aBsTRacT. INTRODUCTION: The Constant Score (CS), developed as a . centimetre “paper” visual scale both for pain and for .. Constant CR, Murley AHG. Home / Free online Constant Shoulder Score calculator The Constant-Murley score contains both physician-completed and patient-reported portions. The four . : Datum: Constant-Murley Scale. Schoudergewricht. Datum. ______. ______. ______. Pijn. – geen. – mild. ______.

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The higher the score, the higher the quality of the function.

The ADL component is assigned a maximum of 20 points and evaluates limitations in doing normal work, recreational activities, unaffected night sleep and positioning the arm up to a certain level. PRISMA flowchart with numbers of included and excluded articles at each step of the systematic literature review. In order to complete the search, the reference lists of all finally selected articles were also hand searched.

As far as the attribute of interpretability was concerned, within the individual pathology groups, the highest score was Based on 34 articles, and performing a descriptive synthesis of the evidence, the above-mentioned work of Roy et al.

Contributor Information Kalliopi Vrotsou, Phone: The systematic review followed by expert evaluations constitute the main strengths of this work. Reliability was overall the second best scored quality, with reproducibility being more frequently and adequately presented than internal consistency. A systematic and standardized comparison of available instruments. It is worth mentioning that one of the purposes of the single article assessed in that group was studying the CMS drawbacks when administered to frozen shoulder patients [ 7 ].

Finally, the number of articles identified per group may have affected certain evaluations. Informed consent This is a systematic review constannt.

Constant Murley Score

In most cases Physiopedia articles are a secondary source and so should not be used as references. The range of motion is measured by a goniometer. A different method to measure the force has also been published.


The specific method to sale strength using a spring balance: Author information Article notes Copyright and License information Disclaimer. A total of abstracts were reviewed, of which were excluded, mainly for not mentioning CMS use 68 or not reporting data on CMS properties Muroey more stuff on Musculoskeltal Health Subscribe to our Newsletter and get latest publications on Musculoskeletal Health your email inbox.

B [15] [16] Several studies confirmed a good reproducibility, responsiveness and construct validity of the scores. IRT item response theory. Practical statistics for medical research.

Free online Constant Shoulder Score calculator – orthotoolkit

Instruments capable of capturing changes over time, and free of random error are of great relevance. Single studies applied different interventions for the same underlying pathologies; frequently information on intervention type and procedures was not available and commonly results were presented globally, ignoring the intervention type.

A recently published study, on patients with humeral fractures, concluded insufficient evidence as far as the CMS internal consistency was concerned [ 32 ].

The objective of this study was to evaluate the psychometric properties of the Constant—Murley Score CMS in various shoulder pathologies, based on a mutley review and expert standardized evaluations. Measuring compassion in healthcare: A correlation of 0,49 complies with a significant but moderate correlation between the simple shoulder test and the Constant-Murley Shoulder Score.

Free online Constant Shoulder Score calculator

Titles and abstracts were reviewed and finally the included articles were grouped according to patients’ pathologies. Articles written in English, Spanish, French, German and Italian were included in the evaluation stage.

Physiopedia is not a substitute for professional ocnstant or expert medical services from a qualified healthcare provider. Prospective studies set up to explore the psychometric properties of the scale, particularly for fractures, arthritis, instability and frozen shoulder are needed. The aim of murely instrument is evaluative and intends to create a balance.

There is a chance that better evidence could be provided if more publications were found, but the systematic literature review steps followed and the specific inclusion criteria should have reduced the possibility of excluding relevant articles. The maximum value of three consecutive repetitions should be used.


Level of evidence Systematic review. Internal rotation was initially measured with the dorsum of the hand pointing to certain parts of the body, but in the most recent publication, the thumb was suggested as a pointer to the following anatomic landmarks: Internal consistency scores were low and calculated only for the subacromial and various pathologies groups, which obtained 25 and Given that many perceive the CMS as a gold standard, it may be that internal consistency is not of concern to them.

Further information, especially in relation to comparing stable and unstable patients, would have been desirable in the other groups. For the above reasons no such evaluations were eventually performed. The material needed for this test is the Constant-Murley scale, a goniometer, and a spring balance test.

The most recent publication recommends these options to be replaced by a VAS, maintaining the 15 points score range [ 13 ]. Data availability The articles on which the standardized evaluations were based are presented in Online Appendix 2. The recommended modifications are perceived as improvements of an instrument, rather than different score tools, which justifies their joint evaluation.

The subjective components can receive up to 35 points and the objective 65, resulting in a possible maximum total score of points best function.

VAS for pain and ADL activities or the age and sex adjusted score, has been implemented in certain publications.