Chinese version of the Constant-Murley questionnaire for shoulder pain and disability: a reliability and validation study

Min Yao, Long Yang, Zuo-Yuan Cao, Shao-Dan Cheng, Shuang-Lin Tian, Yue-Li Sun, Jing Wang, Bao-Ping Xu, Xiao-Chun Hu, Yong-Jun Wang, Ying Zhang, Xue-Jun Cui, Min Yao, Long Yang, Zuo-Yuan Cao, Shao-Dan Cheng, Shuang-Lin Tian, Yue-Li Sun, Jing Wang, Bao-Ping Xu, Xiao-Chun Hu, Yong-Jun Wang, Ying Zhang, Xue-Jun Cui

Abstract

Background: Shoulder pain is a common musculoskeletal disorder in Chinese population, which affects more than 1,3 billion individuals. To the best of our knowledge, there has been no available Chinese-language version of measurements of shoulder pain and disability so far. Moreover, the Constant-Murley score (CMS) questionnaire is a universally recognized patient-reported questionnaire for clinical practice and research. The present study was designed to evaluate a Chinese translational version of CMS and subsequently assess its reliability and validity.

Methods: The Chinese translational version of CMS was formulated by means of forward-backward translation. Meanwhile, a final review was carried out by an expert committee, followed by conducting a test of the pre-final version. Therefore, the reliability and validity of the Chinese translational version of CMS could be assessed using the internal consistency, construct validity, factor analysis, reliability and floor and ceiling effects. Specifically, the reliability was assessed by testing the internal consistency (Cronbach's α) and test-retest reliability (intraclass coefficient correlation [ICC]), while the construct validity was evaluated via comparison between the Chinese translational version of CMS with visual analog scale (VAS) score and the 36-Item Short Form Health Survey (SF-36, Spearman correlation).

Results: The questionnaire was verified to be acceptable after distribution among 120 subjects with unilateral shoulder pain. Factor analysis had revealed a two-factor and 10-item solution. Moreover, the assessment results indicated that the Chinese translational version of CMS questionnaire harbored good internal consistency (Cronbach's α = 0.739) and test-retest reliability (ICC = 0.827). In addition, the Chinese translational version of CMS was moderately correlated with VAS score (r = 0.497) and SF-36 (r = 0.135). No obvious floor and ceiling effects were observed in the Chinese translational version of CMS questionnaire.

Conclusion: Chinese translational version of CMS exhibited good reliability, which is relatively acceptable and is likely to be widely used in this population.

Keywords: Chinese version; Constant-Murley score; Construct validity; Internal consistency; Reliability; Shoulder pain.

Conflict of interest statement

Ethics approval and consent to participate

No interventional therapy or specimen collection was involved in our study, and the entire protocol was approved by the Ethics Committee of Longhua Hospital. All subjects participating in the study were informed of the details and submitted the written informed consent.

Consent for publication

Not applicable.

Competing interests

The authors declare that they have no competing interests.

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Figures

Fig. 1
Fig. 1
The range of the CMS subsections

References

    1. Luime JJ, Koes BW, Hendriksen IJ, Burdorf A, Verhagen AP, Miedema HS, et al. Prevalence and incidence of shoulder pain in the general population; a systematic review. Scand J Rheumatol. 2004;33(2):73–81. doi: 10.1080/03009740310004667.
    1. Bodin J, Ha C, Serazin C, Descatha A, Leclerc A, Goldberg M, et al. Effects of individual and work-related factors on incidence of shoulder pain in a large working population. J Occup Health. 2012;54(4):278–288. doi: 10.1539/joh.11-0262-OA.
    1. Greving K, Dorrestijn O, Winters JC, Groenhof F, van der Meer K, Stevens M, et al. Incidence, prevalence, and consultation rates of shoulder complaints in general practice. Scand J Rheumatol. 2012;41(2):150–155. doi: 10.3109/03009742.2011.605390.
    1. Myklebust G, Hasslan L, Bahr R, Steffen K. High prevalence of shoulder pain among elite Norwegian female handball players. Scand J Med Sci Sports. 2013;23(3):288–294. doi: 10.1111/j.1600-0838.2011.01398.x.
    1. Yue P, Liu F, Li L. Neck/shoulder pain and low back pain among school teachers in China, prevalence and risk factors. BMC Public Health. 2012;12:789. doi: 10.1186/1471-2458-12-789.
    1. Cools AM, De Wilde L, Van Tongel A, Ceyssens C, Ryckewaert R, Cambier DC. Measuring shoulder external and internal rotation strength and range of motion: comprehensive intra-rater and inter-rater reliability study of several testing protocols. J Shoulder Elb Surg. 2014;23(10):1454–1461. doi: 10.1016/j.jse.2014.01.006.
    1. Constant CR, Gerber C, Emery RJ, Sojbjerg JO, Gohlke F, Boileau P. A review of the Constant score: modifications and guidelines for its use. J Shoulder Elb Surg. 2008;17(2):355–361. doi: 10.1016/j.jse.2007.06.022.
    1. Angst F, Goldhahn J, Drerup S, Aeschlimann A, Schwyzer HK, Simmen BR. Responsiveness of six outcome assessment instruments in total shoulder arthroplasty. Arthritis Rheum. 2008;59(3):391–398. doi: 10.1002/art.23318.
    1. Hirschmann MT, Wind B, Amsler F, Gross T. Reliability of shoulder abduction strength measure for the Constant-Murley score. Clin Orthop Relat Res. 2010;468(6):1565–1571. doi: 10.1007/s11999-009-1007-3.
    1. Johansson KM, Adolfsson LE. Intraobserver and interobserver reliability for the strength test in the Constant-Murley shoulder assessment. J Shoulder Elb Surg. 2005;14(3):273–278. doi: 10.1016/j.jse.2004.08.001.
    1. Moeller AD, Thorsen RR, Torabi TP, Bjoerkman AS, Christensen EH, Maribo T, et al. The Danish version of the modified Constant-Murley shoulder score: reliability, agreement, and construct validity. J Orthop Sports Phys Ther. 2014;44(5):336–340. doi: 10.2519/jospt.2014.5008.
    1. Barreto RP, Barbosa ML, Balbinotti MA, Mothes FC, da Rosa LH, Silva MF. The Brazilian version of the Constant-Murley Score (CMS-BR): convergent and construct validity, internal consistency, and unidimensionality. Rev Bras Ortop. 2016;51(5):515–520. doi: 10.1016/j.rbo.2015.11.008.
    1. Beaton DE, Bombardier C, Guillemin F, Ferraz MB. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine (Phila Pa 1976) 2000;25(24):3186–3191. doi: 10.1097/00007632-200012150-00014.
    1. Terwee CB, Bot SD, de Boer MR, van der Windt DA, Knol DL, Dekker J, et al. Quality criteria were proposed for measurement properties of health status questionnaires. J Clin Epidemiol. 2007;60(1):34–42. doi: 10.1016/j.jclinepi.2006.03.012.
    1. Carlsson AM. Assessment of chronic pain. I. Aspects of the reliability and validity of the visual analogue scale. Pain. 1983;16(1):87–101. doi: 10.1016/0304-3959(83)90088-X.
    1. Brazier JE, Harper R, Jones NM, O'Cathain A, Thomas KJ, Usherwood T, et al. Validating the SF-36 health survey questionnaire: new outcome measure for primary care. BMJ. 1992;305(6846):160–164. doi: 10.1136/bmj.305.6846.160.
    1. Li L, Wang HM, Shen Y. Chinese SF-36 Health Survey: translation, cultural adaptation, validation, and normalisation. J Epidemiol Community Health. 2003;57(4):259–263. doi: 10.1136/jech.57.4.259.
    1. Ware JE, Kosinski M, Keller SD. SF-36 Physical and Mental Health Summary Scales: A User's Manual. Boston: The Health Institute; 1994.
    1. Acquadro C, Conway K, Hareendran A, Aaronson N, European Regulatory I, Quality of Life Assessment G Literature review of methods to translate health-related quality of life questionnaires for use in multinational clinical trials. Value Health. 2008;11(3):509–521. doi: 10.1111/j.1524-4733.2007.00292.x.
    1. Pickering PM, Osmotherly PG, Attia JR, McElduff P. An examination of outcome measures for pain and dysfunction in the cervical spine: a factor analysis. Spine (Phila Pa 1976) 2011;36(7):581–588. doi: 10.1097/BRS.0b013e3181d762da.
    1. Floyd FJ, Widaman KF. Factor analysis in the development and refinement of clinical assessment instruments. Psychol Assess. 1995;7(3):286. doi: 10.1037/1040-3590.7.3.286.
    1. Nunnally J, Bernstein IR. Psychometric Theory 3rd edition. New York: McGrae-Hill; 1994.
    1. Fayers PM, Machin D. Quality of life: the assessment, analysis and interpretation of patient-reported outcomes. Manhattan: John Wiley & Sons; 2013.
    1. Shout P, Fleiss J. The effects of measurement errors on some multivariable procedures. Am J Public Health. 1977;67:1188–1191. doi: 10.2105/AJPH.67.12.1188.
    1. Roy JS, MacDermid JC, Woodhouse LJ. A systematic review of the psychometric properties of the Constant-Murley score. J Shoulder Elb Surg. 2010;19(1):157–164. doi: 10.1016/j.jse.2009.04.008.

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