《肩袖修补术后患者使用 Western Ontario Rotator Cuff Index（WORC）短版的有效性和反应性》
Validity and Responsiveness of the Short Version of the Western Ontario Rotator Cuff Index (Short-WORC) in Patients With Rotator Cuff Repair.
出版信息
J Orthop Sports Phys Ther. 2018 May;48(5):409-418. doi: 10.2519/jospt.2018.7928. Epub 2018 Apr 18.
Study Design Clinical measurement. Background Recently, the Western Ontario Rotator Cuff Index (WORC) was shortened, but few studies have reported its measurement properties. Objective To compare the validity and responsiveness of the short version of the Western Ontario Rotator Cuff Index (Short-WORC) and the WORC (disease-specific measures) with those of the Shoulder Pain and Disability Index (SPADI) and the simple shoulder test (SST) (joint-specific measures); the Disabilities of the Arm, Shoulder and Hand (DASH) (a region-specific measure); and the Medical Outcomes Study 12-Item Short-Form Health Survey version 2 (SF-12v2) (a general health status measure) in patients undergoing rotator cuff repair (RCR). Methods A cohort of patients (n = 223) completed the WORC, SPADI, SST, DASH, and SF-12v2 preoperatively and at 3 and 6 months after RCR. Short-WORC scores were extracted from the WORC questionnaire. The construct validity (Pearson correlations) and internal responsiveness (effect size [ES], standardized response mean [SRM], relative efficiency [RE]) of the Short-WORC were calculated. Results The Short-WORC was strongly correlated with the WORC (r = 0.89-0.96) and moderately to strongly correlated with non-disease-specific measures at preoperative and postoperative assessments (r = 0.51-0.92). The Short-WORC and WORC were equally responsive (RE = 1) at 0 to 6 months and highly responsive overall at 0 to 3 months (ES, 0.72; ES, 0.92; SRM, 0.75; SRM, 0.81) and 0 to 6 months (ES, 1.05; ES, 1.12; SRM, 0.89; SRM, 0.89). The responsiveness of the comparator measures (SPADI, SST, DASH, SF-12v2) was poor to moderate at 0 to 3 months (ES, 0.07-0.55; SRM, 0.09-0.49) and 0 to 6 months (ES, 0.05-0.78; SRM, 0.07-0.78). Conclusion The Short-WORC and WORC have similar responsiveness in patients undergoing RCR, and are more responsive than non-disease-specific measures. Future studies should focus on validation of the Short-WORC in samples representing the spectrum of rotator cuff disorders. J Orthop Sports Phys Ther 2018;48(5):409-418. doi:10.2519/jospt.2018.7928.
研究设计
临床测量。背景：最近，Western Ontario Rotator Cuff Index（WORC）被缩短，但很少有研究报告其测量特性。目的：比较短版 Western Ontario Rotator Cuff Index（Short-WORC）与 WORC（疾病特异性指标）以及 Shoulder Pain and Disability Index（SPADI）和 Simple Shoulder Test（SST）（关节特异性指标）、Disabilities of the Arm, Shoulder and Hand（DASH）（区域特异性指标）以及 Medical Outcomes Study 12-Item Short-Form Health Survey version 2（SF-12v2）（一般健康状况指标）在接受肩袖修复（RCR）患者中的有效性和反应性。方法：一组患者（n=223）在 RCR 术前和术后 3 个月和 6 个月时完成了 WORC、SPADI、SST、DASH 和 SF-12v2。Short-WORC 评分从 WORC 问卷中提取。计算了 Short-WORC 的结构有效性（Pearson 相关系数）和内部反应性（效应大小[ES]、标准化反应均值[SRM]、相对效率[RE]）。结果：Short-WORC 与 WORC 高度相关（r=0.89-0.96），与术前和术后非疾病特异性指标中度至高度相关（r=0.51-0.92）。Short-WORC 和 WORC 在 0 至 6 个月时具有相同的反应性（RE=1），在 0 至 3 个月时高度反应（ES，0.72；ES，0.92；SRM，0.75；SRM，0.81）和 0 至 6 个月（ES，1.05；ES，1.12；SRM，0.89；SRM，0.89）。比较指标（SPADI、SST、DASH、SF-12v2）在 0 至 3 个月时的反应性为差至中度（ES，0.07-0.55；SRM，0.09-0.49），在 0 至 6 个月时为差至中度（ES，0.05-0.78；SRM，0.07-0.78）。结论：在接受 RCR 的患者中，Short-WORC 和 WORC 的反应性相似，且比非疾病特异性指标更具反应性。未来的研究应集中在代表肩袖疾病谱的样本中验证 Short-WORC 的有效性。
Zotero 插件