Os instrumentos de avaliação do estado funcional do ombro

Autores

  • Rodrigo da Silva Assis Coelho UCMG

DOI:

https://doi.org/10.33233/fb.v8i3.1775

Resumo

A avaliação do estado funcional do ombro se tornou imprescindí­vel, na tentativa de se compreender e documentar o impacto da dor e dos sintomas das diversas patologias do ombro sobre a funcionalidade. Este estudo tem por objetivo fazer uma revisão sistematizada do conteúdo e da qualidade psicométrica dos instrumentos de avaliação do estado funcional do ombro. Foi realizada uma revisão sistemática sobre o assunto em 5 bases de dados eletrônicas. Foram analisados 19 instrumentos e o respectivo conteúdo. A qualidade psicométrica dos instrumentos foi avaliada através de uma lista de checagem aplicada sobre os instrumentos originais. Os instrumentos Disability of the Arm, Shoulder, and Hand scale (DASH), Simple Shoulder Test (SST) e Shoulder Pain and Disability Index (SPADI) são os mais estudados, utilizados e que apresentam as melhores propriedades psicométricas. Nenhum destes instrumentos foi adaptado para ser utilizado no Brasil.

Palavras-chave: ombro, avaliação, funcional, desabilidade.

Biografia do Autor

Rodrigo da Silva Assis Coelho, UCMG

Instituto de Educação Continuada da Pontifí­cia Universidade Católica de Minas Gerais

Referências

FH, Hawkins RJ, eds. The shoulder: a balance of mobility and stability. Rosemont

: The American Academy of Grotle M, Brox JI, Vollestad NK. Functional status and disability questionnaires: What do they assess? Spine 2004;30(1):130-40.

Guyatt GH, Jaeschke R, Feeny D. Measurements in clinical trials: choosing the right approach. In: Spilker B, organizador. Quality of life and pharmacoeconomics in clinical trials. 2nd ed. Philadelphia: Lippincott-Raven; 1996. p. 41-8.

Bot SDM, Terwee CB, van der Windt DAWM, Bouter LM, Dekker J, de Vet HCW. Clinimetric evaluation of shoulder disability questionnaires: a systematic review of the literature. Ann Rheum Dis 2004;63(4):335-41

Higginson IJ, Carr AJ. Measuring quality of life: using quality of life measures in the clinical setting. BMJ 2001;322(7297):1297-300.

McDowell IW, Newell C. Measuring health: a guide to rating scales and questionnaires. 2nd ed. New York: Oxford University Press; 1996.

Organização Mundial de Saúde. 2000; ICF - International Classification of Functioning, Disability and Health. [citado 01 de fevereiro de 2005]. Disponívelem URL: http://www3.who.int/icf/icftemplate.cfm

Richards RR, An K-N, Bigliani LU, Friedman RJ, Gartsman GM, Gristina AG, et al. A standardized method for the assessment of shoulder function. J Shoulder Elbow Surg 1994;3:347–52.

Hudak PL, Amadio PC, Bombardier C. Development of an upper extremity outcome measure: the DASH (disabilities of the arm, shoulder and hand). The Upper Extremity Collaborative Group (UECG). Am J Ind Med 1996; 29:602–8.

Hollinshead RM, Mohtadi NG, Van de Guchte RA, Wadey VM. Two 6-year follow-up studies of large and massive rotator cuff tears: comparison of outcome measures. J Shoulder Elbow Surg 2000;9:373–81.

Dawson J, Fitzpatrick R, Carr A. Questionnaire on the perceptions of patients about shoulder surgery. J Bone Joint Surg Br 1996; 78: 593-600.

Van der Heijden GJ, Leffers P, Bouter LM. Shoulder disability questionnaire design and responsiveness of a functional status measure. J Clin Epidemiol 2000;53:29-38.

Croft P, Pope D, Zonca M, O’Neill T, Silman A. Measurement of shoulder related disability: results of a validation study. Ann Rheum Dis 1994;53:525–8.

Dawson J, Fitzpatrick R, Carr A. The assessment of shoulder instability. The development and validation of a questionnaire. J Bone Joint Surg Br 1999;81:420–6.

Roach KE, Budiman-Mak E, Songsiridej N, Lertratanakul Y. Development of a shoulder pain and disability index. Arthritis Care Res 1991; 4(4):143–9.

L’Insalata JC, Warren RF, Cohen SB, Altchek DW, Peterson MG. A self-administered questionnaire for assessment of symptoms and function of the shoulder. J Bone Joint Surg Am 1997;79:738–48.

Patte D. Directions for the use of the index severity for painful and/or chronically disabled shoulders. Abstracts of the First Open Congress of the European Society of Surgery of the Shoulder and the Elbow; 1987:36–41.

Kohn D, Geyer M. The subjective shoulder rating system. Arch Orthop Trauma Surg 1997;116:324–8.

Lippitt SB, Harryman DTI, Matsen FAI. A practical tool for evaluation of function: the simple shoulder test. In: Matsen FAI, FuOrthopaedic Surgeons; 1993. p.501-18.

Simonsick EM, Kasper JD, Guralnik JM, Bandeen-Roche K, Ferrucci L, Hirsch R, et al. Severity of upper and lower extremity functional limitation: scale development and validation with self-report and performance-based measures of physical function. J Gerontol B Psychol Sci Soc Sci 2001;56:S10-19.

Pransky G, Feuerstein M, Himmelstein J, Katz JN, Vickers-Lahti M. Measuring functional outcomes in work-related upper extremity disorders. Development and validation of the Upper Extremity Function Scale. J Occup Environ Med 1997;39: 1195-202.

Lo IK, Griffin S, Kirkley A. The development of a disease-specific quality of life measurement tool for osteoarthritis of the shoulder: the Western Ontario Osteoarthritis of the Shoulder (WOOS) index. Osteoarthritis Cartilage 2001;9(8):771-8.

Kirkley A, Alvarez C, Griffin S. The development and evaluation of a disease-specific quality-of-life questionnaire for disorders of the rotator cuff: The Western Ontario Rotator Cuff Index. Clin J Sport Med 2003;13(2):84-92.

Kirkley A, Griffin S, McLintock H, Ng L. The development and evaluation of a disease-specific quality of life measurement tool for shoulder instability. The Western Ontario Shoulder Instability Index (WOSI). Am J Sports Med 1998; 26:764–72.

Cook KF, Gartsman GM, Roddey TS, Olson SL. The measurement level and trait-specific reliability of 4 scales of shoulder functioning: an empiric investigation. Arch Phys Med Rehabil 2001;82:1558-65.

Ellman H, Hanker G, Bayer M. Repair of the rotator cuff. End-result study of factors influencing reconstruction. J Bone Joint Surg Am 1986;68(8):1136-44.

Marino RJ, Shea JA, Stineman MG. The capabilities of upper extremity instrument: reliability and validity of a measure of functional limitation in tetraplegia. Arch Phys Med Rehabil 1998;79:1512-21.

Curtis KA, Roach KE, Applegate EB, Amar T, Benbow CS, Genecco TD, et al. Development of the wheelchair user’s shoulder pain index (WUSPI). Paraplegia 1995; 33(5):290-3.

Davis AM, Wright JG, Williams JI, Bombardier C, Griffin A, Bell RS. Development of a measure of physical function for patients with bone and soft tissue sarcoma. Qual Life Res 1996;5:508-16.

Salerno DF, Franzblau A, Armstrong TJ, Werner RA, Becker MP. Test-retest reliability of the upper extremity questionnaire among keyboard operators. Am J Ind Med 2001;40:655-66.

Winters JC, Sobel JS, Groenier KH, Arendzen JH, Meyboom-De Jong B. A shoulder pain score: a comprehensive questionnaire for assessing pain in patients with shoulder complaints. Scand J Rehabil Med 1996; 28(3):163-7.

Soldatis JJ, Moseley JB, Etminan M. Shoulder symptoms in healthy athletes: a comparison of outcome scoring systems. J Shoulder Elbow Surg 1997;6:265-71.

Croft P. Measuring up to shoulder pain. Ann Rheum Dis 1998;57(2):65-6.

Lohr KN, Aaronson NK, Alonso J, Burnam MA, Patrick DL, Perrin EB, et al. Evaluating quality-of-life and health status instruments: development of scientific review criteria. Clin Ther 1996;18:979-92.

Bombardier C, Tugwell P. Methodological considerations in functional assessment. J Rheumatol 1987;14(suppl 15):6-10.

Shrout PE. Measurement reliability and agreement in psychiatry. Stat Methods Med Res 1998;7(3):301-17.

Schmitt JS, Di Fabio RP. Reliable change and minimum important difference (MID) proportions facilitated group responsiveness comparisons using individual threshold criteria. J Clin Epidemiol 2004;57(10):1008-18.

Dawson J, Hill G, Fitzpatrick R, Carr A. Comparison of clinical and patient-based measures to assess medium-term outcomes following shoulder surgery for disorders of the rotator cuff. Arthritis Rheum 2002;47(5):513-9.

Williams JW Jr, Holleman DR Jr, Simel DL. Measuring shoulder function with the Shoulder Pain and Disability Index. J Rheumatol 1995; 22(4):727-32.

Ware JE Jr, Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care 1992; 30(6):473-83.

Lydick E, Epstein RS. Interpretation of quality of life changes. Qual Life Res 1993;2: 221-6.

Paul A, Lewis M, Shadforth MF, Croft PR, Van Der Windt DA, Hay EM. A comparison of four shoulder-specific questionnaires in primary care. Ann Rheum Dis 2004;63(10):1293-9.

Beaton D, Richards RR. Assessing the reliability and responsiveness of 5 shoulder questionnaires. J Shoulder Elbow Surg 1998;7(6):565-72.

Bland JM, Altman DG. Statistical methods for assessing agreement between two methods of clinical measurement. Lancet 1986;1(8476):307-10.

Downloads

Publicado

2018-01-01