Correlation Between Patient-Reported and Clinician-Measured Shoulder Range of Motion in Patients Undergoing Shoulder Surgery.

IF 2.6 2区医学 Q1 ORTHOPEDICS

Journal of the American Academy of Orthopaedic Surgeons Pub Date : 2024-09-01 Epub Date: 2024-05-28 DOI:10.5435/JAAOS-D-24-00008

Casey Beleckas, Daniel F Schodlbauer, Jonathan C Levy

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引用次数: 0

Abstract

Introduction: There has been increasing interest in remote measures of patients' health, both in the clinical and research settings. This study sought to evaluate correlations between patient-reported and clinician-measured (CM) shoulder range of motion (ROM).

Methods: ROM measures including elevation, abduction, and internal rotation were recorded by a patient-reported picture-based survey and clinician measurement during each patient visit. A total of 13,842 visits over a 16-year period met inclusion criteria. Spearman correlation was performed to determine the correlation between patient-reported and CM elevation, abduction, and internal rotation. A subgroup analysis was conducted to evaluate motion in patients who underwent arthroplasty and arthroscopy.

Results: Patients were 52.4% male with a median age of 67 years (range, 18 to 96). PR and CM shoulder ROM were gathered at 13,842 patient visits. Strong correlations between PR and CM elevation (r = 0.70) and internal rotation (r = 0.66) were found, as well as a moderate correlation between PR and CM abduction (r = 0.59). Strong correlations were found between all three PR and CM measures of motion in the arthroplasty subgroup (elevation r = 0.74, abduction r = 0.63, and internal rotation r = 0.64).

Conclusions: There is a strong correlation between patient-reported and CM shoulder elevation and internal rotation, as well as a moderate correlation between PR and CM abduction. This allows for a method of assessing patient motion without requiring an in-person visit.

Level of evidence: Level III Retrospective Cohort Study.

查看原文本刊更多论文

肩部手术患者的肩关节活动范围与临床医生测量结果之间的相关性。

导言：在临床和研究领域，人们对远程测量患者健康状况的兴趣与日俱增。本研究旨在评估患者报告的肩关节活动范围（ROM）与临床医生测量的肩关节活动范围（CM）之间的相关性：方法：在每次患者就诊时，通过患者报告的图片调查和临床医生的测量来记录肩关节的活动范围，包括抬高、外展和内旋。16年间，共有13842人次符合纳入标准。进行了斯皮尔曼相关性分析，以确定患者报告与 CM 抬举、外展和内旋之间的相关性。对接受关节成形术和关节镜手术的患者进行了亚组分析，以评估其运动情况：患者中 52.4% 为男性，中位年龄为 67 岁（18 至 96 岁）。在13842次就诊中收集了PR和CM肩关节活动度。发现PR与CM抬高（r = 0.70）和内旋（r = 0.66）之间有很强的相关性，PR与CM外展（r = 0.59）之间也有一定的相关性。在关节置换术亚组中，PR和CM的三项运动指标之间都存在很强的相关性（抬高r = 0.74，外展r = 0.63，内旋r = 0.64）：结论：患者报告与CM肩关节抬高和内旋之间存在很强的相关性，PR和CM外展之间也存在中等程度的相关性。结论：患者报告与CM肩部抬高和内旋之间存在很强的相关性，PR与CM外展之间也存在中等程度的相关性，这为评估患者运动提供了一种方法，患者无需亲自到医院就诊：III 级回顾性队列研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of the American Academy of Orthopaedic Surgeons 医学-整形外科

CiteScore

6.10

自引率

6.20%

发文量

529

审稿时长

4-8 weeks

期刊介绍： The Journal of the American Academy of Orthopaedic Surgeons was established in the fall of 1993 by the Academy in response to its membership’s demand for a clinical review journal. Two issues were published the first year, followed by six issues yearly from 1994 through 2004. In September 2005, JAAOS began publishing monthly issues. Each issue includes richly illustrated peer-reviewed articles focused on clinical diagnosis and management. Special features in each issue provide commentary on developments in pharmacotherapeutics, materials and techniques, and computer applications.