Correlation of Self-Reported and Performance-Based Measures In Patients With Non-Traumatic Stiff Shoulder Pathologies: An Observational Study

Authors

  • Amita Aggarwal Associate Professor, Department of Physiotherapy, Dr. D. Y. Patil College of Physiotherapy, Dr. D.Y. Patil Vidyapeeth, Pune 411018, Maharashtra, India. Email: amita15pgi@gmail.com
  • Manisha Rathi Professor, Department of Physiotherapy, Dr. D. Y. Patil College of Physiotherapy, Pimpri, Pune 411018, Maharashtra, India.
  • Tanmaya Kapre Graduate student, Department of Physiotherapy, Dr. D. Y. Patil College of Physiotherapy, Pimpri, Pune 411018, Maharashtra, India.
  • Tushar J Palekar Professor and Principal, Department of Physiotherapy, Dr. D. Y. Patil College of Physiotherapy, Pimpri, Pune 411018, Maharashtra, India.
  • Annette Tuscano Graduate student, Department of Physiotherapy, Dr. D. Y. Patil College of Physiotherapy, Pimpri, Pune 411018, Maharashtra, India.
  • Radhika Tambe Graduate student, Department of Physiotherapy, Dr. D. Y. Patil College of Physiotherapy, Pimpri, Pune 411018, Maharashtra, India.
  • Preeti Gazbare Associate Professor, Department of Physiotherapy, Dr. D. Y. Patil College of Physiotherapy, Pimpri, Pune 411018, Maharashtra, India.

DOI:

https://doi.org/10.15621/ijphy/2023/v10i2/1319

Keywords:

Shoulder Pain And Disability Index, Disabilities of Arm Shoulder and Hand, Patient Specific Functional Scale, Function-related tests, Frozen shoulder, Painful arc syndrome.

Abstract

Background: Self-reported measures represent patients' perspectives toward their disease, but their performance levels may vary. Performance-based measures mimic the patient's functional activity movement, which helps evaluate specific task components, including how the therapist approached the task. Both measures report the patient's functional level from the patient's or therapist's perspective. The study was done to determine the correlation between self-reported and performance-based measures outcomes in non-traumatic stiff shoulder pathologies.
Method: Self-reported outcome measure scores were recorded using the Shoulder Pain And Disability Index (SPADI), Disabilities of Arm, Shoulder, and Hand (DASH), and Patient Specific Functional Scale (PSFS). Performance-based measures scores of the shoulder were given using function-related tests of the shoulder: 1) Hand to the neck, 2) Hand to scapula 3) Hand to the opposite scapula.
Result: Inferential statistics were done using the Pearson correlation test, and the significance level was set at p<0.05. Pearson correlation test showed: 1) Weak statistically significant correlation between SPADI versus function-related test 1(r= 0.32), DASH versus Function-related test 1(r= 0.31), and function-related test 2(r= 0.31) and PSFS versus function-related test 1(r= 0.36). 2) Other correlations were Very Weak and non-significant.
Conclusion: As the correlation between all three self-reported measures and each of the three function-related tests has become weak, there is a need to include both self-reported and performance-based measures in assessing patients with non-traumatic stiff shoulder pathologies.

References

Reiman MP, Manske RC. The assessment of function: How is it measured? A clinical perspective. Journal of Manual & Manipulative Therapy. 2011 May 1;19(2):91-9.

Breckenridge JD, McAuley JH. Shoulder pain and disability index (SPADI). Journal of physiotherapy. 2011 Jan 1;57(3):197.

Tveitå EK, Ekeberg OM, Juel NG, Bautz-Holter E. Responsiveness of the shoulder pain and disability index in patients with adhesive capsulitis. BMC musculoskeletal disorders. 2008 Dec;9(1):1-8.

Gummesson C, Atroshi I, Ekdahl C. The disabilities of the arm, shoulder and hand (DASH) outcome questionnaire: longitudinal construct validity and measuring self-rated health change after surgery. BMC musculoskeletal disorders. 2003 Dec;4(1):1-6.

Koehorst ML, van Trijffel E, Lindeboom R. Evaluative measurement properties of the patient-specific functional scale for primary shoulder complaints in physical therapy practice. Journal of orthopaedic & sports physical therapy. 2014 Aug;44(8):595-603.

Frost MH, Reeve BB, Liepa AM, Stauffer JW, Hays RD, Mayo/FDA Patient‐Reported Outcomes Consensus Meeting Group. What is sufficient evidence for the reliability and validity of patient-reported outcome measures?Value in Health. 2007 Nov;10:S94-105.

Nielsen LM, Kirkegaard H, Ostergaard LG, Bovbjerg K, Breinholt K, Maribo T. Comparison of self-reported and performance-based measures of functional ability in elderly patients in an emergency department: implications for selection of clinical outcome measures. BMC geriatrics. 2016 Dec;16(1):1-7.

Yang JL, Lin JJ. Reliability of function-related tests in patients with shoulder pathologies. Journal of Orthopaedic & Sports Physical Therapy. 2006 Aug;36(8):572-6.

Sager MA, Dunham NC, Schwantes A, Mecum L, Halverson K, Harlowe D. Measurement of activities of daily living in hospitalized elderly: A comparison of self-report and performance-based methods. Journal of the American Geriatrics Society. 1992 May;40(5):457-62.

Wilfong JM, Badley EM, Power JD, Gandhi R, Rampersaud YR, Perruccio AV. Discordance between self-reported and performance-based function among knee osteoarthritis surgical patients: Variations by sex and obesity. PloS one. 2020 Jul 30;15(7):e0236865.

Aggarwal A, Saxena K, Palekar TJ, Rathi M. Instrument assisted soft tissue mobilization in adhesive capsulitis: A randomized clinical trial. Journal of Bodywork and Movement Therapies. 2021 Apr 1;26:435-42.

Zdravkovic A, Grote V, Pirchl M, Stockinger M, Crevenna R, Fischer MJ. Comparison of patient-and clinician-reported outcome measures in lower back rehabilitation: introducing a new integrated performance measure (t2D). Quality of Life Research. 2021 Jun 15:1-3.

Kessel L, Watson MI. The painful arc syndrome. Clinical classification as a guide to management. The Journal of bone and joint surgery. British volume. 1977 May;59(2):166-72.

[Robinson CM, Seah KM, Chee YH, Hindle P, Murray IR. Frozen shoulder. The Journal of bone and joint surgery. British volume. 2012 Jan;94(1):1-9.

Millett PJ, Gobezie R, Boykin RE. Shoulder osteoarthritis: diagnosis and management. American family physician. 2008 Sep 1;78(5):605-11.

Thurner MS, Donatelli RA, Bascharon R. Subscapularis syndrome: a case report. International journal of sports physical therapy. 2013 Dec;8(6):871.

Sein ML, Walton J, Linklater J, Appleyard R, Kirkbride B, Kuah D, Murrell GA. Shoulder pain in elite swimmers: primarily due to swim-volume-induced supraspinatus tendinopathy. British journal of sports medicine. 2010 Feb 1;44(2):105-13.

Svensson HK, Karlsson J, Sterner TR, Ahlner F, Skoog I, Erhag HF. Self-perceived functional ability and performance-based testing of physical function in older women with or without long-term back pain–results of the H70 study. BMC geriatrics. 2021 Dec;21(1):1-7.

Kempen GI, Steverink N, Ormel J, Deeg DJ. The assessment of ADL among frail elderly in an interview survey: self-report versus performance-based tests and determinants of discrepancies. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences. 1996 Sep 1;51(5):P254-60.

Van Heuvelen MJ, Kempen GI, Ormel J, de Greef MH. Self-reported physical fitness of older persons: a substitute for performance-based measures of physical fitness?. Journal of aging and physical activity. 1997 Oct;5(4):298-310.

Prince SA, Cardilli L, Reed JL, Saunders TJ, Kite C, Douillette K, Fournier K, Buckley JP. A comparison of self-reported and device measured sedentary behaviour in adults: a systematic review and meta-analysis. International Journal of Behavioral Nutrition and Physical Activity. 2020 Dec;17(1):1-7.

Preuper HS, Reneman MF, Boonstra AM, Dijkstra PU, Versteegen GJ, Geertzen JH, Brouwer S. Relationship between psychological factors and performance-based and self-reported disability in chronic low back pain. European spine journal. 2008 Nov;17(11):1448-56.

Inness EL, Sweeny M, Perez OH, Danells C, Chandra T, Foster E, Saverino C, Comper P, Bayley M, Mochizuki G. Self-reported balance disturbance and performance-based balance impairment after concussion in the general population. The Journal of head trauma rehabilitation. 2019 May 1;34(3):E37-46.

Nielsen LM, Maribo T, Kirkegaard H, Bjerregaard MK, Oestergaard LG. Identifying elderly patients at risk of readmission after discharge from a short-stay unit in the emergency department using performance-based tests of daily activities. BMC geriatrics. 2020 Dec;20(1):1-8.

Published

09-06-2023
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How to Cite

Amita Aggarwal, Manisha Rathi, Tanmaya Kapre, Tushar J Palekar, Annette Tuscano, Radhika Tambe, & Preeti Gazbare. (2023). Correlation of Self-Reported and Performance-Based Measures In Patients With Non-Traumatic Stiff Shoulder Pathologies: An Observational Study. International Journal of Physiotherapy, 10(2), 24–29. https://doi.org/10.15621/ijphy/2023/v10i2/1319

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Original Articles