Michener Lori A, McClure Philip W, Sennett Brian J
Department of Physical Therapy, Virginia Commonwealth University-Medical College of Virginia, Richmond, VA 23298, USA.
J Shoulder Elbow Surg. 2002 Nov-Dec;11(6):587-94. doi: 10.1067/mse.2002.127096.
The purpose of this study was to examine the psychometric properties of the American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form (ASES), patient self-report section. Patients with shoulder dysfunction (n = 63) completed the ASES, The University of Pennsylvania Shoulder Score, and the Short Form-36 during the initial evaluation, 24 to 72 hours after the initial visit, and after 3 to 4 weeks of physical therapy. The test-retest reliability (intraclass correlation coefficient[1-way random-effects], 0.84; 95% CI lower limit, 0.75) and internal consistency (Cronbach alpha, 0.86) values were acceptable. The standard error of the measure was 6.7 ASES points (90% CI, 11.0). Construct and discriminant validity was demonstrated. Responsiveness was demonstrated with a standardized response mean of 1.5 and an effect size of 1.4. The minimal detectable change was 9.7 ASES points (90% CI, 16), and the minimal clinically important difference was 6.4 ASES points. The results indicate that the ASES is a reliable, valid, and responsive outcome tool.
本研究的目的是检验美国肩肘外科医师学会标准化肩部评估表（ASES）患者自我报告部分的心理测量学特性。肩部功能障碍患者（n = 63）在初次评估时、初次就诊后24至72小时以及物理治疗3至4周后完成了ASES、宾夕法尼亚大学肩部评分表和简短健康调查问卷（Short Form-36）。重测信度（组内相关系数[单因素随机效应]，0.84；95%可信区间下限，0.75）和内部一致性（Cronbach α系数，0.86）值均可接受。测量的标准误为6.7个ASES评分点（90%可信区间，11.0）。证实了结构效度和区分效度。反应度通过标准化反应均值1.5和效应大小1.4得以证实。最小可检测变化为9.7个ASES评分点（90%可信区间，16），最小临床重要差异为6.4个ASES评分点。结果表明，ASES是一种可靠、有效且具有反应度的结局工具。
