Last Updated: January 25 2005
Patients with musculoskeletal problems may present with major functional losses to specific joints as well as systemic manifestations of their condition.
Evaluation
Evaluation of the effectiveness of treatment requires evaluation of both joint-specific function and overall health status. Standardized self-assessment tools provide a practical method for characterizing these two important dimensions of the changes after treatment. We have found The Simple Shoulder Test and the SF 36 to be particularly useful in evaluating the effectiveness of the management of shoulder conditions. The former relates to specific shoulder function and the latter to overall health status. These self-assessment tools provide an evaluation of effectiveness from the perspective of the patient rather than that of the provider. Together they provide a cost effective method for following patients for a protracted duration without their having to return to the office for repeated examinations.
Selected references
- Bayley K. B.; London M. R.; Grunkemeier G. L.; and Lansky D. J.: Measuring the success of treatment in patient terms. Med. Care 33(4 Suppl):AS226-35 1995.
- Bombardier C.; Melfi C. A.; Paul J.; Green R.; Hawker G.; Wright J.; and Coyte P.: Comparison of a generic and a disease-specific measure of pain and physical function after knee replacement surgery. Med. Care 33(4 Suppl):AS131-44 1995.
- Cleary P. D.; Reilly D. T.; Greenfield S.; Mulley A. G.; Wexler L.; Frankel F.; and McNeil B. J.: Using patient reports to assess health-related quality of life after total hip replacement. Qual. Life Res. 2:3-11 1993
- Fitzpatrick R.; Ziebland S.; Jenkinson C.; Mowat A.; and Mowat A.: The social dimension of health status measures in rheumatoid arthritis. International Disabilities Studies 13(2):34-37 April-June 1991.
- Johanson N. A.; Charlson M. E.; Szatrowski T.gif.; and Ranawat C.S.: A self administered hip-rating questionnaire for the assessment of outcome after total hip replacement. J. Bone Joint Surg. 74-A:587-97 1992.
- Lippitt S. B.; Harryman D. T. II; and Matsen F. A. III: A Practical Tool for Evaluating Function: The Simple Shoulder Test. In The Shoulder: A Balance of Mobility and Stability pp. 501-518. Edited by F.A. Matsen III F.H. Fu and R.J. Hawkins. Rosemont Il American Academy of Orthopedic Surgeons 1993.
- Lyons R.A.; Lo S.V.; and Littlepage B.N.C.: Comparative health status of patients with 11 common illnesses in Wales. Journal of Epidemiology and Community Health 48(4):388-390 August 1994.
- Kantz M. E.; Harris W. J.; Levitsky K.; Ware J. E.; and Davies A. R.: Methods for assessing condition-specific and generic functional status outcomes after total knee replacement. Medical Care 30(5 Suppl):MS240-52 1990.
- Katz J. N.; Harris T. M.; Larson M.G.; Krushell R. J.; Brown C. H.; Fossel A. H.; and Liang M. H.: Predictors of functional outcomes after arthroscopic partial meniscectomy. J. Rheumatol. 19(12):1938-42 1992.
- Matsen F. A. III; Lippitt S. B.; Sidles J. A.; and Harryman D.T. II: Practical Evaluation and Management of the Shoulder. W.B. Saunders Philadelphia 1994.
- Matsen F. A. III: Early effectiveness of shoulder arthroplasty for patients with primary glenohumeral joint disease. J. Bone Joint Surg. In press 1995.
- Matsen F. A. III; Ziegler D. W.; and DeBartolo S.E.: Patient self-assessment of health status in glenohumeral degenerative joint disease. J. Shoulder Elbow Surg. In press 1995.
- Nerenz D.R.; Repasky D.gif.; Whitehouse F.W.; and Kahkonen D.M.: Ongoing assessment of health status in patients with diabetes mellitus. Medical Care 30(5):MS112-124 May 1992.
- Radosevich D. M.; Wetzler H.; and Wilson S. M.: Health status questionnaire (HSQ) 2.0: Scoring comparisons and reference data. Health Outcomes Institute Bloomington MN 1994.
- Ware J.E. Jr.; and Sherbourne C.D.: The MOS 36-item short form health survey (SF-36). I. Conceptual framework and item selection. Medical Care 30(6): 473-81 June 1992.
- Ware J. E.; Snow K. K.; Kosinski M.; and Gandek B.: In SFÊ36 Health Survey Manual and Interpretation Guide. The Health Institute New England Medical Center Boston Massachusetts 1993.