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research article

Enhancing clinically-relevant shoulder function assessment using only essential movements

Pichonnaz, C
•
Lécureux, E
•
Bassin, JP
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2015
Physiological Measurement

Kinematic functional evaluation with body-worn sensors provides discriminative and responsive scores after shoulder surgery, but the optimal movements' combination has not yet been scientifically investigated. The aim of this study was the development of a simplified shoulder function kinematic score including only essential movements. The P Score, a seven-movement kinematic score developed on 31 healthy participants and 35 patients before surgery and at 3, 6 and 12 months after shoulder surgery, served as a reference. Principal component analysis and multiple regression were used to create simplified scoring models. The candidate models were compared to the reference score. ROC curve for shoulder pathology detection and correlations with clinical questionnaires were calculated. The B-B Score (hand to the Back and hand upwards as to change a Bulb) showed no difference to the P Score in time*score interaction (P > .05) and its relation with the reference score was highly linear (R-2 > .97). Absolute value of correlations with clinical questionnaires ranged from 0.51 to 0.77. Sensitivity was 97% and specificity 94%. The B-B and reference scores are equivalent for the measurement of group responses. The validated simplified scoring model presents practical advantages that facilitate the objective evaluation of shoulder function in clinical practice.

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Type
research article
DOI
10.1088/0967-3334/36/3/547
Web of Science ID

WOS:000350054300016

Author(s)
Pichonnaz, C
Lécureux, E
Bassin, JP
Duc, Cyntia  
Farron, Alain  
Aminian, Kamiar  
Jolles-Haeberli, Brigitte  
Gleeson, N
Date Issued

2015

Publisher

Institute of Physics

Published in
Physiological Measurement
Volume

36

Start page

547

End page

560

Subjects

shoulder

•

outcome treatment

•

body-worn sensors

•

biomechanics

•

validation studies as topic

Editorial or Peer reviewed

NON-REVIEWED

Written at

OTHER

EPFL units
LMAM  
Available on Infoscience
February 8, 2015
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/110870
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