PMID- 25640004
OWN - NLM
STAT- MEDLINE
DCOM- 20160718
LR  - 20220321
IS  - 1464-5165 (Electronic)
IS  - 0963-8288 (Linking)
VI  - 37
IP  - 24
DP  - 2015
TI  - Responsiveness of two Persian-versions of shoulder outcome measures following 
      physiotherapy intervention in patients with shoulder disorders.
PG  - 2300-4
LID - 10.3109/09638288.2015.1005760 [doi]
AB  - PURPOSE: To identify the ability of the Persian-version of the Shoulder Pain and 
      Disability Index (SPADI) and the Disabilities of the Arm, Shoulder, and Hand 
      (DASH) to detect changes in shoulder function following physiotherapy 
      intervention (i.e. responsiveness) and to determine the change score that 
      indicates a meaningful change in functional ability of the patient (i.e. 
      Minimally Clinically Important Difference (MCID)). METHOD: A convenient sample of 
      200 Persian-speaking patients with shoulder disorders completed the SPADI and the 
      DASH at baseline and then again 4 weeks after physiotherapy intervention. 
      Furthermore, patients were asked to rate their global rating of shoulder function 
      at follow-up. The responsiveness was evaluated using two methods: the receiver 
      operating characteristics (ROC) method and the correlation analysis. Two useful 
      statistics extracted from the ROC method are the area under curve (AUC) and the 
      optimal cutoff point called as MCID. RESULTS: Both the SPADI and the DASH showed 
      the AUC of greater than 0.70 (AUC ranges = 0.77-0.82). The best cutoff points (or 
      change scores) for the SPADI-total, SPADI-pain, SPADI-disability and the DASH 
      were 14.88, 26.36, 23.86, and 25.41, respectively. Additionally, moderate to good 
      correlations (Gamma = -0.51 to -0.58) were found between the changes in 
      SPADI/DASH and changes in global rating scale. CONCLUSIONS: The Persian SPADI and 
      DASH have adequate responsiveness to clinical changes in patients with shoulder 
      disorders. Moreover, the MCIDs obtained in this study will help the clinicians 
      and researchers to determine if a Persian-speaking patient with shoulder disorder 
      has experienced a true change following a physiotherapy intervention. 
      Implications for Rehabilitation Responsiveness was evaluated using two methods; 
      the receiver operating characteristics (ROC) method and the correlation analysis. 
      The Persian SPADI and DASH can be used as two responsive instruments in both 
      clinical practice and research settings. The MCIDs of 14.88 and 25.41 points 
      obtained for the SPADI-total and DASH indicated that the change scores of at 
      least 14.88 points on the SPADI-total and 25.41 points on the DASH is necessary 
      to certain that a true change has occurred following a physiotherapy 
      intervention.
FAU - Negahban, Hossein
AU  - Negahban H
AD  - a Musculoskeletal Rehabilitation Research Center, Ahvaz Jundishapur University of 
      Medical Sciences , Ahvaz , Iran and.
FAU - Behtash, Zeinab
AU  - Behtash Z
AD  - a Musculoskeletal Rehabilitation Research Center, Ahvaz Jundishapur University of 
      Medical Sciences , Ahvaz , Iran and.
FAU - Sohani, Soheil Mansour
AU  - Sohani SM
AD  - b Department of Physical Therapy , School of Rehabilitation Sciences, Iran 
      University of Medical Sciences , Tehran , Iran.
FAU - Salehi, Reza
AU  - Salehi R
AD  - a Musculoskeletal Rehabilitation Research Center, Ahvaz Jundishapur University of 
      Medical Sciences , Ahvaz , Iran and.
LA  - eng
PT  - Journal Article
PT  - Multicenter Study
PT  - Research Support, Non-U.S. Gov't
DEP - 20150202
PL  - England
TA  - Disabil Rehabil
JT  - Disability and rehabilitation
JID - 9207179
SB  - IM
MH  - Adult
MH  - Disability Evaluation
MH  - Female
MH  - Humans
MH  - Iran
MH  - Language
MH  - Male
MH  - Middle Aged
MH  - Pain Measurement/*methods
MH  - Physical Therapy Modalities
MH  - ROC Curve
MH  - Reproducibility of Results
MH  - Shoulder Pain/*diagnosis/*rehabilitation
MH  - Surveys and Questionnaires
MH  - Treatment Outcome
MH  - Upper Extremity/*physiopathology
OTO - NOTNLM
OT  - Disabilities of the arm
OT  - and hand; physiotherapy; persian; responsiveness; shoulder pain and disability 
      index
OT  - shoulder
EDAT- 2015/02/03 06:00
MHDA- 2016/07/19 06:00
CRDT- 2015/02/03 06:00
PHST- 2015/02/03 06:00 [entrez]
PHST- 2015/02/03 06:00 [pubmed]
PHST- 2016/07/19 06:00 [medline]
AID - 10.3109/09638288.2015.1005760 [doi]
PST - ppublish
SO  - Disabil Rehabil. 2015;37(24):2300-4. doi: 10.3109/09638288.2015.1005760. Epub 
      2015 Feb 2.