Article

PURPOSE: To conduct a systematic review of the psychometric properties
(reliability, validity and responsiveness) of self-report questionnaires used to
assess symptoms and functional limitations of individuals with rotator cuff (RC)
disorders. METHODS: A systematic search in three databases (Cinahl, Medline and
Embase) was conducted. Data extraction and critical methodological appraisal were
performed independently by three raters using structured tools, and agreement was
achieved by consensus.
A descriptive synthesis was performed. RESULTS:
One-hundred and twenty articles reporting on 11 questionnaires were included. All
questionnaires were highly reliable and responsive to change, and showed
construct validity; seven questionnaires also shown known-group validity. The
minimal detectable change ranged from 6.4% to 20.8% of total score; only two
questionnaires (American Shoulder and Elbow Surgeon questionnaire [ASES] and
Upper Limb Functional Index [ULFI]) had a measurement error below 10% of global
score. Minimal clinically important differences were established for eight
questionnaires, and ranged from 8% to 20% of total score. CONCLUSION: Overall,
included questionnaires showed acceptable psychometric properties for individuals
with RC disorders. The ASES and ULFI have the smallest absolute error of
measurement, while the Western Ontario RC Index is one of the most responsive
questionnaires for individuals suffering from RC disorders. IMPLICATIONS FOR
REHABILITATION: All included questionnaires are reliable, valid and responsive
for the evaluation of individuals with RC disorders. As all included
questionnaires showed good psychometric properties for the targeted population,
the choice should be made according to the purpose of the evaluation and to the
construct being evaluated by the questionnaire. The WORC, a RC-specific
questionnaire, appeared to be more responsive. It should therefore be used to
evaluate change in time. If the evaluation is time-limited, shorter
questionnaires or short versions should be considered (such as Quick DASH or
SST).

Langue : ANGLAIS