Comparative study of functional assessment methods in decompression surgery and capsuloplasty: an evaluation of sixty patients with the ASES, CONSTANT, ROWE, SF-36, SST and UCLA shoulder rating / Estudo comparativo entre métodos de avaliação funcional do ombro nas cirurgias de descompressão subacromial e capsuloplastia: avaliação de 60 pacientes com os métodos ASES, CONSTANT, ROWE, SF-36, SST e UCLA shoulder rating

AUTOR(ES)
DATA DE PUBLICAÇÃO

2005

RESUMO

A prospective randomized study was realized to compare methods of both disease specific and generic health status of shoulders functional assessment in patients after operative treatment of subacromial decompression associated a repair of a tear of the rotator cuff and capsuloplasty. The thirty patients in each group were studied and at follow-up five to six months later, with the following questionnaires: American Shoulder and Elbow Surgeons Shoulder Evaluation Form (ASES), Constant-Murley Shoulder Scoring System (CONSTANT), Rating Sheet for Bankart Repair (ROWE), Simple Shoulder Test (SST), University of California at Los Angeles Shoulder Rating Scale (UCLA) and the Short Form-36 (SF-36). The age in Decompression group was greater than Capsuloplasty group and the gender of first group was predominantly consisted of women and in the second group was men. The scores averages of Capsuloplasty group were higher than Decompression group (93,6 and 71,7 respectively). The variability of the scores observed in the Capsuloplasty group, 89,1 to 100,0 was less than in the Decompression group, 65,1 to 95,9. A strong interrater reliability between the questionnaires does not exist - variation 0 to 0,51. The average in the eight domains of SF-36 in Decompression group was 70,8 [range 60,4 (Vitality) to 89,2 (Social Aspect)]. In Capsuloplasty group the average was 91,2 [range 83,4 (Mental Health) to 96,6 (Emotional Aspect) ]. Pearsons coefficient analysis, shows that the correlation between CONSTANT and SF-36 was not detect, and in Capsuloplasty was not detect in ROWE and SF-36. In both groups Capsuloplasty (0,893) and Decompression (0,900), a strong correlation between UCLA and ASES were observed. It follows that to subacromial decompression surgery, UCLA shows more reliability and in Capsuloplasty, the Rowe method shows more applicability.

ASSUNTO(S)

resultados de tratamento joint instability/rehabilitation luxação de ombro/reabilitação descompressão cirúrgica/reabilitação instabilidade articular/reabilitação shoulder dislocation/surgery decompression surgical/statistics &numerical data descompressão cirúrgica/estatística &dados numéricos questionnaires shoulder pain/surgery luxação de ombro/cirurgia dor de ombro/reabilitação decompression surgical/rehabilitation treatment outcome questionários dor de ombro/cirurgia shoulder dislocation/rehabilitation instabilidade articular/cirurgia joint instability/surgery

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