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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It is due to rootation of the thumb anatomically. Measuring shoulder injury function: Radial being on side of thumb and ulnar on side of little finger.

Data availability The articles on which the standardized evaluations were based are presented in Online Murly 2. Is the constant score reliable in assessing patients with frozen shoulder?

Free online Constant Shoulder Score calculator – orthotoolkit

One article was identified by hand search. Your email address will not be published. Pronation places the palmar surface inferior. For this reason, neither attribute but the concept and measurement modelnor mulrey EMPRO scores were derived.

And finally arm positioning: Likewise, the alternative constannt of administration attribute, were also evaluated per pathology. Fractures and arthritis obtained Articles presenting information on the development process, the psychometric properties and the administration of the CMS tool were eligible for inclusion. A comparison of methods for shoulder strength assessment and analysis of Constant score change in patients aged over fifty years in the United Kingdom.

Constant-Murley Shoulder Outcome Score – Physiopedia

How should we use the constant score? Responsiveness to change and administrative burden were the only two attributes with acceptable estimations for arthritis. There is a chance that better evidence could be provided if more publications were found, but the systematic literature review steps followed and the specific inclusion criteria should have reduced the possibility of excluding relevant articles. Responsiveness to change was overall the best evaluated property, with all obtained scores being between All evaluators reviewed the corresponding full text articles, filled in the assessment tool and were subsequently given access to the evaluation of their pair.


This score was calculated if at least 3 of those 5 attributes had a rating and attributes with insufficient information were given 0 points.

J Shoulder Elbow Surg. Its use is advisable for subacromial pathology; but data are inconclusive for other shoulder conditions. The psychometric properties of the Sscale questionnaire have been the subject of literature reviews [ 34 ], general systematic reviews [ 14 ] and reviews on specific shoulder pathologies [ 1516 ].

Given that many perceive the CMS as a gold standard, it may be that internal consistency is not comstant concern to them. Open in a separate window.

Prospective studies exploring the psychometric properties of the scale, particularly for fractures, arthritis, instability and frozen shoulder are needed. For every pound that can be carried 1 point is assigned, with a maximum of 25 points.

Comparative evaluation of the measurement properties of various shoulder outcome instruments. A guide to rating scales and questionnaires. Physiopedia articles are best used to find the original sources of information see the references list at the bottom of the article.

Constant Murley Score

Get more on Musculoskeletal Health in your inbox Subscribe to our Newsletter and get updates delivered to your email inbox. This responsiveness, or ability to assess change over time, has been found to be adequate. After the latest recommendations [ 13 ], the modified CMS version i. A visual analog scale VAS was suggested murely the pain item, and part of the ADL questions and specific instructions on how to evaluate the strength component were presented.

This tool is composed of a broad spectrum of questions and specific recommendations on how each property should be assessed. The subacromial group was the only one to surpass the threshold of 50 total points. Information on CMS properties in frozen shoulder was insufficient.


Information related to the exact CMS administration is still to be improved. The CMS scale assesses four aspects related to shoulder pathology; two subjective: Based on 34 articles, and performing a descriptive synthesis of the evidence, the above-mentioned work of Roy et al. Physiopedia is not a substitute for professional advice or expert medical services from a qualified healthcare provider.

Assessing quality of life in patients with prostate cancer: Instability presented the lowest value of 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.

This website is an effort to educate and support people and medical personnel on orthopedic issues and musculoskeletal health.

The systematic literature search identified unique titles, of those were excluded, for not being related to the studied topic. The higher the score, the higher the quality of the function. Subjective findings severity of pain, activities of daily living and working in different positions of the participants are responsible for 35 points and objective measurements AROM without pain, measurements exo -and endorotation via reference points and measuring constamt strength are responsible for the remaining 65 points.

Prospective studies set up to explore the psychometric properties of the scale, particularly for fractures, arthritis, instability and frozen shoulder are needed. Elevation degrees are measured with a goniometer in a seated position and scores range from: Measures of adult shoulder function: In general, assigned murleyy were low.