title: American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form, patient self-report section: reliability, validity, and responsiveness.
abstract: The purpose of this study was to examine the psychometric properties of the American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form (ASES), patient self-report section. Patients with shoulder dysfunction (n = 63) completed the ASES, The University of Pennsylvania Shoulder Score, and the Short Form-36 during the initial evaluation, 24 to 72 hours after the initial visit, and after 3 to 4 weeks of physical therapy. The test-retest reliability (intraclass correlation coefficient[1-way random-effects], 0.84; 95% CI lower limit, 0.75) and internal consistency (Cronbach alpha, 0.86) values were acceptable. The standard error of the measure was 6.7 ASES points (90% CI, 11.0). Construct and discriminant validity was demonstrated. Responsiveness was demonstrated with a standardized response mean of 1.5 and an effect size of 1.4. The minimal detectable change was 9.7 ASES points (90% CI, 16), and the minimal clinically important difference was 6.4 ASES points. The results indicate that the ASES is a reliable, valid, and responsive outcome tool.
authors.affiliation: Department of Physical Therapy, Virginia Commonwealth University-Medical College of Virginia, Richmond, VA 23298, USA. lmichener@hsc.vcu.edu
authors.forename: Lori A
authors.initials: LA
authors.lastname: Michener
authors.forename: Philip W
authors.initials: PW
authors.lastname: McClure
authors.forename: Brian J
authors.initials: BJ
authors.lastname: Sennett
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D015331:Cohort Studies; D003625:Data Collection; D005260:Female; D006305:Health Status Indicators; D006801:Humans; D008297:Male; D008875:Middle Aged; D009985:Orthopedics / Q000592:standards; D010147:Pain Measurement; D010358:Patient Participation; D026741:Physical Therapy Modalities / Q000379:methods; D016059:Range of Motion, Articular / Q000502:physiology; D015203:Reproducibility of Results; D012647:Self-Assessment; D012680:Sensitivity and Specificity; D020069:Shoulder Pain / Q000503:physiopathology / Q000534:rehabilitation*; D012955:Societies, Medical; D011795:Surveys and Questionnaires; D016896:Treatment Outcome