Croft P, Pope D, Zonca M, O'Neill T, Silman A
ARC Epidemiology Research Unit, University of Manchester, United Kingdom.
Ann Rheum Dis. 1994 Aug;53(8):525-8. doi: 10.1136/ard.53.8.525.
To develop and validate a questionnaire to quantify disability associated with shoulder symptoms.
A set of questions relevant to shoulder symptoms from a general disability interview was developed and the questionnaire applied to a cross-sectional population survey and a prospective study of general practice attenders. Subjects included adults who reported current shoulder pain in a population survey and patients from three general practices who attended with shoulder symptoms during a six month period. The main outcome measures were: frequency of problems with daily living related to shoulder symptoms, total score on 22-item disability questionnaire, and measures of shoulder movement.
A higher proportion (80%) of patients attending their general practitioner with shoulder symptoms had five or more disabilities compared with subjects reporting shoulder pain in a community survey (34%). The ranked frequency with which each disability was reported was similar in the two groups, although sleep disturbance was the most common problem in consulters. Self-reported disability is correlated with measures of restricted shoulder movement.
This disability questionnaire was simple to complete and should prove useful for both general practice and population-based studies of shoulder pain.
开发并验证一份用于量化与肩部症状相关残疾情况的问卷。
从一份一般残疾访谈中提取出一组与肩部症状相关的问题，将该问卷应用于一项横断面人群调查以及一项针对全科就诊者的前瞻性研究。研究对象包括在人群调查中报告当前肩部疼痛的成年人，以及在六个月期间因肩部症状前往三家全科诊所就诊的患者。主要结局指标为：与肩部症状相关的日常生活问题发生频率、22项残疾问卷的总分以及肩部活动测量指标。
与在社区调查中报告肩部疼痛的受试者（34%）相比，因肩部症状前往全科医生处就诊的患者中，有更高比例（80%）存在五种或更多残疾情况。两组报告每种残疾的排名频率相似，尽管睡眠障碍是就诊者中最常见的问题。自我报告的残疾情况与肩部活动受限的测量指标相关。
这份残疾问卷易于填写，对于肩部疼痛的全科医疗研究和基于人群的研究都应是有用的。
