aBsTRacT. INTRODUCTION: The Constant Score (CS), developed as a . centimetre “paper” visual scale both for pain and for .. Constant CR, Murley AHG. Home / Free online Constant Shoulder Score calculator The Constant-Murley score contains both physician-completed and patient-reported portions. The four . : Datum: Constant-Murley Scale. Schoudergewricht. Datum. ______. ______. ______. Pijn. – geen. – mild. ______.

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There is need for further improvement in the way this score is used, reported and interpreted. Your email address will not be published. For example, a spring balance is attached distally on the forearm and strength is measured with ecale arm in 90 degrees Abduction It is a movement in coronal plane. Articles presenting elaborate data on more than one pathologies were additionally given to the corresponding pathology group evaluators.

Arun Pal Singh is an orthopedic and trauma surgeon, founder and chief editor of this website. An evaluation of the Constant—Murley shoulder assessment.

Free online Constant Shoulder Score calculator

PRISMA flowchart with numbers of included and excluded articles at each step of the systematic literature review. Responsiveness to change was the only quality to obtain at least 50 points across all groups, but for frozen shoulder.

Scarce information jurley surprising, as internal consistency is one of the commonest reported scale properties [ 28 ]. Five individual pathologies i.

Comparative evaluation of the measurement properties of various shoulder outcome instruments. The CMS properties were assessed per attribute and overall for each considered group. The specific method to measures strength using a spring balance: Within this attribute, content validity was the worse evaluated aspect in all scalle. If relative Constant scores scores based on an age-and sex-matched normal population of Constant original research are used, the absolute scores must be given simultaneously to create comparison with different populations.


If pain is involved the patient gets 0 points. Its use is advisable for subacromial pathology; but data are inconclusive for other shoulder conditions.

Constant Murley Score | Bone and Spine

An effect size of 1. One article was identified by hand search. In most cases Physiopedia articles are a secondary source and so should not be used as references. It is possible that studies implementing an ISOBEX dynamometer or similar, as recently recommended [ 13 ], obtained more accurate and reproducible findings.

Administrating the CMS in rheumatoid arthritis patients has also been criticized; mainly due to the difficulty of an accurate strength component registration [ 25 ]. For the above reasons no such evaluations were eventually performed.

The ROM part evaluates four active ranges of motion, receiving 10 points each, i. Rotation of the forearm so that the palm is constanf backwards. The obtained results do not justify the CMS as a gold standard in shoulder evaluation.

However, grouping the articles anew, based on this characteristic, was very difficult to accomplish. Othman A, Taylor G.

Free online Constant Shoulder Score calculator – orthotoolkit

This responsiveness, or ability to assess change over time, has been found to be adequate. It uses objective and subjective measures to determine whether a certain functional movement is possible e.

Various pathologies and healthy subjects were assigned Articles presenting information on the development process, the psychometric properties and the administration of the CMS tool were eligible for inclusion. Subacromial pathology was the only one with an acceptable respondent burden. The included articles were subsequently divided into five individual pathology groups, named: The average value in pounds is noted. Data availability The articles on which the standardized evaluations were based are presented in Online Appendix 2.


The content on or accessible through Physiopedia is for informational purposes only. Opposite movement that takes dorsal surface of the hand to dorsal surface of the forearm is called extension. Internal rotation was initially measured with the dorsum of the hand pointing to certain parts of the body, but in the most recent publication, the thumb was suggested as a pointer to the following anatomic landmarks: Our results support the convergent validity of the scale, with the exception of frozen shoulder, but disagree with the generalizability of the other two statements.

In foot, pronation attempts to bring sole of foot outwards so as medial border of foot is first to touch the ground. The subacromial group was the only one to surpass the threshold of 50 total points.

Constant-Murley Shoulder Outcome Score

Results show that the use of the Constant-Murley score yields more accurate results, if the results of the affected side are compared with the performance of the unaffected side instead of a comparison against parameters of age and sex-matched groups. A guide for clinicians and researchers.

Others have questioned its application to certain shoulder pathologies [ 578 ]; differences according to age and sex have been observed [ 910 ] and lack of standardization in measuring the strength component has been criticized [ 11 sclae, 12 ].

The possibility of additional evaluations, considering the applied intervention, irrespective of diagnosis, was contemplated in a secondary phase of this study.