These authors evaluated the relationship of the ASES physician-assessment measurements with patient-reported shoulder and general health outcomes for 74 patients at two years after a reverse total shoulder arthroplasty.
Preoperative physician measurements and patient scores were not significantly correlated. At two years postoperatively, only improvements in active forward flexion had a modest correlation with improvements in ASES patient scores (R = 0.36, P < .01).
Comment: While it is traditional to use range of motion as an outcome measure for shoulder arthroplasty, there are a number of problems with this tradition:
(1) range of motion measurements are observer dependent and may be subject to observe bias and inter observer variability
(2) range of motion measurements require patients to return to the office, excluding from followup those patients who cannot return
(3) as shown in the graph above, some patients with 140 degrees of active flexion have poor self-assessed comfort and function (as measured by the patient reported ASES score) while other patients have good self-assessed function with only 80 or 100 degrees of active flexion.
In this study active range of motion accounted for less than 30% of the variance in patient-reported shoulder function. What is of great importance is the investigation of the factors that determine the other 70%.
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The reader may also be interested in these posts:
Consultation for those who live a distance away from Seattle.
Click here to see the new Shoulder Arthritis Book.
Click here to see the new Rotator Cuff Book
Information about shoulder exercises can be found at this link.
Use the "Search" box to the right to find other topics of interest to you.
You may be interested in some of our most visited web pages including:shoulder arthritis, total shoulder, ream and run, reverse total shoulder, CTA arthroplasty, and rotator cuff surgery as well as the 'ream and run essentials'
See from which cities our patients come.
In this study active range of motion accounted for less than 30% of the variance in patient-reported shoulder function. What is of great importance is the investigation of the factors that determine the other 70%.
=====
The reader may also be interested in these posts:
Consultation for those who live a distance away from Seattle.
Click here to see the new Shoulder Arthritis Book.
Click here to see the new Rotator Cuff Book
Information about shoulder exercises can be found at this link.
Use the "Search" box to the right to find other topics of interest to you.
You may be interested in some of our most visited web pages including:shoulder arthritis, total shoulder, ream and run, reverse total shoulder, CTA arthroplasty, and rotator cuff surgery as well as the 'ream and run essentials'
See from which cities our patients come.
