title: Validity and sensitivity to change of the Patient Specific Functional Scale used during rehabilitation following proximal humeral fracture.
abstract: OBJECTIVE
  To describe content validity, concurrent validity, sensitivity to change, internal consistency and the outcome distribution of the Patient Specific Functional Scale (PSFS) in patients with proximal humeral fracture.
  
  
  METHODS
  Fifty-three patients with proximal humeral fracture treated conservatively or surgically with plate and screw or intramedullary nail were recruited 6 weeks (±1 week) post-trauma or post-surgery. The following assessments were used: the PSFS, patient global score, shoulder function assessment, grip strength and Western Ontario Osteoarthritis of the shoulder Index (WOOS), before start of (n = 53) and after (n = 22) 2-3 months of group rehabilitation.
  
  
  RESULTS
  In total, 96% of the activities stated in the PSFS was classified in the International Classification of Functioning, Disability and Health activity component and 62% were found in the WOOS. Correlations between measures were low. The PSFS was highly sensitive to change to a period of group rehabilitation. All questions of the PSFS contributed to the total score. Both floor and ceiling effects could be noted.
  
  
  CONCLUSIONS
  The PSFS shows satisfying measurement properties and may be a useful complement in the evaluation of individual changes during a period of rehabilitation after proximal humeral fracture.
  
  
  CONCLUSIONS
  The PSFS assesses on activity level in patients with proximal humeral fracture. The PSFS is sensitive to change for group rehabilitation after humeral fracture. The PSFS can be useful for goal-setting, motivating and individually tailoring rehabilitation activities. The PSFS should be used in addition to specific measures of body functions and general health.
authors.affiliation: a Division of Physiotherapy, Orthopaedic Clinic , Danderyd Hospital , Stockholm , Sweden and.
authors.forename: Sara
authors.initials: S
authors.lastname: Mannberg Bäckman
authors.affiliation: a Division of Physiotherapy, Orthopaedic Clinic , Danderyd Hospital , Stockholm , Sweden and.
authors.forename: Sara
authors.initials: S
authors.lastname: Stråt
authors.affiliation: a Division of Physiotherapy, Orthopaedic Clinic , Danderyd Hospital , Stockholm , Sweden and.
authors.forename: Susanne
authors.initials: S
authors.lastname: Ahlström
authors.affiliation: a Division of Physiotherapy, Orthopaedic Clinic , Danderyd Hospital , Stockholm , Sweden and.|b Division of Physiotherapy, Department of Neurobiology, Care Sciences and Society , Karolinska Institute , Stockholm , Sweden.
authors.forename: Nina
authors.initials: N
authors.lastname: Brodin
mesh_terms: D000328:Adult; D000368:Aged; D004185:Disability Evaluation; D005260:Female; D006801:Humans; D006810:Humeral Fractures / Q000534:rehabilitation*; D064702:International Classification of Functioning, Disability and Health / Q000592:standards*; D008297:Male; D008875:Middle Aged; D009864:Ontario; D026741:Physical Therapy Modalities; D015203:Reproducibility of Results; D057566:Self Report
keywords: ICF; measurement; patient preference; rehabilitation