Adaptation of the Shoulder Disability Questionnaire to the Turkish population, its reliability and validity (original) (raw)
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Journal of Back and Musculoskeletal Rehabilitation, 2008
Objectives: The Shoulder Pain And Disability Index (SPADI) is a self-report questionnaire developed to evaluate patients with shoulder problems. No validated Turkish version exists. This study sought to translate and culturally adapt a Turkish version of the SPADI and validate its use for assessing shoulder pain and disability in Turkish patients with shoulder pathology. Methods: One hundred forty patients (mean age, 60.31 ± 13.02 years) with shoulder problems participated. Patients completed the Turkish SPADI, the Short Form 36 (SF-36), and the Disability of the Arm, Shoulder, and Hand (DASH) questionnaires. Results: Internal consistency of the SPADI was good (Cronbach alpha: 0.83 for pain and 0.83 for disability subscales). There was a significant relation between SPADI pain and SF-36 bodily pain (r: −0.594; P < 0.01), SPADI disability and SF-36 physical function (r: −0.339, P < 0.01), and SPADI disability and SF-36 physical role limitation (r: −0.317, P < 0.05). There was a significant relation between SPADI pain and DASH 1 (r: 0.354, P < 0.01) and SPADI disability and DASH 1 (r: 0.591, P < 0.01). Conclusions: The Turkish version of the SPADI is a reliable and valid instrument to assess pain and disability in patients with shoulder pathology.
Physiotherapy Quarterly, 2022
Introduction. Shoulder dysfunction is one of the most important upper extremity problems that limit the quality of life of individuals. Munich Shoulder Questionnaire (MSQ) is a self-assessment tool that allows an easy follow-up and evaluation for clinicians. The aim of this study was to describe the process applied to translate MSQ into Turkish and to test its validity and reliability. Methods. The questionnaire involves socio-demographic data, as well as objective and subjective items for shoulder dysfunction. The study investigated 180 patients with shoulder dysfunction. Cronbach's alpha was used to assess internal consistency. Test-retest reliability was evaluated by the intra-class correlation coefficient. Pearson's correlation coefficient served to examine the convergent validity. The SPSS 23.0 software was used for the statistical analysis. Results. The patients' average age equalled 44.3 ± 11.6 years. in most cases (76.7%), the diagnosis was shoulder impingement syndrome. The Cronbach's alpha coefficients of the MSQ objective and subjective sections were 0.73 and 0.96, respectively. The MSQ total score was positively correlated with the disabilities of the Arm, Shoulder and Hand questionnaire total score (r = 0.70; p < 0.01) and the Shoulder Pain and disability index total score (r = 0.65; p < 0.01). Conclusions. The Turkish version of MSQ is a valid, reliable, and responsive instrument for evaluating shoulder dysfunctions. in addition, MSQ-Turkish is satisfactory for evaluating shoulder dysfunctions and its use is recommended to follow up conservative, manipulative, and surgical treatments.
The responsiveness of the Shoulder Disability Questionnaire
Annals of the Rheumatic Diseases, 1998
Objective-To evaluate the responsiveness of the Shoulder Disability Questionnaire (SDQ). Methods-The study was conducted within the framework of an observational study on shoulder disorders in primary care. After first presentation of their complaints to the general practitioner and after one and six months, participants completed the SDQ, a single question on functional status (FSQ), and an ordinal 11 point scale for the severity of pain (PSS).
BMC Musculoskeletal Disorders, 2013
Background: Shoulder pain is a common condition with prevalence estimates of 7-26% and the associated disability is multi-faceted. For functional assessments in clinic and research, a number of condition-specific and generic measures are available. With the approval of the ICF, a system is now available for the analysis of health status measures. The aims of this systematic literature review were to identify the most frequently addressed aspects of functioning in assessments of shoulder pain and provide an overview of the content of frequently used measures. Methods: Meaningful concepts of the identified measures were extracted and linked to the most precise ICF categories. Second-level categories with a relative frequency above 1% and the content of measures with at least 5 citations were reported. Results: A set of 40 second-level ICF categories were identified in 370 single-item measures and 105 multi-item measures, of these, 28 belonged to activities and participation, 11 to body functions and structures and 1 to environmental factors. The most frequently addressed concepts were: pain; movement-related body functions and structures; sleep, hand and arm use, self-care, household tasks, work and employment, and leisure. Concepts of psycho-social functions and environmental factors were less frequently included. The content overview of commonly used condition-specific and generic measures displayed large variations in the number of included concepts. The most wide-ranging measures, the DASH and ASES were linked to 23 and 16 second-level ICF categories, respectively, whereas the Constant were linked to 7 categories and the SST and the SPADI to 6 categories each. Conclusions: This systematic review displayed that measures used for shoulder pain included more than twice as many concepts of activities and participation than concepts of body functions and structures. Environmental factors were scarcely addressed. The huge differences in the content of the condition-specific multi-item measures demonstrates the importance of clarifying the content to select the most appropriate measure both in research and in clinical work. For clinical situations, we propose use of a wide-ranging condition-specific measure that conceptualizes assessments of shoulder pain from a bio-psycho-social perspective. Further research is needed to assess how patient-reported problems in functioning are captured in the commonly used measures.
The Dutch Shoulder Pain and Disability Index (SPADI): a reliability and validation study
Quality of Life Research, 2014
Purpose To evaluate the reliability and validity of the Dutch Shoulder Pain and Disability Index (SPADI-D). Background The SPADI is recommended and frequently used. However, the validity and reliability of the SPADI-D are unknown. Methods The study population consisted of patients consulting a physical therapist for shoulder pain. We assessed construct validity, using known groups, convergent validity (SDQ) and divergent validity (EQ5D) for which the mean difference or Spearman correlations coefficients were calculated. The factor structure was assessed using principal component factor analysis, and we calculated Cronbach's alpha and the ICC to assess the reliability. Results A total of 356 patients and a randomly selected group of 74 subjects for the reliability analysis were included. There was a significant difference between extreme groups (a high/low level of pain and work absence/presence) in SPADI score. The correlation between the SPADI and the SDQ was 0.69, with the EQ5D mobility-item 0.25 and with the depression-item 0.14. The SPADI consisted of one factor according to principal component factor analysis, which showed high internal consistency (Cronbach's alpha = 0.94 for the total score), and the test-retest reliability was good (ICC = 0.89). Conclusion The Dutch SPADI is a valid and reliable questionnaire for patients in primary care in assessing functional disability.
Disability and Rehabilitation, 2020
Background: The aim of this study was to adapt the Oxford Shoulder Instability Score to Turkish culture and test its reliability and validity. Methods: This study included 118 patients with shoulder instability. Confirmatory factor analyses, and correlation coefficient between Oxford Shoulder Instability Score and Short Form 36 were calculated in order to test construct validity. Internal consistency was tested using Cronbach's alpha. Pearson correlation were calculated to test reliability. Differential item functioning analysis was performed to detect whether items exhibited differences according to gender. Results: Confirmatory factor analysis indicating the single structure of the Oxford Shoulder Instability Score was confirmed. Cronbach's alpha was calculated as 0.87 for the whole scale. There were positive and strong correlations between the first and follow-up assessments (r ¼ 0.86, p < 0.01). The Turkish version of OSIS showed moderate and significant correlations with domains of the SF-36 in general. Results also showed that there was no item exhibiting differential item functioning analysis in the Turkish version of Oxford Shoulder Instability Score. Conclusion: The Turkish version of the Oxford Shoulder Instability Score is a reliable, valid, reproducible and practical tool. It can be used for patients with shoulder disorders and is recommended for clinical use.
Journal of Rehabilitation Medicine, 2013
Objective: To identify the most common problems in patients with shoulder pain, using the International Classification of Functioning, Disability and Health (ICF) as a reference. Design: A cross-sectional study. Subjects: Outpatients at a hospital with shoulder pain lasting longer than 3 months. Methods: Patients were interviewed with an extended version of the ICF Checklist version 2.1a. Patients' problems in functioning, and the magnitude of the problem, were registered separately for each category. Categories identified as a problem in at least 5% of patients were reported. To describe the population, age, diagnosis, work participation and the Shoulder Pain and Disability Index (SPADI) were recorded. Results: A total of 165 patients with a mean age of 46.5 years (standard deviation 12.5) and a SPADI score of 47.4 (standard deviation 21.1) were included. Of the participants, 92.8% were either employed or students, 35.2% of whom were on sick leave. The primary result was the identification of 61 condition-specific second-level ICF categories: 19 in the body functions and structures component, 34 in activities and participation, and 8 in environmental factors. Conclusion: The findings provide a comprehensive picture from the patient-perspective of the disability associated with shoulder pain. The findings may enhance multidisciplinary communication in clinical settings.
Musculoskeletal science & practice, 2020
BACKGROUND The Shoulder Disability Questionnaire (SDQ) demonstrated promising psychometric properties, but currently there is no evidence of an Italian version. OBJECTIVE To cross-culturally adapt the Italian version of the SDQ (SDQ-I) and to explore its psychometric properties in patients with non-specific shoulder pain (SP). METHODS The SDQ-I was translated according to international guidelines and administered to 105 patients with SP. The SDQ-I scores were compared with Disabilities of the Arm, Shoulder, and Hand Questionnaire (DASH), Numerical Pain Rating Scale (NPRS), and 36-item Short Form Health Survey (SF-36). Structural validity (Exploratory Factor Analysis [EFA]), internal consistency (Cronbach's alpha), test-retest reliability (Intraclass Correlation Coefficient [ICC]), measurement error (Standard Error of the Measurement [SEM], Minimal Detectable Change [MDC]), and construct validity (hypothesis testing with correlation of the DASH, NPRS, and SF-36) were explored. RE...
Purpose: To identify the ability of the Persian-version of the Shoulder Pain and Disability Index (SPADI) and the Disabilities of the Arm, Shoulder, and Hand (DASH) to detect changes in shoulder function following physiotherapy intervention (i.e. responsiveness) and to determine the change score that indicates a meaningful change in functional ability of the patient (i.e. Minimally Clinically Important Difference (MCID)). Method: A convenient sample of 200 Persian-speaking patients with shoulder disorders completed the SPADI and the DASH at baseline and then again 4 weeks after physiotherapy intervention. Furthermore, patients were asked to rate their global rating of shoulder function at follow-up. The responsiveness was evaluated using two methods: the receiver operating characteristics (ROC) method and the correlation analysis. Two useful statistics extracted from the ROC method are the area under curve (AUC) and the optimal cutoff point called as MCID. Results: Both the SPADI and the DASH showed the AUC of greater than 0.70 (AUC ranges ¼ 0.77–0.82). The best cutoff points (or change scores) for the SPADI-total, SPADI-pain, SPADI-disability and the DASH were 14.88, 26.36, 23.86, and 25.41, respectively. Additionally, moderate to good correlations (Gamma ¼ À0.51 to À0.58) were found between the changes in SPADI/DASH and changes in global rating scale. Conclusions: The Persian SPADI and DASH have adequate responsiveness to clinical changes in patients with shoulder disorders. Moreover, the MCIDs obtained in this study will help the clinicians and researchers to determine if a Persian-speaking patient with shoulder disorder has experienced a true change following a physiotherapy intervention. ä Implications for Rehabilitation Responsiveness was evaluated using two methods; the receiver operating characteristics (ROC) method and the correlation analysis. The Persian SPADI and DASH can be used as two responsive instruments in both clinical practice and research settings. The MCIDs of 14.88 and 25.41 points obtained for the SPADI-total and DASH indicated that the change scores of at least 14.88 points on the SPADI-total and 25.41 points on the DASH is necessary to certain that a true change has occurred following a physiotherapy intervention.