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Published in: BMC Musculoskeletal Disorders 1/2018

Open Access 01-12-2018 | Research article

Validation of the Polish version of the Western Ontario Rotator Cuff Index in patients following arthroscopic rotator cuff repair

Authors: Agnieszka Bejer, Mirosław Probachta, Marek Kulczyk, Sharon Griffin, Elżbieta Domka-Jopek, Jędrzej Płocki

Published in: BMC Musculoskeletal Disorders | Issue 1/2018

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Abstract

Background

The Western Ontario Rotator Cuff Index (WORC) is a joint specific outcome tool that assesses the quality of life in patients with various rotator cuff problems.
Our purpose was to evaluate selected psychometric characteristics (internal consistency, validity, reliability and agreement) of the Polish version of WORC in patients undergoing rotator cuff repair.

Methods

Sixty-nine subjects took part in the study with a mean age 55.5 (range 40–65). All had undergone arthroscopic rotator cuff repair in 2015–2016. Data from 57 patients in whom symptoms in the shoulder joint had not changed within 10–14 days were analyzed in a WORC test-retest using the Intraclass Correlation Coefficient (ICC), Standard Error of Measurement (SEM) and Minimal Detectable Change (MDC). WORC was compared to the short version of the Disabilities of Arm, Shoulder and Hand Questionnaire (QuickDash) and the Short Form-36 v. 2.0 (SF-36).

Results

High internal consistency of 0.94 was found using Cronbach’s alpha coefficient. Reliability of the WORC resulted in ICC = 0.99, agreement assessed with SEM and MDC amounted to 1.62 and 4.48 respectively. The validity analysis of WORC showed strong correlations with QuickDash and SF-36 PCS (Physical Component Summary), while moderate with SF-36 MCS (Mental Component Summary). WORC had no floor or ceiling effect.

Conclusions

The Polish version of the WORC is a reliable and valid tool with high internal consistency for assessing the quality of life in patients undergoing arthroscopic rotator cuff repair.
Literature
1.
go back to reference Evaluation GDL. Treatment of shoulder pain. Med Clin N Am. 2014;98(3):487–504.CrossRef Evaluation GDL. Treatment of shoulder pain. Med Clin N Am. 2014;98(3):487–504.CrossRef
2.
go back to reference Park K, Bicknell RT. Management of Occupational Shoulder Injuries in primary care Glenn Brown. J Musculoskelet Disord Treat. 2015;1:1. Park K, Bicknell RT. Management of Occupational Shoulder Injuries in primary care Glenn Brown. J Musculoskelet Disord Treat. 2015;1:1.
3.
go back to reference White JJE, Titchener AG, Fakis A, Tambe AA, Hubbard RB, Clark DI. An epidemiological study of rotator cuff pathology using the health improvement network database. Bone Joint J. 2014;96-B:350–3.CrossRefPubMed White JJE, Titchener AG, Fakis A, Tambe AA, Hubbard RB, Clark DI. An epidemiological study of rotator cuff pathology using the health improvement network database. Bone Joint J. 2014;96-B:350–3.CrossRefPubMed
4.
go back to reference Mall NA, Lee AS, Chahal J, Sherman SL, Romeo AA, Verma NN, et al. An evidenced-based examination of the epidemiology and outcomes of traumatic rotator cuff tears. Arthroscopy. 2013;29(2):366–76.CrossRefPubMed Mall NA, Lee AS, Chahal J, Sherman SL, Romeo AA, Verma NN, et al. An evidenced-based examination of the epidemiology and outcomes of traumatic rotator cuff tears. Arthroscopy. 2013;29(2):366–76.CrossRefPubMed
5.
go back to reference Littlewood C, May S, Walters S. Epidemiology of rotator cuff tendinopathy: a systematic review. Should Elbow. 2013;5(4):256–65.CrossRef Littlewood C, May S, Walters S. Epidemiology of rotator cuff tendinopathy: a systematic review. Should Elbow. 2013;5(4):256–65.CrossRef
6.
go back to reference Kirkley A, Griffin S, McLintock H, Ng L. The development and evaluation of a disease-specific quality of life measurement tool for shoulder instability. The western Ontario shoulder instability index (WOSI). Am J Sports Med. 1998;26:764–72.CrossRefPubMed Kirkley A, Griffin S, McLintock H, Ng L. The development and evaluation of a disease-specific quality of life measurement tool for shoulder instability. The western Ontario shoulder instability index (WOSI). Am J Sports Med. 1998;26:764–72.CrossRefPubMed
7.
go back to reference Dawson J, Fitzpatrick R, Carr A. The assessment of shoulder instability. The development and validation of a questionnaire. J Bone Joint Surg. 1999;81:420–6.CrossRef Dawson J, Fitzpatrick R, Carr A. The assessment of shoulder instability. The development and validation of a questionnaire. J Bone Joint Surg. 1999;81:420–6.CrossRef
8.
go back to reference Lo IK, Griffin S, Kirkley A. The development of a disease-specific quality of life measurement tool for osteoarthritis of the shoulder: the western Ontario osteoarthritis of the shoulder (WOOS) index. Osteoarthr Cartil. 2001;9:771–8.CrossRef Lo IK, Griffin S, Kirkley A. The development of a disease-specific quality of life measurement tool for osteoarthritis of the shoulder: the western Ontario osteoarthritis of the shoulder (WOOS) index. Osteoarthr Cartil. 2001;9:771–8.CrossRef
9.
go back to reference Kirkley A, Alvarez C, Griffin S. The development and evaluation of a disease-specific quality-of-life questionnaire for disorders of the rotator cuff: The Western Ontario Rotator Cuff Index. Clin J Sport Med. 2003;13(2):84–92.CrossRefPubMed Kirkley A, Alvarez C, Griffin S. The development and evaluation of a disease-specific quality-of-life questionnaire for disorders of the rotator cuff: The Western Ontario Rotator Cuff Index. Clin J Sport Med. 2003;13(2):84–92.CrossRefPubMed
10.
go back to reference Hollinshead RM, Mohtadi NG, Vande Guchte RA, Wadey VM. Two 6-year follow-up studies of large and massive rotator cuff tears: comparison of outcome measures. J Shoulder Elb Surg. 2000;9:373–81.CrossRef Hollinshead RM, Mohtadi NG, Vande Guchte RA, Wadey VM. Two 6-year follow-up studies of large and massive rotator cuff tears: comparison of outcome measures. J Shoulder Elb Surg. 2000;9:373–81.CrossRef
11.
go back to reference Hudak P, Amadio PC, Bombardier C. The upper extremity collaborative group. Development of an upper extremity outcome measure: the DASH (disabilities of the arm, shoulder, and hand). Am J Ind Med. 1996;29:602–8.CrossRefPubMed Hudak P, Amadio PC, Bombardier C. The upper extremity collaborative group. Development of an upper extremity outcome measure: the DASH (disabilities of the arm, shoulder, and hand). Am J Ind Med. 1996;29:602–8.CrossRefPubMed
12.
go back to reference Beaton DE, Wright JG, Katz JN. The upper extremity collaborative group. Development of the QuickDASH: comparison of three item-reduction approaches. J Bone Joint Surg Am. 2005;87(5):1038–46.PubMed Beaton DE, Wright JG, Katz JN. The upper extremity collaborative group. Development of the QuickDASH: comparison of three item-reduction approaches. J Bone Joint Surg Am. 2005;87(5):1038–46.PubMed
13.
go back to reference Golicki D, Krzysiak M, Strzelczyk P. Translation and cultural adaptation of the polish version of the disabilities of the arm, shoulder and hand (DASH) and QuickDASH questionnaires. Ortop Traumatol Rehabil. 2014;16(4):387–95.CrossRefPubMed Golicki D, Krzysiak M, Strzelczyk P. Translation and cultural adaptation of the polish version of the disabilities of the arm, shoulder and hand (DASH) and QuickDASH questionnaires. Ortop Traumatol Rehabil. 2014;16(4):387–95.CrossRefPubMed
14.
go back to reference Acquadro C, Conway K, Giroudet C, Mear I. Linguistic validation manual for patient-reported outcomes (PRO) instruments. Lyon: Mapi research institute; 2004. Acquadro C, Conway K, Giroudet C, Mear I. Linguistic validation manual for patient-reported outcomes (PRO) instruments. Lyon: Mapi research institute; 2004.
15.
go back to reference Beaton DE, Bombardier C, Guillemin F, Bosi FM. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine. 2000;25(24):3186–91.CrossRefPubMed Beaton DE, Bombardier C, Guillemin F, Bosi FM. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine. 2000;25(24):3186–91.CrossRefPubMed
16.
go back to reference Wild D, Grove A, Martin M, Eremenco S, McElroy S, Verjee-Lorenz A, et al. Principals of good practice for translation and cultural adaptation process for patient-reported outcomes (PRO) measures: report of the ISPOR task force translation and cultural adaptation. Value Health. 2005;8(2):94–104.CrossRefPubMed Wild D, Grove A, Martin M, Eremenco S, McElroy S, Verjee-Lorenz A, et al. Principals of good practice for translation and cultural adaptation process for patient-reported outcomes (PRO) measures: report of the ISPOR task force translation and cultural adaptation. Value Health. 2005;8(2):94–104.CrossRefPubMed
17.
go back to reference St-Pierre C, Roy J, Dionne F, Frémont P, MacDermid JC, Roy JS. Patient-reported outcomes for the evaluation of symptoms and functional limitation in individuals with rotator cuff disorders: a systematic review. Disabil Rehabil. 2016;38(2):103–22.CrossRefPubMed St-Pierre C, Roy J, Dionne F, Frémont P, MacDermid JC, Roy JS. Patient-reported outcomes for the evaluation of symptoms and functional limitation in individuals with rotator cuff disorders: a systematic review. Disabil Rehabil. 2016;38(2):103–22.CrossRefPubMed
18.
go back to reference Huber W, Hofstaetter JG, Hanslik-Schnabel B, Posch M, Wurnig C. Translation and psychometric testing of the Western Ontario Rotator cuff index (WORC) for use in Germany. Z Orthop Ihre Grenzgeb. 2005;143(4):435–60.CrossRef Huber W, Hofstaetter JG, Hanslik-Schnabel B, Posch M, Wurnig C. Translation and psychometric testing of the Western Ontario Rotator cuff index (WORC) for use in Germany. Z Orthop Ihre Grenzgeb. 2005;143(4):435–60.CrossRef
19.
go back to reference El O, Bircan C, Gulbahar S, Demiral Y, Sahin E, Baydar M, et al. The reliability and validity of the Turkish version of the Western Ontario rotator cuff index. Rheumatol Int. 2006;26(12):1101–8.CrossRefPubMed El O, Bircan C, Gulbahar S, Demiral Y, Sahin E, Baydar M, et al. The reliability and validity of the Turkish version of the Western Ontario rotator cuff index. Rheumatol Int. 2006;26(12):1101–8.CrossRefPubMed
20.
go back to reference Lopes AD, Ciconelli RM, Carrera EF, Griffin S, Faloppa F, Dos Reis FB. Validity and reliability of the Western Ontario Rotator Cuff Index (WORC) for use in Brazil. Clin J Sport Med. 2008;18(3):266–72.CrossRefPubMed Lopes AD, Ciconelli RM, Carrera EF, Griffin S, Faloppa F, Dos Reis FB. Validity and reliability of the Western Ontario Rotator Cuff Index (WORC) for use in Brazil. Clin J Sport Med. 2008;18(3):266–72.CrossRefPubMed
21.
go back to reference Ekeberg OM, Bautz-Holter E, Tveita EK, Keller A, Juel NG, Brox JI. Agreement, reliability and validity in 3 shoulder questionnaires in patients with rotator cuff disease. BMC Musculoselet Disord. 2008;9:68.CrossRef Ekeberg OM, Bautz-Holter E, Tveita EK, Keller A, Juel NG, Brox JI. Agreement, reliability and validity in 3 shoulder questionnaires in patients with rotator cuff disease. BMC Musculoselet Disord. 2008;9:68.CrossRef
22.
go back to reference Mousavi SJ, Hadian MR, Abedi M, Montazeri A. Translation and validation study of the Persian version of the Western Ontario Rotator Cuff Index. Clin Rheumatol. 2009;28(3):293–9.CrossRefPubMed Mousavi SJ, Hadian MR, Abedi M, Montazeri A. Translation and validation study of the Persian version of the Western Ontario Rotator Cuff Index. Clin Rheumatol. 2009;28(3):293–9.CrossRefPubMed
23.
go back to reference Wessel RN, Lim TE, Mameren H, Bie RA. Validation of the Western Ontario Rotator Cuff Index in patients with arthroscopic rotator cuff repair: A study protocol. BMC Musculoskelet Disord. 2011;12:64.CrossRefPubMedPubMedCentral Wessel RN, Lim TE, Mameren H, Bie RA. Validation of the Western Ontario Rotator Cuff Index in patients with arthroscopic rotator cuff repair: A study protocol. BMC Musculoskelet Disord. 2011;12:64.CrossRefPubMedPubMedCentral
24.
go back to reference Kawabata M, Miyata T, Nakai D, Sato M, Tatsuki H, Kashiwazaki Y, et al. Reproducibility and validity of the Japanese version of the western Ontario rotator cuff index. J Orthop Sci. 2013;18(5):705–11.CrossRefPubMed Kawabata M, Miyata T, Nakai D, Sato M, Tatsuki H, Kashiwazaki Y, et al. Reproducibility and validity of the Japanese version of the western Ontario rotator cuff index. J Orthop Sci. 2013;18(5):705–11.CrossRefPubMed
25.
go back to reference Zhaeentan S, Legeby M, Ahlström S, Stark A, Salomonsson BA. A validation of the Swedish version of the WORC index in the assessment of patients treated by surgery for subacromial disease including rotator cuff syndrome. BMC Musculoskelet Disord. 2016;17:165.CrossRefPubMedPubMedCentral Zhaeentan S, Legeby M, Ahlström S, Stark A, Salomonsson BA. A validation of the Swedish version of the WORC index in the assessment of patients treated by surgery for subacromial disease including rotator cuff syndrome. BMC Musculoskelet Disord. 2016;17:165.CrossRefPubMedPubMedCentral
26.
go back to reference Wang W, Xie Q, Jia Z, Cui L, Liu D, Wang C, et al. Cross-cultural translation of the western Ontario cuff index in Chinese and its validation in patients with rotator cuff disorders. BMC Musculoskel Disord. 2017;18:178.CrossRef Wang W, Xie Q, Jia Z, Cui L, Liu D, Wang C, et al. Cross-cultural translation of the western Ontario cuff index in Chinese and its validation in patients with rotator cuff disorders. BMC Musculoskel Disord. 2017;18:178.CrossRef
27.
go back to reference Bejer A, Probachta M, Kulczyk M, Griffin S. The western Ontario rotator cuff index (WORC) – the polish language version. The polish language version of the WORC. Issue Rehabil. Orthop. Neurophysiol. Sport Promot. 2017;20:20–9. Bejer A, Probachta M, Kulczyk M, Griffin S. The western Ontario rotator cuff index (WORC) – the polish language version. The polish language version of the WORC. Issue Rehabil. Orthop. Neurophysiol. Sport Promot. 2017;20:20–9.
28.
go back to reference Hays RD, Morale LS. The RAND-36 measure of health-related quality of life. Ann Med. 2001;33:350–7.CrossRefPubMed Hays RD, Morale LS. The RAND-36 measure of health-related quality of life. Ann Med. 2001;33:350–7.CrossRefPubMed
30.
go back to reference Tylka J, Piotrowicz R. SF-36 life quality assessment questionnaire – polish version. Pol Heart J. 2009;67:1166–9. Polish Tylka J, Piotrowicz R. SF-36 life quality assessment questionnaire – polish version. Pol Heart J. 2009;67:1166–9. Polish
31.
go back to reference Fischer D, Stewart AL, Bloch DA, Lorig K, Laurent D, Holman H. Capturing the patient’s view of change as a clinical outcome measure. JAMA. 1999;282(12):1157–62.CrossRefPubMed Fischer D, Stewart AL, Bloch DA, Lorig K, Laurent D, Holman H. Capturing the patient’s view of change as a clinical outcome measure. JAMA. 1999;282(12):1157–62.CrossRefPubMed
32.
go back to reference Tsang S, Royse CF, Terkawi AS. Guidelines for developing, translating, and validating a questionnaire in perioperative and pain medicine. Saudi J Anaesth. 2017;11(Suppl 1):80–9.CrossRef Tsang S, Royse CF, Terkawi AS. Guidelines for developing, translating, and validating a questionnaire in perioperative and pain medicine. Saudi J Anaesth. 2017;11(Suppl 1):80–9.CrossRef
33.
go back to reference Terwee CB, Bot SD, de Boer MR, van der Windt DA, Knol DL, Dekker J, et al. Quality criteria were proposed for measurement properties of health status questionnaires. J Clin Epidemiol. 2007;60(1):34–42.CrossRefPubMed Terwee CB, Bot SD, de Boer MR, van der Windt DA, Knol DL, Dekker J, et al. Quality criteria were proposed for measurement properties of health status questionnaires. J Clin Epidemiol. 2007;60(1):34–42.CrossRefPubMed
34.
go back to reference Altman DG. Practical statistics for medical research. Boca Raton: Chapman & Hall/CRC; 1999. Altman DG. Practical statistics for medical research. Boca Raton: Chapman & Hall/CRC; 1999.
35.
go back to reference Paradowski PT, Witoński D, Klęska R, Roos E. Cross-cultural translation and measurement properties of the polish version of the knee injury and osteoarthritis outcome score (KOOS) following anterior cruciate ligament reconstruction. Health Qual Life Outcomes. 2013;11:107.CrossRefPubMedPubMedCentral Paradowski PT, Witoński D, Klęska R, Roos E. Cross-cultural translation and measurement properties of the polish version of the knee injury and osteoarthritis outcome score (KOOS) following anterior cruciate ligament reconstruction. Health Qual Life Outcomes. 2013;11:107.CrossRefPubMedPubMedCentral
36.
go back to reference Portney LG, Watkins MP. Foundations of clinical research: applications to practice. 3rd ed. Upper Saddle River: New Jersey Pearson Prentice Hall Health; 2009. Portney LG, Watkins MP. Foundations of clinical research: applications to practice. 3rd ed. Upper Saddle River: New Jersey Pearson Prentice Hall Health; 2009.
37.
38.
go back to reference Streiner DL, Norman GR. Health measurement scales: a practical guide to their development and use. 3rd ed. Oxford: Oxford University Press; 2003. Streiner DL, Norman GR. Health measurement scales: a practical guide to their development and use. 3rd ed. Oxford: Oxford University Press; 2003.
39.
go back to reference de Witte PB, Henseler JF, Nagels J, Vliet Vlieland TPM, RGHH N. The Western Ontario rotator cuff index in rotator cuff disease patients: a comprehensive reliability and responsiveness validation study. Am J Sports Med. 2012;40:1611–9.CrossRefPubMed de Witte PB, Henseler JF, Nagels J, Vliet Vlieland TPM, RGHH N. The Western Ontario rotator cuff index in rotator cuff disease patients: a comprehensive reliability and responsiveness validation study. Am J Sports Med. 2012;40:1611–9.CrossRefPubMed
Metadata
Title
Validation of the Polish version of the Western Ontario Rotator Cuff Index in patients following arthroscopic rotator cuff repair
Authors
Agnieszka Bejer
Mirosław Probachta
Marek Kulczyk
Sharon Griffin
Elżbieta Domka-Jopek
Jędrzej Płocki
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Musculoskeletal Disorders / Issue 1/2018
Electronic ISSN: 1471-2474
DOI
https://doi.org/10.1186/s12891-018-2238-9

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