergland A. Reliability and validity of the Norwegian version of the disabilities of the arm, Shoulder and Hand questionnaire in patients with shoulder impingement syndrome. BMC Musculoskelet Disord. 2014;15:78. doi: 10.1186/1471-2474-15-78.

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