Teboul et al evaluated the outcome following surgical repair of the spinal accessory nerve. The authors are from Hopital Lariboisiere in Paris, France.
Parameters:
(1) pain
(2) trapezius muscle strength by MRC scale
(3) shoulder abduction
(4) patient satisfaction
|
Pain |
Analgesics |
Score |
|
none |
none |
0 |
|
occasional |
none required |
1 |
|
with prolonged effort |
occasionally required |
2 |
|
with minimal effort |
regularly required |
3 |
|
constant |
continuously required |
4 |
|
Parameter |
Findings |
Points |
|
pain score |
none |
3 |
|
|
1 or 2 |
2 |
|
|
3 or 4 |
1 |
|
muscle strength |
M5 |
3 |
|
|
M4 |
2 |
|
|
M0 to M3 |
1 |
|
shoulder abduction |
> 130 degrees, or > 80% of abduction on contralateral side |
3 |
|
|
90 to 130 degrees |
2 |
|
|
< 90 degrees |
1 |
|
patient satisfaction |
> 80% |
3 |
|
|
60 - 80% |
2 |
|
|
< 60% |
1 |
where:
• A 10 cm VAS could be used to judge satisfaction..
total score =
= SUM(points for all 4 parameters)
Interpretation:
• minimum score: 3
• maximum score: 9
• The lower the score the worse the outcome.
|
Total Score |
Outcome |
|
12 |
excellent |
|
9, 10 or 11 |
good |
|
<= 8 |
poor |
Specialty: Surgery, orthopedic
ICD-10: ,
