METHODS FOR EVALUATING THE RESULTS OF TREATMENT IN PATHOLOGIES OF THE ROTARY CUFF OF THE SHOULDER

Irismetov M.E. MD, *Saliev S.M., Saliev M.M. PhD, Kholov Z.S. PhD, Kadirov S.S., Djabbarbergenov A.D.

ABSTRACT

Objective examination methods may not always be measurable and it is very difficult to interpret the level during tests in patients with rotator cuff pathologies. It is especially difficult to evaluate objective examination methods in scientific research in many patients. Recently, there has been a tendency to use subjective criteria for evaluating survey results. Also, the lack of standardization of survey methods leads to difficulties in making comparisons between studies and the interpretation of results. Thus, in this study, we evaluated the frequent six common subjective methods for assessing the shoulder joint in rotator cuff pathologies and in surgical treatment of patients in terms of their design, validity, reliability, responsiveness and clinical application. After extensive searches of the google scholar literature over the past 10 years, six typical shoulder scores for rotator cuff pathologies implanted and patient-based have been identified: the University of California, Los Angeles shoulder Rating Scale (UCLA), Constant Score (CMS), American Shoulder and Elbow Surgeons (ASES), Simple Shoulder Test (SST) hand, shoulder and hand disability (DASH). These questionnaires were then discussed for evaluation in terms of their design process, validity, reliability, responsiveness and clinical use. In shoulder surgery cases, and in particular rotator cuff diseases, a number of these indicators have been proposed as a way to measure valid interventional outcomes in patients with rotator cuff pathologies, and some of these indicators are related to shoulder function (ASES, CMS, UCLA, SST, DASH) has been shown to be constructive, test-retest reliable, and responsive to change. However, many of these tools have not been properly tested and have been used instead for purely historical reasons. The results of our study indicate that no single instrument can be absolute in the interpretation of patient functions and satisfaction after surgery for pathologies of the rotator cuff. It is necessary to take into account all examination methods when interpreting the results of surgical treatment. All five of the above methods can be used in research studies to evaluate the results of treating rotator cuff tendon injuries.

Keywords: subjective measurement, shoulder, rotator cuff tear.