Département de Médecine Physique & Réhabilitation, Centre Hospitalier Universitaire de Nîmes, Nîmes, France.
J Rehabil Med. 2010 Nov;42(10):967-72. doi: 10.2340/16501977-0627.
Although 40 assessment tools are described in the literature, very few of them have been correctly validated. The Standardized Index of Shoulder Function (FI2S) encompasses pain, mobility, strength and function. The aim of this work is to describe the FI2S and to study its construct validity, reliability and responsiveness to change.
Fifty-nine patients with non-surgical (rotator cuff lesions, frozen shoulders, osteoarthritis) or post-surgical (acromioplasty, repairs of rotator cuff tears, arthroplasty) shoulder disorders were included.
The FI2S was compared with the Disabilities of the Arm, Shoulder and Hand questionnaire (DASH), with the Constant-Murley Score (CMS), and with a visual analogue scale for pain.
Inter-test reliability and inter-rater reliability are excellent, with intra-class correlation coefficient of 0.93 (0.88-0.96) and 0.94 (0.90-0.96), respectively. Under a convergent hypothesis, the Spearman's correlation coefficients with the CMS and DASH score are 0.91 (p < 0.0001) and -0.64 (p < 0.0001), respectively. Correlations between the FI2S and the CMS are excellent for mobility and strength, but moderate for pain and functional capacities. Under a divergent hypothesis, no correlation is observed between the FI2S total score and age. Responsiveness to change is excellent.
The FI2S appears to be a proper assessment tool for pain, mobility, strength and function in shoulder disorders, easy to administer and of good metric value.
尽管文献中描述了 40 种评估工具，但只有很少的工具经过了正确验证。标准化肩部功能指数（FI2S）涵盖了疼痛、活动度、力量和功能。本研究旨在描述 FI2S，并研究其结构有效性、可靠性和对变化的反应能力。
59 例患有非手术（肩袖病变、冻结肩、骨关节炎）或手术后（肩峰成形术、肩袖撕裂修复、关节置换术）肩部疾病的患者。
FI2S 与手臂、肩部和手残疾问卷（DASH）、Constant-Murley 评分（CMS）和疼痛视觉模拟量表进行了比较。
测试间可靠性和评分者间可靠性均极佳，组内相关系数分别为 0.93（0.88-0.96）和 0.94（0.90-0.96）。在收敛假设下，与 CMS 和 DASH 评分的 Spearman 相关系数分别为 0.91（p < 0.0001）和-0.64（p < 0.0001）。FI2S 与 CMS 之间的相关性在移动性和力量方面非常好，但在疼痛和功能能力方面为中度。在发散假设下，FI2S 总分与年龄之间无相关性。变化的反应能力非常好。
FI2S 似乎是肩部疾病疼痛、活动度、力量和功能的一种合适的评估工具，易于管理且具有良好的度量值。
