Department of Physiotherapy, VIA University College, Holstebro, Denmark.
J Orthop Sports Phys Ther. 2014 May;44(5):336-40. doi: 10.2519/jospt.2014.5008. Epub 2014 Mar 27.
Test-retest study. Objectives To assess the reliability, agreement, and validity of the Danish version of the modified Constant-Murley score (CMS).
Modified CMS guidelines were published in 2008. These modifications have recently been translated and cross-culturally adapted into a Danish version. However, the reliability and the validity of this version have yet to be established.
A total of 45 patients with shoulder impingement syndrome were examined by 2 raters using the modified version of the CMS and a questionnaire that included the Oxford shoulder score. Both raters had a minimum of experience using the CMS. Intrarater and interrater agreement and reliability were examined and compared. Construct validity was assessed by the correlation between the scores of the CMS and the Oxford shoulder score.
The minimal detectable change was estimated to be 13 and 11 points for raters A and B, respectively. The intraclass correlation coefficient was 0.93 for rater A and 0.95 for rater B. Interrater comparison demonstrated a minimal detectable change of 12 points and an intraclass correlation coefficient of 0.94. The correlation coefficient between the CMS and the Oxford shoulder score was 0.76.
The intrarater and interrater reliability and agreement of the Danish version of the modified CMS were found to be acceptable, and construct validity was confirmed.
测试-重测研究。目的评估丹麦版改良 Constant-Murley 评分（CMS）的可靠性、一致性和有效性。
改良 CMS 指南于 2008 年发布。这些修改最近已被翻译成丹麦语，并进行了跨文化适应性调整。然而，该版本的可靠性和有效性尚未确定。
共有 45 名肩峰下撞击综合征患者接受了 2 名评估者使用改良版 CMS 和包括牛津肩部评分在内的问卷进行检查。两名评估者均具有使用 CMS 的最低经验。检查并比较了内部和外部评估者的一致性和可靠性。通过 CMS 和牛津肩部评分之间的相关性评估结构有效性。
分别估计评估者 A 和 B 的最小可检测变化为 13 和 11 分。评估者 A 的组内相关系数为 0.93，评估者 B 的组内相关系数为 0.95。评估者间比较显示最小可检测变化为 12 分，组内相关系数为 0.94。CMS 与牛津肩部评分之间的相关系数为 0.76。
丹麦版改良 CMS 的内部和外部评估者的可靠性和一致性均令人满意，并且结构有效性得到了确认。
