How much weakness or lack of strength do you experience in your shoulder. Minimal clinically important differences in rowe and western. Pdf the western ontario shoulder instability index wosi. Responsiveness is tested by obtaining the same tests after therapy. Western ontario shoulder instability index rehabmeasures. The worc, sf36 and the constant score are obtained twice before therapy is started to measure reliability and validity. Western ontario shoulder instability index wosi pro measure. Validation of the western ontario rotator cuff index in patients with arthroscopic rotator cuff repair worc the safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Pdf translation and validation of a hebrew version of the.
Oss shoulder instability american shoulder and elbow surgeons standardized shoulder assessment form ases western ontario shoulder instability index wosi elbow disabilities of the arm, shoulder, and hand. Simple shoulder test stt, quickdash western ontario shoulder instability index wosi pain visual analog scale pvas stiffness visual analog scale svas eq5d quality of life questionnaire. The western ontario shoulder instability index wosi is a patientreported outcome measure for patients with shoulder instability. Outcome questionnaires monitoring patient progress. Western ontario shoulder instability index wosi orthopedic. The minimal clinically important difference mcid is the threshold value for a change that would be considered meaningful by the patient. All studies were assessed using the amstar, consort and trend tools. The western ontario shoulder instability index wosi strument, the western ontario shoulder instability index wosi, was designed to be used as the primary outcome measure in clinical trials evaluating treatments for patients with shoulder instability.
The western ontario shoulder instability index wosi is a specific selfadministered questionnaire measuring the functional impact on patients with chronic glenohumeral instability. The wosi was translated into hebrew according to world health organization guidelines. Write it into the space provided for that question. Patients with a score over 6 points had an unacceptable recurrence risk of 70% p apr 20, 2017 abstract. The responsiveness and minimal important change of the. Results evaluate the measurement properties of the ssv in patients conservatively treated for current shoulder conditions. Measurement properties of the western ontario shoulder instability. Ontario shoulder tools western ontario shoulder instability index wosi, western ontario osteoarthritis of the shoulder index woos, western ontario rotator cuff index worc 1517. The following section concerns the amount that your shoulder problem has affected or changed your lifestyle. The western ontario osteoarthritis of the shoulder woos section c. Open access protocol effect of exercisebased management. Finally, the western ontario shoulder instability index wosi was selected because, in the last few years, it has become the most often used and best psychometrically tested assessment of shoulder instability, although there is still a lack of testing data. However, there are no diseasespecific instruments for patient selfassessment of shoulder instability. Western ontario shoulder instability index wosi orthotoolkit.
The purpose of this study was to validate the wosi in a dutch population by evaluating its structural validity. Measure the distance from the left side of the line and calculate the score out of 100 recorded t the nearest 0. The wosi is a 21item scale used to measure shoulder related quality of life in patients with symptomatic shoulder instability. Research article open access measurement properties of the. The western ontario shoulder instability index wosi welcome. Primary outcomes at 6 and 24 months were clinical rowe score ranging from 0 to 100 best possible and western ontario shoulder instability index wosi ranging from 0 best possible to 2100. Wosi is defined as western ontario shoulder instability index orthopedic medicine somewhat frequently. The aim of the current study was to translate the wosi into hebrew and assess its psychometric properties.
The western ontario shoulder instability index wosi is a diseasespecific shoulder questionnaire to measure quality of life in patients with shoulde. Measurement properties of the western ontario shoulder instability index in dutch patients with shoulder instability. Pdf western ontario shoulder instability index wosi. The western ontario shoulder instability index wosi clinicians name or ref patients name or ref the following questions concern the symptoms you have experienced due to your shoulder problem. The development and evaluation of a diseasespecific quality of life measurement tool for shoulder instability. We made a translation into swedish and retested the score by analyzing the psychometric properties v. Pdf the development and evaluation of a diseasespecific. The purpose of this study was to validate the wosi in a dutch population by evaluating its structural validity, internal consistency, measurement error, reliability, and construct validity. The western ontario shoulder instability index wosi. The western ontario shoulder instability index wosi is a specific self administered questionnaire. A comprehensive overview of the western ontario shoulder instability index wosi. Jun 20, 2014 the western ontario shoulder instability index wosi is a patientreported outcome measure for patients with shoulder instability. Western ontario shoulder instability index wosi instructions. Validity and responsiveness of the short version of the.
In all cases, please enter the amount of the symptom you. How troubled are you by an increase in pain in your shoulder after activities. Participants were reassessed after a minimum of 10 years postoperatively. Translation and validation of a hebrew version of the western ontario shoulder instability index. Developed in 1988, specifically for use in shoulder instability, the western ontario shoulder instability index wosi is a validated pro measure. Orthopaedic scores website to help clinicians and patients to gauge progress of the healing of certain treatments. The shoulder pain and disability index spadi is a patientreported outcome measure prom developed in 1991 by roach et al. Apr 29, 2009 the western ontario shoulder instability index wosi the wosi score instrument kirkley et al. Translation and validation of the french version of the. It is thought that instability of the shoulder joint leads to special problems of. Evaluation of oxford instability shoulder score, western.
Western ontario shoulder instability index wosi pro. Instruments for collection of orthopaedic quality data pdf version. Wosi western ontario shoulder instability index the wosi evaluates the diseasespecific qualityof life of patients with symptomatic shoulder instability. Wosi western ontario shoulder instability index orthopedic. 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. Measurement properties of the dutch version of the western. How is western ontario shoulder instability index orthopedic medicine abbreviated.
Research article open access measurement properties of. Wosi stands for western ontario shoulder instability index orthopedic medicine. Pdf available western ontario shoulder instability index wosi. It is widely used, however some psychometric information is still lacking. These factors were integrated in a 10point preoperative instability severity index score and tested retrospectively on the same population. The development and evaluation of a diseasespecific quality of life measurement. Outcome scores that were included were the oxford instability score, the rowe score for instability, simple shoulder test, american shoulder and elbow surgeons score, constant scores, western ontario shoulder instability index and single assessment numeric evaluation. Western ontario shoulder instability index how is western. The aim of this randomised controlled clinical trial is to evaluate the efficacy and safety of a 12week, structured shoulder instability neuromuscular exercise sinex programme versus 12 weeks of a selfmanaged, trainingbased, shoulder exercise programme standard care, measured on the western ontario shoulder instability index.
Pdf translation and validation of a hebrew version of. Subjects were randomized to receive either an arthroscopic washout awo or abr. The western ontario shoulder instability index wosi the wosi score instrument kirkley et al. The full text of this article is available in pdf format. A recently published randomized trial utilized a validated patientreported outcome measure, the western ontario shoulder instability index wosi. Evidence in managing traumatic anterior shoulder instability. A randomized clinical trial comparing open and arthroscopic. To evaluate the responsiveness of the western ontario shoulder instability index wosi and the oxford shoulder instability score osis and estimate their minimal important change mic. Wosi pdf click to download western ontario shoulder instability index wosi click herefor a. Melbourne instability shoulder score miss and the western ontario shoulder index wosi for a group of mdi participants in a prepost trial design. Outcome assessment after orthopaedic interventions is becoming more and more important.
Spadi shoulder score patientreported outcome measure. Jul 15, 20 the patients filled in the questionnaires twice at the same time of the day 2 hours with a one week interval between administrations. A neuromuscular exercise programme versus standard care for. In all cases, please enter the amount of the symptom you have experienced in the last week.
You are asked to indicate on this part of the questionnaire, the amount of a symptom you have experienced in the past week as related to your problematic shoulder. Background and purpose the wosi score questionnaire is a tool designed for selfassessment of shoulder function for patients with instability. The following questions concern the symptoms you have experienced due to your shoulder problem. The free information and calculation service, designed for orthopaedic surgeons, physicians, physical therapists, osteopaths, chiropractors and patients. The patient is asked to grade the function of a specific item on a horizontal visual analog scale from 0 to 100 mm. The reliability and validity of the turkish version of the. The western ontario shoulder instability index wosi is a questionnaire designed to measure healthrelated quality of life in patients with shoulder instability. Measure the distance from the left side of the line and calculate the score out of 100 recorded to the nearest 0. In its english version, it is valid, reliable, and sensitive to change. This is the new updated version of the the western ontario shoulder instablity index also called wosi score. Translation, adaptation and measurement properties of an. The goal of our study was to translate and test the western ontario shoulder instability index wosi using a standardised. Western ontario shoulder instability index wosi is a subjective selfreport scale indicating the latest condition of the patients with shoulder instability. Minimal clinically important differences in rowe and.
Measurement properties of the western ontario shoulder. Western ontario shoulder instability index wosi the wosi score is a 21item questionnaire with a 100mm horizontal visual analogue scale under each question for patient responses and ranges from 0 to 2100 and is converted to a percentage, with 100% representing the highest possible shoulder related quality of life. Primary arthroscopic stabilization for a firsttime anterior. The western ontario shoulder instability index wosi is a welldesigned, thoroughly evaluated questionnaire that has proved to be reliable, valid, and sensitive to changes that are of clinical importance to canadian patients with shoulder instability 7, leading to international acceptance. Free online western ontario shoulder instability index. Data regarding recurrent instability, revision surgery, satisfaction, and function disabilities of the arm, shoulder and hand dash and western ontario shoulder instability index wosi scores were collected. We tested the oxford instability shoulder score oiss range 12 to 60, the western ontario shoulder instability index wosi 0 to 2100, and the euroqol. Sep 17, 2015 construct validity was evaluated by comparing the osis with the western ontario shoulder instability index wosi, the simple shoulder test sst, the oxford shoulder score oss, the disability of the arm, shoulder, and hand assessment dash, and the short form36 sf36. The purpose of this study was to determine the mcids for the rowe score and the western ontario shoulder instability index wosi score after arthroscopic repair of anterior shoulder instability. Responsiveness of the michigan hand outcomes questionnaire and the disabilities of the arm, shoulder and hand questionnaire in carpal tunnel surgery. Free online western ontario shoulder instability index wosi score calculator orthotoolkit.
Translation and validation of a hebrew version of the. Secondary outcomes were oxford instability shoulder score, change in main symptoms, euroqol eq5d and eqvas, patient satisfaction and complications. Validation of the western ontario rotator cuff index in patients with arthroscopic rotator cuff repair worc. 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. Validation of the western ontario rotator cuff index in. To compare the validity and responsiveness of the short version of the western ontario rotator cuff index shortworc and the worc diseasespecific measures with those of the shoulder pain and disability index spadi and the simple shoulder test sst jointspecific measures. Methods one hundred five consecutive patients with shoulder instability completed 5 proms at baseline and at 6month followup. The western ontario shoulder instability index wosi 70. The western ontario shoulder instability index wosi is a welldesigned, thoroughly evaluated questionnaire that has proved to be reliable, valid, and sensitive to changes that are of clinical importance to canadian patients with shoulder instability, leading to international acceptance. The goal of our study was to translate and test the western ontario shoulder instability index wosi using a standardised approach. The wosi questionnaire has been designed for selfassessment of shoulder function in patients with shoulder instability, and gives an assessment of its severity. Sham surgery versus labral repair or biceps tenodesis for.
Translation, adaptation and measurement properties of an electronic version of the danish western ontario shoulder instability index wosi. Originally published in 1998 in the american journal of sports medicine, the western ontario shoulder instability index wosi was designed to be used as the primary outcome measure in clinical trials evaluating treatments for patients with shoulder instability. The purpose of the present study was to crossculturally adapt oiss and wosi for use in norwegianspeaking patients, and evaluate the agreement, interrater and intrarater reliability, content and construct validity of the oxford instability shoulder score, the western ontario shoulder instability index, and the euroqol in patients with. The western ontario osteoarthritis of the shoulder index woos. There were 28 women and 17 men and mean age was 27 2142 years. One way to measure the effectiveness of a specific treatment is to utilize measurements designed specifically for the disorder. The western ontario rotator cuff index worc the following questions concern the physical symptoms you have experienced, how your shoulder has affected your work, sports or recreational activities, the amount that your shoulder has affected or changed your lifestyle, and your emotions with regards to your shoulder. Background and purpose the wosi score questionnaire is a tool designed for selfassessment of shoulder function for patients with instability problems. Translation and validation of the french version of the western.
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