Instability can also follow less severe shoulder injuries. The western ontario osteoarthritis of the shoulder index. Objectives to translate and adapt the western ontario shoulder instability. The western ontario shoulder instability index wosi questionnaire is a diseasespecific selfevaluated measurement tool used for patients with shoulder instability. The patient is asked to grade the function of a specific item on a horizontal visual analog scale from 0 to 100 mm. Western ontario shoulder instability index wosi is a subjective selfreport scale indicating the latest condition of the patients with shoulder instability. Western ontario osteoarthritis of the shoulder how is. Western ontario shoulder instability index listed as wosi.
Active populations that find themselves in an externally rotated hand away from the body and abducted arm away. Wosi western ontario shoulder instability index orthopedic. Research article open access measurement properties of the. Bland and altman plot for the reproducibility of the total western ontario shoulder instability index wosi. In some cases, shoulder instability can happen with out a previous dislocation. Anterior instability is the most common type of shoulder instability. Would you treat a high school baseball player that feels like their shoulder is loose when throwing the same as a 35 year old that fell on ice onto an outstretched arm and dislocated their shoulder. The western ontario osteoarthritis of the shoulder woos index.
Western ontario shoulder instability index how is western. Western ontario shoulder instability index rehabmeasures. Acute traumatic anterior shoulder instability in the young active patient is controversial recurrence rates as high as 9295% reported with nonoperative treatment pts with large bony defects at the time of injury have a higher risk for recurrence. Its management can be complex and multidiciplinary. Woos western ontario osteoarthritis of the shoulder. If the shoulder slips completely out of the socket, it has become dislocated. Oxford shoulder score patient reported outcome measure. The development and evaluation of a diseasespecific quality of life measurement tool for shoulder instability. This is the new updated version of the the western ontario shoulder instablity index also called wosi score. The wosi questionnaire has been designed for selfassessment of shoulder function in patients with shoulder instability, and gives an assessment of its severity. Woos western ontario osteoarthritis of the shoulder index. Active populations that find themselves in an externally rotated hand away from the body and abducted arm away from body position are the most vulnerable figure 1.
Translation, adaptation and measurement properties. The minimal clinically important difference mcid is the threshold value for a change that would be considered meaningful by the patient. In some cases, the unstable shoulder actually slips out of the socket. Validity, reliability and responsiveness of the french language. Research article open access measurement properties of. 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. 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 incidence of traumatic shoulder instability is 1. The western ontario shoulder instability index wosi the wosi score instrument kirkley et al.
Methods the swedish wosi version was used for translation and adaptation into danish followed by examination of testretest reproducibility 14day interval besides concurrent and construct validity. 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. In this section we present some useful information to assist clinicians and scoring systems that might be of benefit. If you continue browsing the site, you agree to the use of cookies on this website. Introduction shoulder instability means that the shoulder joint is too loose and is able to slide around too much in the socket. Western ontario shoulder instability index how is western ontario shoulder instability index abbreviated. The worc, sf36 and the constant score are obtained twice before therapy is started to measure reliability and validity. Validity and responsiveness of the short version of the. A simple preoperative score to select patients for arthroscopic or open shoulder stabilisation. Chronic shoulder dislocation, subluxation and shoulder. Pdf western ontario shoulder instability index wosi. Translation, adaptation and measurement properties of an electronic. Chronic shoulder dislocation, subluxation and shoulder instability if you are reading this article, you are probably wrestling with a decision to have a shoulder surgery. An approved translation of the worc into dutch is used.
There were 28 women and 17 men and mean age was 27 2142 years. The following questions concern the physical symptoms you have experienced, how your. 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. Pdf the purpose of this study was to develop a valid, reliable, and responsive diseasespecific quality of. In this prospective study three groups of patients are used.
A patients guide to shoulder instability compliments of. Recurrent instability may be characterized as dislocation, subluxation or apprehension. It is western ontario osteoarthritis of the shoulder. Apr 20, 2017 western ontario shoulder instability index wosi is a subjective selfreport scale indicating the latest condition of the patients with shoulder instability.
The wosi western ontario shoulder instability index is a selfadministered quality of life. Usually this injury is accompanied by a tear of the labrum and stretch of the capsule of the shoulder. Sporting injuries can result in shoulder dislocations and instability. Validity, reliability and responsiveness of the french. His western ontario shoulder instability index score decreased from 53% to 14% during the treatment period, and was 10% eight months after discharge.
Reliability and validity of the western ontario shoulder. The western ontario shoulder instability index wosi is a patientreported outcome measure for patients with shoulder instability. Approximately 90% of all shoulder dislocations occur in this direction. While the surgical option is something that may not be the first choice in your mind, you may be thinking anything has got to be better than my shoulder popping out all the time. Oxford shoulder instability score osis english version for the united kingdom prior to completing the questionnaire please complete the following. An unstable shoulder can result in repeated episodes of dislocation, even during normal activities. In the bristow procedure and its variants, the coracoid process is transferred through the subscapularis tendon as a method of treating recurrent anterior instability of the shoulder.
Responsiveness is tested by obtaining the same tests after therapy. The objective is to study the cultural adaptation, validity, and reliability of wosi in turkish population with shoulder disability. Theralase laser medical advisory board litecure laser consultant alterg medical advisory board intelliskin usa medical advisory board. Objectives to translate and adapt the western ontario shoulder instability wosi questionnaire into danish and, to evaluate measurement properties of an electronic danish wosi version. Concise description on shoulder instability to understand. Shoulder instability, sports medicine conditions and. However, there are no diseasespecific instruments for patient selfassessment of shoulder instability. The purpose of this study was to evaluate the reliability and validity of the wosi japanese version for the japanese population. Feb 26, 2016 shoulder instability anatomy,types, management 1.
Coracoid transfer bristowlatarjet procedure osteotomy of the proximal humerus weber rotational osteotomy bone block edenhybbinette procedure. Outcome assessment after orthopaedic interventions is becoming more and more important. Wosi pdf click to download western ontario shoulder instability index wosi click herefor a. Shoulder instability is a common injury encountered in physical therapy. Western ontario shoulder instability index wosi pro measure. A score of 6 points an unacceptable recurrence risk of 70% and should be advised to undergo open surgery i. Validation of the western ontario rotator cuff index in. The purpose was to develop and validate a diseasespecific quality of life measurement tool for osteoarthritis oa of the shoulder an instrument which could be used as the primary outcome measure in clinical trials involving patients with oa of the shoulder was developed using a specific methodological protocol. Includes a spectrum of disorders dislocation complete loss of glenohumeral articulation subluxation partial loss of glenohumeral articulation with symptoms laxity incomplete loss of g. 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. Includes a spectrum of disorders dislocation complete loss of glenohumeral articulation subluxation partial loss of glenohumeral articulation with symptoms laxity incomplete loss of glenohumeral articulation unassoc. Translation and validation of the french version of the western. Developed in 1988, specifically for use in shoulder instability, the western ontario shoulder instability index wosi is a validated pro measure. The goal of our study was to translate and test the western ontario shoulder instability index wosi using a standardised approach.
Shoulder instability update when should we operate. New york shoulder injury medical treatment guidelines. New york state workers compensation board new york shoulder injury medical treatment guidelines third edition, september 15, 2014 ii red flags10 followup diagnostic imagingtesting10 specific diagnoses, testing and treatment. The responsiveness and minimal important change of the. Neuromuscular retraining for multidirectional instability of the. 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. Glenohumeral instability is defined as the inability to maintain the humeral head centred in the glenoid fossa.
Validation of the western ontario rotator cuff index in patients with arthroscopic rotator cuff repair worc. Its a shoulderspecific instrument designed to assess the outcome of all shoulder surgeries with the exception of instability surgery. Dislocation is the complete separation of the articular surfaces without spontaneous relocation. Western ontario shoulder instability index wosi into italian, and to evaluate. Methods one hundred five consecutive patients with shoulder instability completed 5 proms at baseline and at 6month followup. The wosi western ontario shoulder instability index is a selfadministered quality of life questionnaire designed to be used as a primary outcome measure in clinical trials on shoulder instability, as well as to measure the effect of an intervention on any particular patient. Current concepts for evaluation and this information is current as of december 2, 2010 reprints and permissions permissions link. Apr 29, 2009 the western ontario shoulder instability index wosi the wosi score instrument kirkley et al. Pdf the wosi score questionnaire is a tool designed for selfassessment of shoulder function for patients with instability problems. Minimal clinically important differences in rowe and. The oxford shoulder score oss is a validated patientreported outcome measure prom whose use has seen an increase over the past few years. Understanding and appropriately addressing irregularities in the osseous architecture of the glenohumeral joint are critical to the overall success of surgical repair for the treatment of glenohumeral instability1.
The western ontario shoulder instability index wosi is a specific selfadministered questionnaire. Measurement properties of the western ontario shoulder instability. Validation, western ontario shoulder instability index, shoulder, instability, measurement properties, dutch background with an incidence up to 49100,000 each year, shoulder instability is commonly seen in orthopaedic clinics 1,2, generally affecting young and active patients 3,4. The development of a diseasespecific quality of life measurement tool for osteoarthritis of the shoulder. Shoulder instability is a common shoulder problem, and regularly seen by therapists, surgeons, sports doctors and emergency clinicians. Crosscultural adaptation and measurement properties of an italian. Wilk, dpt, pt,fapta kevin e wilk, pt, dpt,fapta 2017 chicago sports medicine symposium faculty disclosure. The pdf of the article you requested follows this cover page.
Operative treatment of anterior shoulder instability soft tissue procedures. Pdf the western ontario shoulder instability index wosi. 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. The ball of the shoulder rotates off of the socket, often becoming stuck in the front, back, or bottom of the shoulder joint. Pdf the development and evaluation of a diseasespecific. Shoulder dislocationsinstability western orthopaedics. The guidelines of the american association of orthopedic surgeons were used for the translation and crosscultural adaptation process.
In all cases, please enter the amount of the symptom you have experienced in the last week. Incidence of shoulder dislocations and the rate of recurrent instability in soldiers. But there are many different types of shoulder instability. Inability to maintain the humeral head in the glenoid fossa.
Dislocation is the complete separation of the articular surfaces. 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. Primary anterior dislocation of the shoulder in young patients. Subscapularis muscle procedures puttiplatt, magnusonstack bankart procedure capsular reconstruction neer capsular shift bony procedures. Western ontario osteoarthritis of the shoulder listed as woos. Would you treat a high school baseball player that feels like their shoulder is loose when throwing the same as a 35 year old that fell on. Evaluation of oxford instability shoulder score, western. One study, comparing an ipad also electronic format and a paper version in vas. The western ontario shoulder instability index wosi 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.
T1 the responsiveness and minimal important change of the western ontario shoulder instability index and oxford shoulder instability score. Measurement properties of the western ontario shoulder. Minimal clinically important differences in rowe and western. Western ontario shoulder instability index wosi pro. Shoulder stabilization in athletes when can i play kevin e. The western ontario shoulder instability index wosi 70. 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. The full text of this article is available in pdf format. New york state workers compensation board new york shoulder injury medical treatment guidelines third edition, september 15, 2014 i table of contents.