Department of Physiotherapy, Sahlgrenska University Hospital, Mölndal, Sweden.
J Shoulder Elbow Surg. 2011 Jun;20(4):598-608. doi: 10.1016/j.jse.2010.08.021. Epub 2010 Dec 9.
The aim of the present study was to report health-related quality of life, patient satisfaction with present shoulder function, and physical activity 8-11 years after arthroscopic subacromial decompression (ASD) in patients with primary impingement syndrome stage II and early stage III. Ninety-five patients (105 shoulders, 48 female), mean age 54 years (range, 26-69) were included.
Quality of life in relation to shoulder function was evaluated with the Western Ontario Osteoarthritis Shoulder Index (WOOS). For perceived health, the EQ-5D and EQ rating scale were used and patient satisfaction was evaluated with a 5-grade Likert scale. To describe the patient's level of physical activity, the International Physical Activity Questionnaire (IPAQ) was used. Pain, during activity and at rest, was evaluated using a visual analogue scale (VAS), and Constant score to report the level of shoulder function.
In all patients (n = 105), the WOOS showed 83% of optimal shoulder-related quality of life. The mean value for the EQ-5D(index), in all patients was 0.77, while the EQ rating scale mean value was 75% of best imaginable health. Forty-one patients were active at a high level of physical activity and 34 at moderate level. Eighty-eight patients stated very or quite satisfied with current shoulder function. Fifty-three patients indicated no pain during activity and 70 patients no pain at rest. The mean of the Constant Score (n = 99) was 77 points.
Positive long-term results were shown, as patients reported a high level of health-related quality of life, patient satisfaction and physical activity 8-11 years after ASD.
本研究旨在报告原发性撞击综合征 II 期和早期 III 期患者接受关节镜下肩峰下减压术（ASD）后 8-11 年的健康相关生活质量、对目前肩部功能的满意度和身体活动情况。共纳入 95 例患者（105 肩，48 例女性），平均年龄 54 岁（26-69 岁）。
采用 Western Ontario Osteoarthritis Shoulder Index（WOOS）评估与肩部功能相关的生活质量。使用 EQ-5D 和 EQ 评分量表评估感知健康，使用 5 级 Likert 量表评估患者满意度。使用国际体力活动问卷（IPAQ）描述患者的身体活动水平。使用视觉模拟量表（VAS）评估活动时和休息时的疼痛，并使用 Constant 评分报告肩部功能水平。
在所有患者（n=105）中，WOOS 显示 83%的患者具有最佳的肩部相关生活质量。所有患者的 EQ-5D（指数）平均得分为 0.77，而 EQ 评分量表的平均得分为最佳想象健康的 75%。41 例患者处于高度身体活动水平，34 例处于中度身体活动水平。88 例患者对当前肩部功能表示非常满意或相当满意。53 例患者在活动时无疼痛，70 例患者在休息时无疼痛。Constant 评分的平均值（n=99）为 77 分。
患者报告在 ASD 后 8-11 年具有较高的健康相关生活质量、对治疗的满意度和身体活动水平，显示出积极的长期结果。
