During the last three months, how much has the problem with your shoulder interfered with your social life including sexual activity if applicable not at all in 6. During the past 4 weeks how would you describe the worst pain you had from your shoulder. The oxford shoulder instability score osis is a short, 12item, conditionspecific, patient reported outcome pro measure developed and validated for measuring surgical and nonsurgical therapeutic outcomes of patients presenting with unidirectional or multidirectional instability of the shoulder. Oxford shoulder score english for the united kingdom 2 3 problems with your shoulder tick one box for every question. The oxford shoulder instability score osis is a short, selfreported outcome measurement for patients with shoulder. Evaluation of oxford instability shoulder score, western ontario shoulder instability index and euroqol in patients with slap superior labral anterior posterior lesions or recurrent anterior dislocations of the shoulder. Oxford knee score oks english version for the united kingdom prior to completing the questionnaire please complete the following. Its management can be complex and multidiciplinary. It is highly likely that you may well require some form of surgical intervention, contact your family physician for a consult with an orthopaedic surgeon.
Licenses apply to the oxford hip, knee, elbow, shoulder, shoulder instability, moxfq ankle score and oxford childrens ankle score. Shoulder instability is a common shoulder problem, and regularly seen by therapists, surgeons, sports doctors and emergency clinicians. These factors were integrated in a 10point preoperative instability severity index score and tested retrospectively on the same population. Research and evaluation of therapies for shoulder instability should focus both on objectively verifiable outcomes, such as the range of motion and redislocations. The assessment of shoulder instability the development and validation of a questionnaire j. Free access to the major international journal orthopaedic scores. Instability of the shoulder has symptoms that are often intermittent and characterized less by pain than by the anticipation of problems arising in association with certain activities 1. Oxford shoulder score was most commonly used by 150 surgeons 69%, followed by the constant score with 106 49%, the oxford shoulder instability score with 82 38%, and the disabilities of the arm, shoulder and hand score with 54 25%. The use of shoulder scoring systems and outcome measures. The oxford shoulder instability score osis is a short, selfreported outcome measurement for patients with shoulder instability. Pdf evaluation of oxford instability shoulder score. In this section we present some useful information to assist clinicians and scoring systems that might be of benefit.
Scores obtained on the 12item shoulder instability questionnaire. Oxford knee score department of public health, university of oxford, old road campus, oxford ox3 7lf, uk. The oxford instability score 7 ois, also a 12item questionnaire, and the western ontario shoulder instability index 15 wosi, a 21item instrument, have been developed to assess physical symptoms and changes in work, sport and recreation, lifestyle, and emotional function arising from shoulder instability. The western ontario shoulder instability index wosi.
The association of recreational and competitive running with hip and knee osteoarthritis. Oiss is a diseasespecific healthrelated qualityoflife selfreport questionnaire, for use in patients with shoulder instability. You can apply for a license by filling in the on line request on this link. The oxford shoulder instability score osis is a short, 12item, condition specific, patient reported outcome pro measure developed and. It was originally validated against the rowe and constant scores, with correlations of 0. Oxford instability score 1260 version initials name hospital number date of birth western ontario shoulder instability score wosi score at baseline. Evaluation of oxford instability shoulder score, western ontario shoulder instability index and euroqol in patients with slap superior labral anterior posterior lesions or recurrent anterior. From the university of oxford and the nuffield orthopaedic centre, oxford, england. Several names and abbreviations have been used synonymously, such as oxford instability score ois and shoulder instability questionnaire siq. Evaluation of oxford instability shoulder score, western ontario shoulder instability index and euroqol in patients with slap superior labral anterior posterior. Patient reported outcome measures in military patients with. Western ontario shoulder instability index wosi pro measure.
The responsiveness and minimal important change of the western ontario shoulder instability index and oxford shoulder instability score. Patientreported outcomes measurement oxford scores. Objectives the oxford shoulder instability score osis is a measure of functional impairment of the upper limb, but it is unclear how it translates into military patients where lower scores, implying higher function, may still be insufficient to meet the increased demands of military service and necessitating surgery. Proms can be used to determine treatment effects in research as well as in clinical settings by calculating change scores, with pre and posttreatment evaluation. The oss is a simple questionnaire that includes the perception of patients concerning their shoulder. The oxford shoulder score is a 12 question survey that measures the day to. Entirely confidential, no personal details required. The oxford shoulder instability score osis is a diseasespecific prom developed by dawson et al. Assessing quality of life for patients with shoulder instability may be essential because of the negative impacts of the disease on patients life. Sep 17, 2015 the oxford shoulder instability score osis is a short, selfreported outcome measurement for patients with shoulder instability. Compared with the preoperative level, the oxford shoulder instability score osis was 18. One hundred five consecutive patients with shoulder instability completed 5 proms at baseline and at 6month followup. The oxford shoulder instability score osis consists of 12 questionnaire items with 5 ordinal response options each.
Clinimetric evaluation of shoulder disability questionnaires. This study aimed to compare osis in military and civilian patients. The oxford shoulder questionnaire relies on the patients subjective assessment of pain and adl impairment to provide the assessment. With dislocation, will have alteration in shoulder contour, marked muscle spasm and limited range of motion outcome measure the oxford instability score can be a helpful tool when attempting to subjectively measure the severity and impact of a patients shoulder instability on their daily life. Developed in 1988, specifically for use in shoulder instability, the western ontario shoulder instability index wosi is a validated pro measure. The oxford shoulder instability score oxford university innovation. Not at all occasionally some days most days every day.
Patientreported outcome measures proms are already commonly used for patient evaluation. None very mild mild moderate severe 12 during the last 4 weeks have you avoided lying in certain positions, in bed at night, because of your shoulder. The oxford shoulder instability score osis is a short, self reported outcome measurement for patients with shoulder. Patients with a score over 6 points had an unacceptable recurrence risk of 70% p jul 15, 20 oiss is a diseasespecific healthrelated qualityoflife selfreport questionnaire, for use in patients with shoulder instability. The oxford shoulder questionnaire has been shown to correlate well with both the constant score and the sf36 assessment and to be sensitive to surgical intervention. The survey is also short, easy to administer, and simple to score. Translation and validation study of the persian version of. The smallest detectable change sdc and minimal important. Pdf evaluation of oxford instability shoulder score, western. The term shoulder instability is used to refer to the inability to maintain the humeral head in the glenoid fossa. The use of shoulder scoring systems and outcome measures in.
There is a need for better interpretation of orthopedic treatment effects. Derby shoulder instability rehabilitation programme. Validation, oxford, shoulder, instability, score, dutch background shoulder instability is common in orthopedic practice. No only 1 or 2 some most every nights nights nights nights night oxford instability shoulder score nuffield department of. Disabilities of the arm, shoulder, and hand questionnaire dash and its short version quickdash, shoulder pain and disability index spadi, american shoulder and elbow surgeons ases society standardized shoulder assessment form, constant murley score cs, simple shoulder test sst, oxford shoulder score oss, shoulder disability questionnaire.
During the past 4 weeks have you had any trouble dressing yourself because of. Evaluation of oxford instability shoulder score, western. The responsiveness and minimal important change of the. How much discomfort do you experience in your neck muscles as a result of your shoulder. Oxford elbow score oes english version for the united kingdom. Take the shoulder instability test to quantify the impact your shoulder has on your. The range of the oxford shoulder score in the asymptomatic.
Determination and comparison of the smallest detectable. The assessment of shoulder instability the development and validation of a questionnaire dawson j, fitzpatrick r, carr a, jbjs b, 81b 3. Research article open access the oxford shoulder instability. How much difficulty do you have sleeping because of your shoulder 8. Italian crosscultural adaptation and validation of the. The oxford knee score is a wellregarded pro measure, proven to be valid and sensitive to clinically important changes over time, specifically in patients undergoing a total joint replacement. How much has the problem with your shoulder interfered with your ability or willingness to lift heavy objects. The oss is a simple questionnaire that includes the perception of patients concerning their shoulder and related quality of daily. The proms included the wosi and osis, the simple shoulder test, the oxford shoulder score, and the disabilities of the arm, shoulder and hand assessment. The oxford shoulder instability score osis is a short, 12item, conditionspecific, patient reported outcome pro measure developed and. The results of mri showed that all of the filled tendons healed well. Evaluation of oxford instability shoulder score, western ontario should instability index and euroquol in patients with slap superior labral anterior posterior lesions or recurrent anterior dislocations of the shoulder. The instrument consists of 12 questions, each of which had five.
The preoperative oss of the patients in this group was collected using the. Western ontario shoulder instability index rehabmeasures. How much feeling of instability or looseness do you experience in your shoulder. Patient reported outcome measures in military patients. The assessment of shoulder instability university of oxford. Clinicians name or ref patients name or ref please answer the following 12 multiple choice questions. Have you had any trouble dressing yourself because of your shoulder. The aim of the present study, therefore, was to assess the internal validity and consistency, testretest reliability, and convergent validity of the persian version of the oxford shoulder instability score osis. Modified arthroscopic remplissage for hillsachs lesions. The oxford hip, knee, shoulder, shoulder instability and elbow scores. Western ontario shoulder instability index wosi pro. It was originally validated against the rowe and constant scores, with correlations of. In this study, the osis was validated in dutch by testing the internal consistency, reliability, measurement error, validity and the floor and ceiling effects, and its smallest detectable change sdc was calculated.