Biodynamics and Human Performance Center, Georgia Southern University-Armstrong Campus, USA.
Biodynamics and Human Performance Center, Georgia Southern University-Armstrong Campus, USA.
Musculoskelet Sci Pract. 2022 Aug;60:102568. doi: 10.1016/j.msksp.2022.102568. Epub 2022 Apr 26.
Research examining the relationship between patient reported outcomes (PRO) and upper extremity functional performance tests (UEFPT) in patients with shoulder pathology are limited.
To assess the relationship between the seated single arm shot put test (SSASPT) and the PRO Quick-Disabilities of Arm, Shoulder, and Hand (DASH) in patients being discharged from physical therapy after shoulder injury or surgery.
Six physical therapists who regularly use the SSASPT and DASH from six different clinical sites provided SSASPT scores and completed Quick-DASH forms on 75 patients being discharged from rehabilitation following shoulder injury or surgery. Patients were grouped according to whether the involved shoulder was the dominant (n = 43) or nondominant (n = 32) limb. Three separate simple linear regression models, whole cohort and two patient groups, were created to determine the magnitude of the relationships (standardized betas) and change (betas) between DASH scores and the SSASPT limb symmetry index (LSI).
Neither whole cohort nor two groups exhibited statistically significant (P > .05) relationships between LSI and Quick-DASH scores based upon the standardized betas (-0.197-0.038). Additionally, neither the standardized betas (z = 1.49, P = .135) nor betas (z = 1.28, P = .200) were statistically different between the two groups.
The current study revealed no association between SSASPT and the Quick-DASH at discharge from physical therapy following shoulder injury or surgery. Consequently, it may be important to perform a battery of tests that include both subjective PRO and objective UEFPT tests to obtain a comprehensive perspective of the patient's functional and perceived status.
研究检查患者报告的结果（PRO）和上肢功能测试（UEFPT）之间的关系在肩部病理患者中有限。
评估坐姿单臂投掷测试（SSASPT）与 PRO 快速上肢肩手残疾问卷（Quick-DASH）之间的关系，这些患者在肩部受伤或手术后从物理治疗中出院。
六名经常使用 SSASPT 和 DASH 的物理治疗师从六个不同的临床地点提供 SSASPT 分数，并在 75 名肩部受伤或手术后从康复中出院的患者中完成 Quick-DASH 表格。根据受累肩部是优势（n=43）还是非优势（n=32）肢体，患者分为两组。创建了三个单独的简单线性回归模型，整个队列和两个患者组，以确定 DASH 分数与 SSASPT 肢体对称性指数（LSI）之间的关系（标准化β）和变化（β）的大小。
根据标准化β（-0.197-0.038），整个队列和两个组都没有显示出 LSI 和 Quick-DASH 分数之间具有统计学意义（P>.05）的关系。此外，两组之间的标准化β（z=1.49，P=.135）和β（z=1.28，P=.200）均无统计学差异。
本研究表明，肩部受伤或手术后从物理治疗中出院时，SSASPT 与 Quick-DASH 之间没有关联。因此，可能重要的是要进行一系列测试，包括主观 PRO 和客观 UEFPT 测试，以获得患者功能和感知状况的全面视角。
