Analysis of Evidence-Based Medicine for Shoulder Instability

摘要: Clinical research has become a major influencing factor in the determination of treatment choice our society. Outcome data have been requested by third-party payers, patients, and administrators alike. Currently, there are over 10 different scoring systems that used to evaluate efficacy for shoulder instability. Some these based on specific condition instability; however, other broadly incorporate spectrum conditions. This review summarizes process proper development testing systems, discusses their role clinical with respect instability, explains dichotomy postoperative recurrence instability high scores. The Shoulder Rating Questionnaire (SRQ), Melbourne Instability Score (MISS), Western Ontario Index (WOSI), Oxford (OIS), Simple Test were shown be reliable patients SRQ, MISS, WOSI, OIS, American Elbow Surgeons score all largely responsive. There 2 WOSI we recommend SRQ OIS found less responsive compared dysfunctions. Other lack inter-rater reliability, validity, and/or responsiveness population. optimal system upper extremity problems than those yet determined; may considered, because this instrument proven valid, reliable,