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Constant-Murley Score: systematic review and standardized evaluation in different shoulder pathologies

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dc.contributor.author Vrotsou, Kalliopi
dc.contributor.author Ávila Pacheco, Mónica Marcela, 1984-
dc.contributor.author Machón, Mónica
dc.contributor.author Mateo-Abad, Maider
dc.contributor.author Pardo Cladellas, Yolanda
dc.contributor.author Garin Boronat, Olatz, 1979-
dc.contributor.author Zaror, Carlos
dc.contributor.author González, Nerea
dc.contributor.author Escobar, Antonio
dc.contributor.author Cuéllar, Ricardo
dc.date.accessioned 2019-07-12T07:47:12Z
dc.date.available 2019-07-12T07:47:12Z
dc.date.issued 2018
dc.identifier.citation Vrotsou K, Ávila M, Machón M, Mateo-Abad M, Pardo Y, Garin O et al. Constant-Murley Score: systematic review and standardized evaluation in different shoulder pathologies. Qual Life Res. 2018 Sep;27(9):2217-26. DOI: 10.1007/s11136-018-1875-7
dc.identifier.issn 0962-9343
dc.identifier.uri http://hdl.handle.net/10230/41989
dc.description.abstract PURPOSE: The objective of this study was to evaluate the psychometric properties of the Constant-Murley Score (CMS) in various shoulder pathologies, based on a systematic review and expert standardized evaluations. METHODS: A systematic review was performed in MEDLINE and EMBASE databases. Titles and abstracts were reviewed and finally the included articles were grouped according to patients' pathologies. Two expert evaluators independently assessed the CMS properties of reliability, validity, responsiveness to change, interpretability and burden score in each group, using the EMPRO (Evaluating Measures of Patient Reported Outcomes) tool. The CMS properties were assessed per attribute and overall for each considered group. Only the concept and measurement model was assessed globally. RESULTS: Five individual pathologies (i.e. subacromial, fractures, arthritis, instability and frozen shoulder) and two additional groups (i.e. various pathologies and healthy subjects) were considered. Overall EMPRO scores ranged from 58.6 for subacromial to 30.6 points for instability. Responsiveness to change was the only quality to obtain at least 50 points across all groups, but for frozen shoulder. Insufficient information was obtained in relation to the concept and measurement model and great variability was seen in the other evaluated attributes. CONCLUSIONS: The current evidence does not support the CMS as a gold standard in shoulder evaluation. Its use is advisable for subacromial pathology; but data are inconclusive for other shoulder conditions. Prospective studies exploring the psychometric properties of the scale, particularly for fractures, arthritis, instability and frozen shoulder are needed.
dc.format.mimetype application/pdf
dc.language.iso eng
dc.publisher SpringerOpen
dc.relation.ispartof Quality of Life Research. 2018 Sep;27(9):2217-26
dc.rights Copyright © The Author(s) 2018. Open Access. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made
dc.rights.uri http://creativecommons.org/licenses/by/4.0/
dc.title Constant-Murley Score: systematic review and standardized evaluation in different shoulder pathologies
dc.type info:eu-repo/semantics/article
dc.identifier.doi http://dx.doi.org/10.1007/s11136-018-1875-7
dc.subject.keyword Constant–Murley score
dc.subject.keyword EMPRO tool
dc.subject.keyword Psychometric properties
dc.subject.keyword Shoulder pathologies
dc.subject.keyword Standardized evaluation
dc.subject.keyword Systematic review
dc.rights.accessRights info:eu-repo/semantics/openAccess
dc.type.version info:eu-repo/semantics/publishedVersion


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