Comparison of the responsiveness of the Brazilian version of the Western Ontario Rotator Cuff Index (WORC) with DASH, UCLA and SF-36 in patients with rotator cuff disorders

Comparison of the responsiveness of the Brazilian version of the Western Ontario Rotator Cuff Index (WORC) with DASH, UCLA and SF-36 in patients with rotator cuff disorders

Author Lopes, Andréa Diniz Autor UNIFESP Google Scholar
Ciconelli, Rozana Mesquita Autor UNIFESP Google Scholar
Carrera, Eduardo Frota Autor UNIFESP Google Scholar
Griffin, S. Google Scholar
Faloppa, Flávio Autor UNIFESP Google Scholar
Reis, Fernando Baldy dos Autor UNIFESP Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Univ Western Ontario
Abstract ObjectiveTo investigate the responsiveness of the Brazilian version of the Western Ontario Rotator Cuff Index (WORC) and compare it with the Disabilities of At-tit, Shoulder and Hand questionnaire (DASH), the University of California Los Angeles Shoulder Rating Scale (UCLA), and the Short-Form 36 questionnaire (SF-36) in patients with rotator cliff disorders.MethodsThe four questionnaires were administered to 30 patients tit baseline and 3 months after treatment (physiotherapy or surgery). The patients were divided into two groups: those who improved after treatment (n=20) and those who did not (n=10) based oil an anchor-based strategy to distinguish between the two groups and assess responsiveness. The t-test, the t-value of the paired t-test, the effect size (ES), and the standardized response mean (SRM) were calculated.ResultsAll four questionnaires registered statistically significant changes (p<0.05) in the improved group between baseline and 3 months after treatment, and no changes in patients who did not improve. All four instruments showed higher ES and SRM values for the patients who improved than those who did not. WORC registered moderate to high ES and SRM values for the improved group, (is did the UCLA and DASH. The ES and SRM values Measured by the SF-36 ranged from small to large, the physical subscales being more responsive than the other subscales.ConclusionThe Brazilian version of the WORC (like UCLA, DASH and SF-36 physical subscales) proved responsive to change and suitable for use in the short-term follow-up of patients after rotator cuff interventions.
Keywords Rotator cuff
questionnaires
quality of life
outcome measures
Language English
Date 2009-09-01
Published in Clinical And Experimental Rheumatology. Pisa: Clinical & Exper Rheumatology, v. 27, n. 5, p. 758-764, 2009.
ISSN 0392-856X (Sherpa/Romeo, impact factor)
Publisher Clinical & Exper Rheumatology
Extent 758-764
Origin http://www.clinexprheumatol.org/article.asp?a=87
Access rights Open access Open Access
Type Article
Web of Science ID WOS:000272278400141
URI http://repositorio.unifesp.br/11600/43322

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