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Erschienen in: Archives of Orthopaedic and Trauma Surgery 8/2004

01.10.2004 | Original Article

The German version of the Oxford shoulder score—cross-cultural adaptation and validation

verfasst von: Wolfgang Huber, Jochen G. Hofstaetter, Beatrice Hanslik-Schnabel, Martin Posch, Christian Wurnig

Erschienen in: Archives of Orthopaedic and Trauma Surgery | Ausgabe 8/2004

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Abstract

Introduction

The evaluation of health-related quality of life is an established criterion for the evaluation of therapeutic measurement. Especially in the English language, a great number of different questionnaires have been developed. The original, English-language 12-item Oxford shoulder score (OSS) is a recently developed and validated patient-completed outcome measure specifically designed for the evaluation of patients suffering from shoulder pathology other than instability. Because of the lack of a comparable instrument in German, this questionnaire was translated into German and subsequently tested for validity and reliability in a cross-sectional study.

Material and methods

Translation of the OSS was done according to the guidelines in the literature. One hundred two patients completed the German version of the OSS and the SF-36. Additionally, the Constant shoulder score and the UCLA shoulder score were included into the validation process. The psychometric properties feasibility and patient-burden parameters were also tested.

Results

The patients completed all questionnaires. The mean time required for completing the OSS was 3 min, 25 s; the mean time required for evaluation of the questionnaire was 35 s. The internal consistency tested by the Cronbach’s alpha (0.94) was high. The reproducibility tested by two different methods showed no significant difference. The construct validity showed a significant correlation between the OSS and the other scores.

Conclusion

The instrument proved to be valid by demonstrating the same correlations predicted by standard clinical assessments and a generic patient-based instrument. Application and evaluation in clinical trial proved feasible and minimally time consuming. Therefore, the German translation of the Oxford shoulder score is a valid and reliable tool, applicable to outcome studies on shoulder patients.
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Literatur
1.
Zurück zum Zitat Acquadro C, Jambon B, Ellis D, Marquis P (1996) Language and translation issues. In: Spilker B (ed) Quality of life and pharmacoeconomics in clinical trials, 2nd edn. Lippincott, Philadelphia, pp 575–585 Acquadro C, Jambon B, Ellis D, Marquis P (1996) Language and translation issues. In: Spilker B (ed) Quality of life and pharmacoeconomics in clinical trials, 2nd edn. Lippincott, Philadelphia, pp 575–585
2.
Zurück zum Zitat Amadio PC (1993) Outcomes measurements. J Bone Joint Surg Am 75:1583–1584PubMed Amadio PC (1993) Outcomes measurements. J Bone Joint Surg Am 75:1583–1584PubMed
3.
Zurück zum Zitat Anderson RT, MacFarlane M, Naughton MJ, Shumaker SA (1996) Conceptual issues and considerations in cross-cultural validation of generic health-related quality of life instruments; quality of life and pharmacoeconomics in clinical trials, 2nd edn. Lippincott, Philadelphia, pp 605–612 Anderson RT, MacFarlane M, Naughton MJ, Shumaker SA (1996) Conceptual issues and considerations in cross-cultural validation of generic health-related quality of life instruments; quality of life and pharmacoeconomics in clinical trials, 2nd edn. Lippincott, Philadelphia, pp 605–612
4.
Zurück zum Zitat Beaton DE, Richards RR (1996) Measuring function of the shoulder—a cross-sectional comparison of five questionnaires. J Bone Joint Surg Am 78: 882–890PubMed Beaton DE, Richards RR (1996) Measuring function of the shoulder—a cross-sectional comparison of five questionnaires. J Bone Joint Surg Am 78: 882–890PubMed
5.
Zurück zum Zitat Beaton DE, Katz JN, Fossel AH, Wright JG, Tarasuk V, Bombardier C (2001) Measuring the whole or the parts? Validity, reliability and responsiveness of the Disabilities of the Arm, Shoulder and Hand Outcome Measure in different regions of the upper extremity. J Hand Ther 14:128–146PubMed Beaton DE, Katz JN, Fossel AH, Wright JG, Tarasuk V, Bombardier C (2001) Measuring the whole or the parts? Validity, reliability and responsiveness of the Disabilities of the Arm, Shoulder and Hand Outcome Measure in different regions of the upper extremity. J Hand Ther 14:128–146PubMed
6.
Zurück zum Zitat Bergenudd H, Lindgärde F, Nilsson B, Petersson CJ (1988) Shoulder pain in middle age. A study of prevalence and relation to occupational workload and psychosocial factors. Clin Orthop 261:234–238 Bergenudd H, Lindgärde F, Nilsson B, Petersson CJ (1988) Shoulder pain in middle age. A study of prevalence and relation to occupational workload and psychosocial factors. Clin Orthop 261:234–238
7.
Zurück zum Zitat Bergner M, Bobbitt RA, Carter WB (1981) The Sickness Impact Profile. Development and final revision of a health status measure. Med Care 19:787–805PubMed Bergner M, Bobbitt RA, Carter WB (1981) The Sickness Impact Profile. Development and final revision of a health status measure. Med Care 19:787–805PubMed
8.
Zurück zum Zitat Bjelle A (1989) Epidemiology of shoulder problems. Baillieres Clin Rheumatol 3:437–451PubMed Bjelle A (1989) Epidemiology of shoulder problems. Baillieres Clin Rheumatol 3:437–451PubMed
9.
10.
Zurück zum Zitat Brazier JE, Harper R, Jones NM, O’Cathain A, Thomas KJ, Usherwood T, Westlake L (1992) Validating the SF-36 health survey questionnaire: new outcome measurement for primary care. Br Med J 305:160-164 Brazier JE, Harper R, Jones NM, O’Cathain A, Thomas KJ, Usherwood T, Westlake L (1992) Validating the SF-36 health survey questionnaire: new outcome measurement for primary care. Br Med J 305:160-164
11.
Zurück zum Zitat Bullinger M (1995) German translation and psychometric testing of the SF-36 health survey: Preliminary results from the IQOLA project. Soc Sci Med 41:1359–1366CrossRefPubMed Bullinger M (1995) German translation and psychometric testing of the SF-36 health survey: Preliminary results from the IQOLA project. Soc Sci Med 41:1359–1366CrossRefPubMed
12.
Zurück zum Zitat Chakravarty KK, Webley M (1990) Disorders of the shoulder: an often unrecognized cause of disability in elderly people. Br Med J 300:848–849 Chakravarty KK, Webley M (1990) Disorders of the shoulder: an often unrecognized cause of disability in elderly people. Br Med J 300:848–849
13.
Zurück zum Zitat Constant CR, Murley AHG (1987) A clinical method of functional assessment of the shoulder. Clin Orthop 214:160–164PubMed Constant CR, Murley AHG (1987) A clinical method of functional assessment of the shoulder. Clin Orthop 214:160–164PubMed
14.
Zurück zum Zitat Cronbach LJ (1951) Coefficient alpha and internal structure of tests. Psychometrika 16:297–334 Cronbach LJ (1951) Coefficient alpha and internal structure of tests. Psychometrika 16:297–334
15.
Zurück zum Zitat Dawson J, Fitzpatrick R, Carr A (1996) Questionnaire of the perceptions of patients about shoulder surgery. J Bone Joint Surg Br 78:593–600PubMed Dawson J, Fitzpatrick R, Carr A (1996) Questionnaire of the perceptions of patients about shoulder surgery. J Bone Joint Surg Br 78:593–600PubMed
16.
Zurück zum Zitat Dawson J, Hill G, Fitzpatrick R, Carr A (2001) The benefits of using patient-based methods of assessment—medium-term results of an observational study of shoulder surgery. J Bone Joint Surg Br 83:877–882CrossRefPubMed Dawson J, Hill G, Fitzpatrick R, Carr A (2001) The benefits of using patient-based methods of assessment—medium-term results of an observational study of shoulder surgery. J Bone Joint Surg Br 83:877–882CrossRefPubMed
17.
Zurück zum Zitat Deyo RA, Andersson G, Bombardier C, Cherkin DC, Keller RB, Lee CK, Liang MH, Lipscomb B, Shekelle P, Spratt KF, Weinstein JN (1994) Outcome measures for studying patients with low back pain. Spine 19 [Suppl 18 ]:2032S–2036S Deyo RA, Andersson G, Bombardier C, Cherkin DC, Keller RB, Lee CK, Liang MH, Lipscomb B, Shekelle P, Spratt KF, Weinstein JN (1994) Outcome measures for studying patients with low back pain. Spine 19 [Suppl 18 ]:2032S–2036S
18.
Zurück zum Zitat Ellman H (1987) Arthroscopic subacromial decompression. Analysis of one- to three-year results. Arthroscopy 3:173–181PubMed Ellman H (1987) Arthroscopic subacromial decompression. Analysis of one- to three-year results. Arthroscopy 3:173–181PubMed
19.
Zurück zum Zitat Freedman KB, Back S, Bernstein J (2001) Sample size and statistical power of randomized, controlled trials in orthopaedics. J Bone Joint Surg Br 83:397–402CrossRefPubMed Freedman KB, Back S, Bernstein J (2001) Sample size and statistical power of randomized, controlled trials in orthopaedics. J Bone Joint Surg Br 83:397–402CrossRefPubMed
20.
Zurück zum Zitat Guillemin F, Bombardier C, Beaton D (1993) Cross-cultural adaptation of health-related quality of life measures: literature review and proposed guidelines. J Clin Epidemiol 46:1417–1432CrossRefPubMed Guillemin F, Bombardier C, Beaton D (1993) Cross-cultural adaptation of health-related quality of life measures: literature review and proposed guidelines. J Clin Epidemiol 46:1417–1432CrossRefPubMed
21.
Zurück zum Zitat Guyatt GH, Townsend M, Berman LB, Keller JL (1987) A comparison of Likert and visual analogue scales for measuring change in function. J Chron Dis 40:1129–1133CrossRefPubMed Guyatt GH, Townsend M, Berman LB, Keller JL (1987) A comparison of Likert and visual analogue scales for measuring change in function. J Chron Dis 40:1129–1133CrossRefPubMed
22.
Zurück zum Zitat Hollinshead RM, Mohtadi NG, Vande Guchte RA, Wadey VM (2000) Two 6-year follow-up studies of large and massive rotator cuff tears: comparison of outcome measures. J Shoulder Elbow Surg 9:373–381PubMed Hollinshead RM, Mohtadi NG, Vande Guchte RA, Wadey VM (2000) Two 6-year follow-up studies of large and massive rotator cuff tears: comparison of outcome measures. J Shoulder Elbow Surg 9:373–381PubMed
23.
Zurück zum Zitat Hudak PL, Amadio PC, Bombardier C and The Upper Extremity Collaborative Group (UECG) (1996) Development of an upper extremity outcome measure: The DASH (disabilities of the arm, shoulder and hand). Am J Ind Med. 29:602–608 Hudak PL, Amadio PC, Bombardier C and The Upper Extremity Collaborative Group (UECG) (1996) Development of an upper extremity outcome measure: The DASH (disabilities of the arm, shoulder and hand). Am J Ind Med. 29:602–608
24.
Zurück zum Zitat Hunt SM, McEwen J (1980) The development of a subjective health indicator. Sociol Health Illn 2:231–246CrossRefPubMed Hunt SM, McEwen J (1980) The development of a subjective health indicator. Sociol Health Illn 2:231–246CrossRefPubMed
25.
Zurück zum Zitat Kessler S, Pfänder T, Nelitz M, Puhl W, Günther KP (2001) Pediatric Musculoskeletal Functional Health Questionnaire. Ein Funktionsfragebogen zur Erfassung von Erkrankungen des Stütz- und Bewegungsapparates bei Kindern und Jugendlichen – Erste Ergebnisse der Validierung einer deutschen Version. Z Orthop Ihre Grenzgeb 139:134–137CrossRefPubMed Kessler S, Pfänder T, Nelitz M, Puhl W, Günther KP (2001) Pediatric Musculoskeletal Functional Health Questionnaire. Ein Funktionsfragebogen zur Erfassung von Erkrankungen des Stütz- und Bewegungsapparates bei Kindern und Jugendlichen – Erste Ergebnisse der Validierung einer deutschen Version. Z Orthop Ihre Grenzgeb 139:134–137CrossRefPubMed
26.
Zurück zum Zitat Kirkley A, Griffith S, McLintock H, Ng L (1998) 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 26:764–772PubMed Kirkley A, Griffith S, McLintock H, Ng L (1998) 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 26:764–772PubMed
27.
Zurück zum Zitat Koran LM (1975) The reliability of clinical methods, data and judgments. Part 1. N Engl J Med 293:642–646PubMed Koran LM (1975) The reliability of clinical methods, data and judgments. Part 1. N Engl J Med 293:642–646PubMed
28.
Zurück zum Zitat L’Insalata JC, Warren RF, Cohen SB, Altchek DW, Peterson MG (1997) A self-administered questionnaire for assessment of symptoms and function of the shoulder. J Bone Joint Surg Am 79:738–748CrossRefPubMed L’Insalata JC, Warren RF, Cohen SB, Altchek DW, Peterson MG (1997) A self-administered questionnaire for assessment of symptoms and function of the shoulder. J Bone Joint Surg Am 79:738–748CrossRefPubMed
29.
Zurück zum Zitat Lippitt SB, Harryman DT, Matsen FA (1993) A practical tool for evaluation of function: the Simple Shoulder Test. In: FA Matsen, Fu FH, Hawkins RJ (eds) The shoulder: a balance of mobility and stability. The American Academy of Orthopaedic Surgeons, Rosemont, IL, USA, pp 501–518 Lippitt SB, Harryman DT, Matsen FA (1993) A practical tool for evaluation of function: the Simple Shoulder Test. In: FA Matsen, Fu FH, Hawkins RJ (eds) The shoulder: a balance of mobility and stability. The American Academy of Orthopaedic Surgeons, Rosemont, IL, USA, pp 501–518
30.
Zurück zum Zitat Lohr KN, Aaronson NK, Alonso J, Burnam MA, Patrick DL, Perrin BE, Roberts JS (1996) Evaluating quality-of-life and health status instruments: development of scientific review criteria. Clin Ther 18:979–992CrossRefPubMed Lohr KN, Aaronson NK, Alonso J, Burnam MA, Patrick DL, Perrin BE, Roberts JS (1996) Evaluating quality-of-life and health status instruments: development of scientific review criteria. Clin Ther 18:979–992CrossRefPubMed
31.
Zurück zum Zitat MacDermid JC, Richards RS, Donner A, Bellamy N, Roth JH (2000) Responsiveness of the SF-36, DASH, patient-rated wrist evaluation and physical impairments in evaluating recovery after a distal radius fracture. J Hand Surg [Am] 25:330–340 MacDermid JC, Richards RS, Donner A, Bellamy N, Roth JH (2000) Responsiveness of the SF-36, DASH, patient-rated wrist evaluation and physical impairments in evaluating recovery after a distal radius fracture. J Hand Surg [Am] 25:330–340
32.
Zurück zum Zitat Michener LA, Leggin BG (2001) A review of self-report scales for the assessment of functional limitation and disability of the shoulder. J Hand Ther 14:68–76PubMed Michener LA, Leggin BG (2001) A review of self-report scales for the assessment of functional limitation and disability of the shoulder. J Hand Ther 14:68–76PubMed
33.
Zurück zum Zitat Najman JM, Levine S (1981) Evaluating the impact of medical care and technology on the quality of life. A review and critique. Soc Sci Med [F] 15:107–115 Najman JM, Levine S (1981) Evaluating the impact of medical care and technology on the quality of life. A review and critique. Soc Sci Med [F] 15:107–115
34.
Zurück zum Zitat Nunnally JC, Bernstein ICH (1994) Psychometric theory. McGraw-Hill, New York Nunnally JC, Bernstein ICH (1994) Psychometric theory. McGraw-Hill, New York
35.
Zurück zum Zitat Offenbaecher M, Ewert T, Sangha O, Stucki G (2002) Validation of a German version of the disabilities of arm, shoulder, and hand questionnaire (DASH-G). J Rheumatol 29:401–402PubMed Offenbaecher M, Ewert T, Sangha O, Stucki G (2002) Validation of a German version of the disabilities of arm, shoulder, and hand questionnaire (DASH-G). J Rheumatol 29:401–402PubMed
36.
Zurück zum Zitat Portney LG, Watkins MP (2000) Foundations of clinical research: applications to practice, 2nd edn. Prentice Hall, Upper Saddle River, NJ, USA Portney LG, Watkins MP (2000) Foundations of clinical research: applications to practice, 2nd edn. Prentice Hall, Upper Saddle River, NJ, USA
37.
Zurück zum Zitat Pose B, Sangha O, Peters A, Wildner M (1999) Validierung des North American Spine Society Instrumentes zur Erfassung des Gesundheitszustandes bei Patienten mit chronischen Rückenbeschwerden. Z Orthop Ihre Grenzgeb 137:437–441PubMed Pose B, Sangha O, Peters A, Wildner M (1999) Validierung des North American Spine Society Instrumentes zur Erfassung des Gesundheitszustandes bei Patienten mit chronischen Rückenbeschwerden. Z Orthop Ihre Grenzgeb 137:437–441PubMed
39.
Zurück zum Zitat Roach KE, Budiman-Mak E, Songsiridej N, Lertratanakul Y (1991) Development of a shoulder pain and disability index. Arthritis Care Res 4:143–149PubMed Roach KE, Budiman-Mak E, Songsiridej N, Lertratanakul Y (1991) Development of a shoulder pain and disability index. Arthritis Care Res 4:143–149PubMed
40.
Zurück zum Zitat Rosales RS Delgado EB, Diez de la Lastra-Bosch I (2002) Evaluation of the Spanish version of the DASH and carpal tunnel syndrome health-related quality-of-life instruments: Cross-cultural adaptation process and reliability. J Hand Surg [Am] 27:334–343 Rosales RS Delgado EB, Diez de la Lastra-Bosch I (2002) Evaluation of the Spanish version of the DASH and carpal tunnel syndrome health-related quality-of-life instruments: Cross-cultural adaptation process and reliability. J Hand Surg [Am] 27:334–343
41.
Zurück zum Zitat Secherst L, Fay TL, Zaidi SMH (1972) Problems of translation in cross-cultural research. J Cross-Cult Psychol 3:41–56 Secherst L, Fay TL, Zaidi SMH (1972) Problems of translation in cross-cultural research. J Cross-Cult Psychol 3:41–56
42.
Zurück zum Zitat van der Heijden GJ (1999) Shoulder disorders: a state-of-the-art review. Baillieres Best Pract Res Clin Rheumatol 13:287–307CrossRefPubMed van der Heijden GJ (1999) Shoulder disorders: a state-of-the-art review. Baillieres Best Pract Res Clin Rheumatol 13:287–307CrossRefPubMed
43.
Zurück zum Zitat Ware JE, Sherbourne CD (1992) The MOS 36-item short form health survey (SF-36): I. Conceptual framework and item selection. Med Care 30:473–483PubMed Ware JE, Sherbourne CD (1992) The MOS 36-item short form health survey (SF-36): I. Conceptual framework and item selection. Med Care 30:473–483PubMed
44.
Zurück zum Zitat Wiesinger GF, Nuhr M, Quittan M, Ebenbichler G, Wolfl G, Fialka-Moser V (1999) Cross-cultural adaptation of the Roland-Morris questionnaire for German-speaking patients with low back pain. Spine 24:1099–1103CrossRefPubMed Wiesinger GF, Nuhr M, Quittan M, Ebenbichler G, Wolfl G, Fialka-Moser V (1999) Cross-cultural adaptation of the Roland-Morris questionnaire for German-speaking patients with low back pain. Spine 24:1099–1103CrossRefPubMed
Metadaten
Titel
The German version of the Oxford shoulder score—cross-cultural adaptation and validation
verfasst von
Wolfgang Huber
Jochen G. Hofstaetter
Beatrice Hanslik-Schnabel
Martin Posch
Christian Wurnig
Publikationsdatum
01.10.2004
Verlag
Springer-Verlag
Erschienen in
Archives of Orthopaedic and Trauma Surgery / Ausgabe 8/2004
Print ISSN: 0936-8051
Elektronische ISSN: 1434-3916
DOI
https://doi.org/10.1007/s00402-004-0716-z

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