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Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy 5/2009

01.05.2009 | Shoulder

Gender-specific Constant score correction for age

verfasst von: A. Tavakkolizadeh, A. Ghassemi, T. Colegate-Stone, A. Latif, J. Sinha

Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy | Ausgabe 5/2009

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Abstract

To investigate the relationship between age, gender and the Constant score. Two hundred and seventy Healthy volunteers (527 normal shoulders) from our local population with no previous history of shoulder disease were assessed using the Constant score. The mean age was 43.9 years (16–86) and the mean Constant score 85.9 (56–100). The mean score was 88.1 (range 56–100) for men and 83.7 (range 60–100) for women. A mixed regression model estimated that, for the male population, the Constant score falls by 0.15 points per annum between the ages of 50 and 70 and by 1.3 points per year after the age of 70. Similarly, for the female population, the fall is of 0.25 per year between 60 and 70 and 0.35 after the age of 70. The changes are statistically significant (P < 0.01) and clinically important when comparing patients of different age groups.
Literatur
1.
Zurück zum Zitat Bankes MJK, Crossman JE, Emery RJH (1998) A standard method of shoulder strength measurement for the Constant score with a spring balance. J Shoulder and Elbow Surg 7:116–121CrossRef Bankes MJK, Crossman JE, Emery RJH (1998) A standard method of shoulder strength measurement for the Constant score with a spring balance. J Shoulder and Elbow Surg 7:116–121CrossRef
2.
Zurück zum Zitat Brinker MR, Cuomo JS, Popham GJ et al (2002) An examination of bias in shoulder scoring instruments among healthy collegiate and recreational athletes. J Shoulder Elbow Surg. 11:463–469PubMedCrossRef Brinker MR, Cuomo JS, Popham GJ et al (2002) An examination of bias in shoulder scoring instruments among healthy collegiate and recreational athletes. J Shoulder Elbow Surg. 11:463–469PubMedCrossRef
3.
Zurück zum Zitat Cahalan TD, Johnson ME, Chao EY (1991) Shoulder strength analysis using the Cybex II isokinetic dynamometer. Clin Orthop 271:249–257PubMed Cahalan TD, Johnson ME, Chao EY (1991) Shoulder strength analysis using the Cybex II isokinetic dynamometer. Clin Orthop 271:249–257PubMed
4.
Zurück zum Zitat Codman EA, Chipman WW, Clark JG et al (1913) Standardisation of Hospitals: report of the committee appointed by the Clinical Congress of Surgeons of North America. Trans Clin Cong Surg North Am 4:2–8 Codman EA, Chipman WW, Clark JG et al (1913) Standardisation of Hospitals: report of the committee appointed by the Clinical Congress of Surgeons of North America. Trans Clin Cong Surg North Am 4:2–8
5.
Zurück zum Zitat Conboy VB, Morris RW, Kiss J et al (1996) An evaluation of the Constant–Murley shoulder assessment. J Bone Joint Surg (Br) 78:229–232 Conboy VB, Morris RW, Kiss J et al (1996) An evaluation of the Constant–Murley shoulder assessment. J Bone Joint Surg (Br) 78:229–232
6.
Zurück zum Zitat Constant CR (1986) Age related recovery of shoulder function after injury [thesis]. University College, Cork Constant CR (1986) Age related recovery of shoulder function after injury [thesis]. University College, Cork
7.
Zurück zum Zitat Constant CR, Gerber C, Emery RJ et al (2008) A review of the Constant score: modifications and guidelines for its use. J Shoulder Elbow Surg 17:355–361PubMedCrossRef Constant CR, Gerber C, Emery RJ et al (2008) A review of the Constant score: modifications and guidelines for its use. J Shoulder Elbow Surg 17:355–361PubMedCrossRef
8.
Zurück zum Zitat Constant CR, Murley AHG (1987) A clinical method of functional assessment of the shoulder. Clinical Orthop Relat Res 214:160–164 Constant CR, Murley AHG (1987) A clinical method of functional assessment of the shoulder. Clinical Orthop Relat Res 214:160–164
9.
Zurück zum Zitat Dieball TM, Busse M (2003) Normal values of the shoulder strength in dependency on age and gender—comparison with the Constant, UCLA, ASES scores and SF36 health survey (in German). Z Orthop Ihre Grenzgeb 141:160–170PubMedCrossRef Dieball TM, Busse M (2003) Normal values of the shoulder strength in dependency on age and gender—comparison with the Constant, UCLA, ASES scores and SF36 health survey (in German). Z Orthop Ihre Grenzgeb 141:160–170PubMedCrossRef
10.
Zurück zum Zitat Fialka C, Oberleitner G, Stampfl P et al (2005) Modification of the Constant-Murley shoulder score—introduction of the individual relative Constant score individual shoulder assessment. Injury 36:1159–1165PubMedCrossRef Fialka C, Oberleitner G, Stampfl P et al (2005) Modification of the Constant-Murley shoulder score—introduction of the individual relative Constant score individual shoulder assessment. Injury 36:1159–1165PubMedCrossRef
11.
Zurück zum Zitat Gerber C, Arneberg O (1992) Measurement of abductor strength with an electrical device (Isobex) (abstract). J Shoulder Elbow Surg 2:S6 Gerber C, Arneberg O (1992) Measurement of abductor strength with an electrical device (Isobex) (abstract). J Shoulder Elbow Surg 2:S6
12.
Zurück zum Zitat Grassi FA, Tajana MS (2003) The normalization of data in the Constant–Murley score for the shoulder. A study conducted on 563 healthy subjects. Chi Organi Mov 88:65–73 Grassi FA, Tajana MS (2003) The normalization of data in the Constant–Murley score for the shoulder. A study conducted on 563 healthy subjects. Chi Organi Mov 88:65–73
13.
Zurück zum Zitat Harvie P, Pollard TCB, Chennagiri RJ et al (2005) The use of outcome scores in surgery of the shoulder. J Bone Joint Surg (Br) 87:151–154 Harvie P, Pollard TCB, Chennagiri RJ et al (2005) The use of outcome scores in surgery of the shoulder. J Bone Joint Surg (Br) 87:151–154
14.
Zurück zum Zitat Hughes RE, Johnson ME, O’Driscoll SW et al (1999) Age-related changes in normal isometric shoulder strength. Am J Sports Med 27:651–657PubMed Hughes RE, Johnson ME, O’Driscoll SW et al (1999) Age-related changes in normal isometric shoulder strength. Am J Sports Med 27:651–657PubMed
15.
Zurück zum Zitat Johansson KM, Adolfsson LE (2005) Intraobserver and interobserver reliability for the strength test in the Constant–Murley shoulder assessment. J Shoulder Elbow Surg 14:273–278PubMedCrossRef Johansson KM, Adolfsson LE (2005) Intraobserver and interobserver reliability for the strength test in the Constant–Murley shoulder assessment. J Shoulder Elbow Surg 14:273–278PubMedCrossRef
16.
Zurück zum Zitat Katolik LI, Romeo AR, Cole BJ et al (2005) Normalization of the Constant score. J Shoulder Elbow Surg 14:279–285PubMedCrossRef Katolik LI, Romeo AR, Cole BJ et al (2005) Normalization of the Constant score. J Shoulder Elbow Surg 14:279–285PubMedCrossRef
17.
Zurück zum Zitat Leggin BG, Neuman RM, Iannotti JP et al (1996) Intrarater and interrater reliability of three isometric dynamometers in assessing shoulder strength. J Shoulder Elbow Surg 5:18–24PubMedCrossRef Leggin BG, Neuman RM, Iannotti JP et al (1996) Intrarater and interrater reliability of three isometric dynamometers in assessing shoulder strength. J Shoulder Elbow Surg 5:18–24PubMedCrossRef
18.
Zurück zum Zitat Lillkrona U (2008) How should we use the Constant score?—a commentary. J Shoulder Elbow Surg 17:362–363PubMedCrossRef Lillkrona U (2008) How should we use the Constant score?—a commentary. J Shoulder Elbow Surg 17:362–363PubMedCrossRef
19.
Zurück zum Zitat Michener LA, McClure PW, Sennett BJ (2002) American shoulder and elbow surgeons standardized shoulder assessment form, patient self-report section: reliability, validity and responsiveness. J Shoulder Elbow Surg 11:587–594PubMedCrossRef Michener LA, McClure PW, Sennett BJ (2002) American shoulder and elbow surgeons standardized shoulder assessment form, patient self-report section: reliability, validity and responsiveness. J Shoulder Elbow Surg 11:587–594PubMedCrossRef
20.
Zurück zum Zitat Murray MP, Gore DR, Gardner GM et al (1985) Shoulder motion and muscle strength of normal men and women in two age groups. Clin Orthop 192:268–273PubMed Murray MP, Gore DR, Gardner GM et al (1985) Shoulder motion and muscle strength of normal men and women in two age groups. Clin Orthop 192:268–273PubMed
21.
Zurück zum Zitat Soldatis J, Moseley JB, Etminan M (1997) Shoulder symptoms in healthy athletes: a comparison of outcome scoring systems. J Shoulder Elbow Surg 6:265–271PubMedCrossRef Soldatis J, Moseley JB, Etminan M (1997) Shoulder symptoms in healthy athletes: a comparison of outcome scoring systems. J Shoulder Elbow Surg 6:265–271PubMedCrossRef
22.
Zurück zum Zitat Walton MJ, Walton JC, Honorez LA et al (2007) A comparison of methods for shoulder strength assessment and analysis of Constant score change in patients aged over fifty years in the United Kingdom. J Shoulder Elbow Surg 16:285–289PubMedCrossRef Walton MJ, Walton JC, Honorez LA et al (2007) A comparison of methods for shoulder strength assessment and analysis of Constant score change in patients aged over fifty years in the United Kingdom. J Shoulder Elbow Surg 16:285–289PubMedCrossRef
23.
Zurück zum Zitat Yian EH, Ramappa AJ, Arneberg O et al (2005) The Constant score in normal shoulders. J Shoulder Elbow Surg 14:128–133PubMedCrossRef Yian EH, Ramappa AJ, Arneberg O et al (2005) The Constant score in normal shoulders. J Shoulder Elbow Surg 14:128–133PubMedCrossRef
Metadaten
Titel
Gender-specific Constant score correction for age
verfasst von
A. Tavakkolizadeh
A. Ghassemi
T. Colegate-Stone
A. Latif
J. Sinha
Publikationsdatum
01.05.2009
Verlag
Springer-Verlag
Erschienen in
Knee Surgery, Sports Traumatology, Arthroscopy / Ausgabe 5/2009
Print ISSN: 0942-2056
Elektronische ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-009-0744-x

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