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Open Access 01-02-2018

One question might be capable of replacing the Shoulder Pain and Disability Index (SPADI) when measuring disability: a prospective cohort study

Authors: Marloes Thoomes-de Graaf, Wendy Scholten-Peeters, Yasmaine Karel, Annemieke Verwoerd, Bart Koes, Arianne Verhagen

Published in: Quality of Life Research | Issue 2/2018

Abstract

Questions

Is it possible to replace the Shoulder Pain and Disability Index (SPADI) with a single substitute question for people with shoulder pain, when measuring disability and how well does this substitute question perform as a predictor for recovery.

Design

A prospective cohort study.

Participants

A total of 356 patients with shoulder pain in primary care.

Analyses

Convergent, divergent, and “known” groups validity were assessed by using hypotheses testing. Responsiveness was assessed using the Receiver Operating Curve and hypothesis testing. In addition, we performed multivariate regression to assess if the substitute question showed similar properties as the SPADI and if it affected the model itself, using recovery as an outcome.

Results

The Spearman correlation coefficient between the total SPADI score and the substitute question was high, and moderate with the Shoulder Disability Questionnaire. The correlation between the substitute question and the EQ-5D-3L was low and the responsiveness was acceptable. The substitute question did not significantly contribute to both prognostic prediction models as opposed to the SPADI. Regardless all models showed poor to fair discrimination.

Conclusion

The single question is a reasonable substitute for the SPADI and can be used as a screening instrument for shoulder disability in primary clinical practice. It has slightly poorer predictive power and should therefore not be used for prognosis.

Van Der Windt, D. A. W. M., Van Der Heijden, G. J. M. G., De Winter, A. F., Koes, B. W., Deville, W., & Bouter, L. M. (1998). The responsiveness of the shoulder disability questionnaire. Annals of the Rheumatic Diseases, 57(2), 82–87.CrossRefPubMedPubMedCentral

Feleus, A., Bierma-Zeinstra, S. M., Miedema, H. S., Verhaar, J. A., & Koes, B. W. (2008). Management in non-traumatic arm, neck and shoulder complaints: differences between diagnostic groups. European Spine Journal, 17(9), 1218–1229.CrossRefPubMedPubMedCentral

Huisstede, B. M., Bierma-Zeinstra, S. M., Koes, B. W., & Verhaar, J. A. (2006). Incidence and prevalence of upper-extremity musculoskeletal disorders. A systematic appraisal of the literature. BMC Musculoskeletal Disorders, 7, 7.CrossRefPubMedPubMedCentral

Mintken, P. E., Glynn, P., & Cleland, J. A. (2009). Psychometric properties of the shortened disabilities of the Arm, Shoulder, and Hand Questionnaire (QuickDASH) and Numeric Pain Rating Scale in patients with shoulder pain. Journal of Shoulder and Elbow Surgery, 18(6), 920–926.CrossRefPubMed

Bot, S. D., Terwee, C. B., van der Windt, D. A., Bouter, L. M., Dekker, J., & de Vet, H. C. (2004). Clinimetric evaluation of shoulder disability questionnaires: A systematic review of the literature. Annals of the Rheumatic Diseases, 63(4), 335–341.CrossRefPubMedPubMedCentral

Roy, J. S., MacDermid, J. C., & Woodhouse, L. J. (2009). Measuring shoulder function: A systematic review of four questionnaires. Arthritis and Rheumatism, 61(5), 623–632.CrossRefPubMed

Breckenridge, J. D., & McAuley, J. H. (2011). Shoulder Pain and Disability Index (SPADI). Journal of Physiotherapy, 57(3), 197.CrossRefPubMed

Jette, D. U., Halbert, J., Iverson, C., Miceli, E., & Shah, P. (2009). Use of standardized outcome measures in physical therapist practice: Perceptions and applications. Physical Therapy, 89(2), 125–135.CrossRefPubMed

Snyder, C. F., Aaronson, N. K., Choucair, A. K., Elliott, T. E., Greenhalgh, J., Halyard, M. Y., et al. (2012). Implementing patient-reported outcomes assessment in clinical practice: A review of the options and considerations. Quality of Life Research, 21(8), 1305–1314.CrossRefPubMed

10.

Kuijpers, T., van der Windt, D. A., van der Heijden, G. J., & Bouter, L. M. (2004). Systematic review of prognostic cohort studies on shoulder disorders. Pain, 109(3), 420–431.CrossRefPubMed

11.

Russak, S. M., Croft, J. D., Jr., Furst, D. E., Hohlbauch, A., Liang, M. H., Moreland, L., et al. (2003). The use of rheumatoid arthritis health-related quality of life patient questionnaires in clinical practice: lessons learned. Arthritis Rheum, 49(4), 574–584.CrossRefPubMed

12.

Stratford, P. W., & Binkley, J. M. (1997). Measurement properties of the RM-18. A modified version of the Roland-Morris Disability Scale. Spine, 22(20), 2416–2421.CrossRefPubMed

13.

Beaton, D. E., Wright, J. G., Katz, J. N., & Upper Extremity Collaborative. (2005). Development of the QuickDASH: Comparison of three item-reduction approaches. Journal of Bone and Joint Surgery, 87(5), 1038–1046.PubMed

14.

Rose, M., Bjorner, J. B., Becker, J., Fries, J. F., & Ware, J. E. (2008). Evaluation of a preliminary physical function item bank supported the expected advantages of the Patient-Reported Outcomes Measurement Information System (PROMIS). Journal of Clinical Epidemiology, 61(1), 17–33.CrossRefPubMed

15.

Turner, R. R., Quittner, A. L., Parasuraman, B. M., Kallich, J. D., Cleeland, C. S., & Mayo, F. D. A. P.-R. O. C. M. G. (2007). Patient-reported outcomes: Instrument development and selection issues. Value Health, 10(Suppl 2), S86–S93.CrossRefPubMed

16.

Verwoerd, A. J., Luijsterburg, P. A., Timman, R., Koes, B. W., & Verhagen, A. P. (2012). A single question was as predictive of outcome as the Tampa Scale for Kinesiophobia in people with sciatica: An observational study. Journal of Physiotherapy, 58(4), 249–254.CrossRefPubMed

17.

Karel, Y. H., Scholten-Peeters, W. G., Thoomes-de Graaf, M., Duijn, E., Ottenheijm, R. P., Koes, B. W., et al. (2013). Current management and prognostic factors in physiotherapy practice for patients with shoulder pain: Design of a prospective cohort study. BMC Musculoskeletal Disorders, 14(1), 62.CrossRefPubMedPubMedCentral

18.

Roach, K. E., Budiman-Mak, E., Songsiridej, N., & Lertratanakul, Y. (1991). Development of a shoulder pain and disability index. Arthritis Care and Research, 4(4), 143–149.CrossRefPubMed

19.

Paul, A., Lewis, M., Shadforth, M. F., Croft, P. R., Van Der Windt, D. A., & Hay, E. M. (2004). A comparison of four shoulder-specific questionnaires in primary care. Annals of the Rheumatic Diseases, 63(10), 1293–1299.CrossRefPubMedPubMedCentral

20.

Thoomes-de Graaf, M., Scholten-Peeters, G. G., Duijn, E., Karel, Y., Koes, B. W., & Verhagen, A. P. (2014). The Dutch Shoulder Pain and Disability Index (SPADI): A reliability and validation study. Quality of Life Research, 24, 1515–1519.CrossRefPubMed

21.

Thoomes-de Graaf, M., Scholten-Peeters, W., Duijn, E., Karel, Y., de Vet, H. C., Koes, B., et al. (2017). The responsiveness and interpretability of the shoulder pain and disability index. Journal of Orthopaedic and Sports Physical Therapy, 47, 1–21.CrossRef

22.

Jamnik, H., & Spevak, M. K. (2008). Shoulder pain and disability Index: Validation of slovene version. International Journal of Rehabilitation Research, 31(4), 337–341.CrossRefPubMed

23.

de Winter, A. F., van der Heijden, G. J. M. G., Scholten, R. J. P. M., van der Windt, D. A. W. M., & Bouter, L. M. (2007). The Shoulder Disability Questionnaire differentiated well between high and low disability levels in patients in primary care, in a cross-sectional study. Journal of Clinical Epidemiology, 60(11), 1156–1163.CrossRefPubMed

24.

Lamers, L. M., McDonnell, J., Stalmeier, P. F., Krabbe, P. F., & Busschbach, J. J. (2006). The Dutch tariff: results and arguments for an effective design for national EQ-5D valuation studies. Health Economics, 15(10), 1121–1132.CrossRefPubMed

25.

Kamper, S. J., Ostelo, R. W., Knol, D. L., Maher, C. G., de Vet, H. C., & Hancock, M. J. (2010). Global Perceived Effect scales provided reliable assessments of health transition in people with musculoskeletal disorders, but ratings are strongly influenced by current status. Journal of Clinical Epidemiology, 63(7), 760–766.CrossRefPubMed

26.

Burnand, B., Kernan, W. N., & Feinstein, A. R. (1990). Indexes and boundaries for “quantitative significance” in statistical decisions. Journal of Clinical Epidemiology, 43(12), 1273–1284.CrossRefPubMed

27.

Mokkink, L. B., Terwee, C. B., Knol, D. L., Stratford, P. W., Alonso, J., Patrick, D. L., et al. (2010). The COSMIN checklist for evaluating the methodological quality of studies on measurement properties: a clarification of its content. BMC Medical Research Methodology, 10, 22.CrossRefPubMedPubMedCentral

28.

Weenink, J. W., Braspenning, J., & Wensing, M. (2014). Patient reported outcome measures (PROMs) in primary care: An observational pilot study of seven generic instruments. BMC Family Practice, 15, 88.CrossRefPubMedPubMedCentral

29.

Luijsterburg, P. A., Verhagen, A. P., Ostelo, R. W., van den Hoogen, H. J., Peul, W. C., Avezaat, C. J., et al. (2008). Physical therapy plus general practitioners’ care versus general practitioners’ care alone for sciatica: A randomised clinical trial with a 12-month follow-up. European Spine Journal, 17(4), 509–517.CrossRefPubMedPubMedCentral

30.

Farrar, J. T., Young, J. P., Jr., LaMoreaux, L., Werth, J. L., & Poole, R. M. (2001). Clinical importance of changes in chronic pain intensity measured on an 11-point numerical pain rating scale. Pain, 94(2), 149–158.CrossRefPubMed

31.

Terwee, C. B., Bot, S. D., de Boer, M. R., van der Windt, D. A., Knol, D. L., Dekker, J., et al. (2007). Quality criteria were proposed for measurement properties of health status questionnaires. Journal of Clinical Epidemiology, 60(1), 34–42.CrossRefPubMed

32.

de Vet, H. C., Mokkink, L. B., & Knol, D. L. (2011). Practical guides to biostatistics and epidemiology. Cambridge: Measurement in medicine.

33.

Harrell, F. E., Jr., Lee, K. L., & Mark, D. B. (1996). Multivariable prognostic models: issues in developing models, evaluating assumptions and adequacy, and measuring and reducing errors. Statistics in Medicine, 15(4), 361–387.CrossRefPubMed

34.

Chester, R., Shepstone, L., Daniell, H., Sweeting, D., Lewis, J., & Jerosch-Herold, C. (2013). Predicting response to physiotherapy treatment for musculoskeletal shoulder pain: a systematic review. BMC Musculoskeletal Disorder, 14, 203.CrossRef

35.

Karel, Y. H., Verhagen, A. P., Thoomes-de Graaf, M., Duijn, E., van den Borne, M. P., Beumer, A., et al. (2016). Development of a prognostic model for patients with shoulder complaints in physiotherapy. Physical Therapy, 97, 72–80.

36.

Hosmer, D. W. J., Lemeshow, S., & Sturdivant, R. X. (2013). Applied logistic regression. New Jersey: Wiley.CrossRef

37.

Sloan, J. A., Aaronson, N., Cappelleri, J. C., Fairclough, D. L., Varricchio, C., & Clinical Significance Consensus Meeting. (2002). Assessing the clinical significance of single items relative to summated scores. Mayo Clinic Proceedings, 77(5), 479–487.CrossRefPubMed

38.

Portegijs, E., Sipila, S., Viljanen, A., Rantakokko, M., & Rantanen, T. (2016). Validity of a single question to assess habitual physical activity of community-dwelling older people. Scandinavian Journal of Medicine & Science in Sports. doi:10.1111/sms.12782.

39.

Tomioka, K., Ikeda, H., Hanaie, K., Morikawa, M., Iwamoto, J., Okamoto, N., et al. (2013). The Hearing Handicap Inventory for Elderly-Screening (HHIE-S) versus a single question: reliability, validity, and relations with quality of life measures in the elderly community, Japan. Quality of Life Research, 22(5), 1151–1159.CrossRefPubMed

40.

Kongsted, A., Aambakk, B., Bossen, S., & Hestbaek, L. (2014). Brief screening questions for depression in chiropractic patients with low back pain: Identification of potentially useful questions and test of their predictive capacity. Chiropractic & Manual Therapies, 22(1), 4.CrossRef

41.

Picavet, H. S., & Schouten, J. S. (2003). Musculoskeletal pain in the Netherlands: Prevalences, consequences and risk groups, the DMC(3)-study. Pain, 102(1–2), 167–178.CrossRefPubMed

42.

Kooijman, M., Barten, J., Swinkels, I., & Veenhof, C. Jaarcijfers 2010 en trendcijfers 2006-2010 fysiotherapie. Landelijke Informatievoorziening Paramedische Zorg. Utrecht: NIVEL http://www.nivel.nl/lipz.

Title: One question might be capable of replacing the Shoulder Pain and Disability Index (SPADI) when measuring disability: a prospective cohort study
Authors: Marloes Thoomes-de Graaf
Wendy Scholten-Peeters
Yasmaine Karel
Annemieke Verwoerd
Bart Koes
Arianne Verhagen
Publication date: 01-02-2018
Publisher: Springer International Publishing
Published in: Quality of Life Research / Issue 2/2018
Print ISSN: 0962-9343
Electronic ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-017-1698-y

At a glance: The STEP trials

Springer Medicine

One question might be capable of replacing the Shoulder Pain and Disability Index (SPADI) when measuring disability: a prospective cohort study

Abstract

Questions

Design

Participants

Analyses

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Questions

Design

Participants

Analyses

Results

Conclusion

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