Amstutz et al used the UCLA Shoulder Rating Scale for evaluating outcome in patients having a total shoulder arthroplasty. The rating before and after a total arthroplasty can be compared, and the postoperative course monitored using the scale. The authors are from UCLA.
Measures:
(1) pain
(2) function
(3) muscle power and motion
|
Measure |
Finding |
Points |
|
pain |
no pain |
10 |
|
|
occasional and slight pain |
8 |
|
|
pain with heavy or particular activities only; uses salicylates occasionally |
5 |
|
|
none or little at rest; occurs with light activities; salicylates frequently |
4 |
|
|
constant but bearable; strong medications occasionally |
2 |
|
|
constant, unbearable; strong medications frequently |
1 |
|
function |
normal activities |
10 |
|
|
slight reduction in function; able to work above shoulder level |
8 |
|
|
most housework, washing hair, putting on brassiere, shopping, driving |
5 |
|
|
light housework or most daily living activities (ADL) |
4 |
|
|
very light activities only |
2 |
|
|
unable to use arm |
1 |
|
muscle power and motion |
normal muscle power; motion near normal |
10 |
|
|
muscle power good or normal; elevation 140°; external rotation 20° |
8 |
|
|
muscle power fair to good; elevation 90°; internal rotation 90° |
5 |
|
|
muscle power poor to fair; elevation less than 60°; internal rotation < 45° |
4 |
|
|
ankylosis with good functional position |
2 |
|
|
ankylosis with deformity |
1 |
where:
• Strong medications probably refers to narcotic analgesics.
• Pain involves 2 scales – pain occurrence and medication use.
• Hopefully putting on a brassier applies to women only.
• Muscle power and motion involves 2 scales - muscle power and range of motion.
|
Score for Each Measure |
Interpretation |
|
10 (> 8) |
excellent |
|
8 (> 6) |
good |
|
4 or 5 (> 4) |
fair |
|
1 or 2 (< 3) |
poor |
Specialty: Surgery, orthopedic
