Validation of a Kinematic Functional Shoulder Score Including Only Essential Movements
A lot of shoulder function evaluation scores exist but none has been universally accepted as a gold standard.
Recent studies have demonstrated the potential of computerized movement analysis with embedded sensors for objective evaluation of shoulder functional outcome following surgery.
A very simple testing procedure is possible as just a few repetitions of two simple shoulder movements are sufficient. This could potentially facilitate implementation of shoulder function movement analysis in current clinical practice.
However, at the present stage of development, the method needs to be extensively validated. This means that the research will intend to determine precisely for which current shoulder pathology it can be applied, what the outcome of healthy people is, what the reliability of the score is and how it can monitor patient evolution.
|Rotator Cuff, Syndrome Frozen Shoulder Humerus, Fracture Other Instability of Joint, Shoulder Region|
|Study Design:||Observational Model: Cohort
Time Perspective: Prospective
|Official Title:||Validation of a Kinematic Functional Shoulder Score Including Only Essential Movements|
- Kinematic functional score [ Time Frame: Baseline ]The kinematic functional score will be determined as the percentage of power of the pathological shoulder compared to the healthy shoulder (e.g. 70% means that the power developed during the movement of the pathological shoulder reaches 70% of the power developed on the healthy side)
- Changes in kinematic functional shoulder scores [ Time Frame: Change from Baseline in kinematic functional shoulder scores at 6 months ]Aforementioned score will be measured again 6 months after baseline to evaluate its responsiveness to patients' evolution
- Functional scores as determined by several currently used shoulder scores [ Time Frame: Baseline ]Questionnaires include Constant score, Quick DASH, subjective shoulder value, Simple shoulder test, WOSI (Western Ontario Shoulder Instability Index; when relevant i.e. for shoulder instability), stiffness and pain EVA
- Changes in functional shoulder scores [ Time Frame: Change from Baseline in functional shoulder scores at 6 months ]All aforementioned scores will be measured again 6 months after baseline to compare their respective responsiveness to patients' evolution
|Study Start Date:||August 2011|
|Study Completion Date:||May 2014|
|Primary Completion Date:||December 2013 (Final data collection date for primary outcome measure)|
Healthy volunteers, less than 35 years old and presenting with no shoulder condition
Patients with rotator cuff condition
Patients with rotator cuff condition, conservative treatment indicated
Patients with shoulder instability
Patients with shoulder instability, conservative treatment indicated
Patients with proximal humerus fracture
Patients with diaphyseal humerus fracture or subcapital humerus fracture treated surgically or conservatively, at 6 weeks post stabilization. (Surgical and conservative treatment will be considered as the same population from the functional point of view as functional outcome is similar) (Handoll et al. 2003).
Patients with frozen shoulder
Patients with frozen shoulder, conservative treatment indicated
Measurement of shoulder function is a controversial issue. There is a great variety of measurement tools but none of them has been universally accepted. There is therefore a need to develop extensively validated and convenient measurement tools.
Embedded computerized movement analysis can potentially meet these requirements for measurement of shoulder function. Ambulatory measurement devices allow application in various clinical conditions, display adequate precision and accuracy, and are considerably more straightforward than laboratory-based systems.
Using a Physilog ® II embedded system, Coley (2007) developed a relatively simple score of shoulder function (P Score). The method is based on arm power measurement by three-dimensional accelerometers and gyroscopes during seven consecutive shoulder movements. It demonstrated reliability, responsiveness and criterion-based validity. However, additional knowledge and technological progress could now contribute to further simplification of the testing procedure.
Indeed, a secondary analysis of Coley's study data based on principal component analysis and multiple regressions highlighted that a procedure including only two selected movements produces comparable results to P Score. Moreover, the development of wireless systems considerably simplifies set up. Consequently, simpler but equivalent measurement procedure can now be considered.
A pilot study (ClinicalTrials.gov identifier: NCT01281085) has been conducted to prepare this study. it contributed to determine the number of replications of movements needed and to refine the testing procedure.
The aim of this study is to proceed to an extensive validation study of the simplified testing procedure. Kinematic measurements will be carried out with four groups of patients presenting with frequent shoulder conditions (rotator cuff condition, shoulder instability, diaphyseal or subcapital humerus fracture, frozen shoulder) and a group of healthy people. Measurement procedure includes two consecutive measurements, alternatively conducted by two evaluators and measured simultaneously by two different movement analysis systems. Currently used functional questionnaires will be completed at both stages for comparison. Measurement will be performed at baseline and 6 months later.
Statistical analysis will address reproducibility, responsiveness, minimal clinically important difference and correlation with current clinical scores.
Please refer to this study by its ClinicalTrials.gov identifier: NCT01431417
|Département de l'Appareil Locomoteur - CHUV|
|Lausanne, Switzerland, 1005|
|Study Director:||Claude A. Pichonnaz, PT MSc||HESAV and University Hospital of Lausanne|
|Study Chair:||Farron Alain, MER PD||University of Lausanne Hospitals|