{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T06:07:05Z","timestamp":1791958025005,"version":"4.3.4"},"reference-count":19,"publisher":"Hindawi Limited","license":[{"start":{"date-parts":[[2012,1,1]],"date-time":"2012-01-01T00:00:00Z","timestamp":1325376000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Scientific World Journal"],"published-print":{"date-parts":[[2012]]},"abstract":"<jats:p>Health-related quality-of-life (HRQL) measures must detect clinically important changes over time and between different patient subgroups. Forty-three patients (32\u2009M, 13\u2009F; mean age\u2009\u2009=\u2009\u200926.00\u2009\u2009\u00b1\u2009\u20098.19 years) undergoing arthroscopic Bankart repair completed three validated shoulder questionnaires (Western Ontario Shoulder Instability index (WOSI), American Shoulder and Elbow Surgeons Standardized Shoulder Assessment form (ASES), Constant score) preoperatively, and at 6, 12, and 24 months postoperatively. Responsiveness and discriminant validity was assessed between those with a satisfactory outcome and those with (1) a major recurrence of instability, (2) a single episode of subluxation, (3) any postoperative episode of instability. Eight (20%) patients reported recurrent instability. Compared to baseline, the WOSI detected improvement at the 6- (<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\"><mml:mrow><mml:mi>P<\/mml:mi><mml:mo>&lt;<\/mml:mo><mml:mn>0.001<\/mml:mn><\/mml:mrow><\/mml:math>) and 12-month (<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\"><mml:mrow><mml:mi>P<\/mml:mi><mml:mo>=<\/mml:mo><mml:mn>0.011<\/mml:mn><\/mml:mrow><\/mml:math>) evaluations. The ASES showed improvement at 6 months (<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\"><mml:mrow><mml:mi>P<\/mml:mi><mml:mo>=<\/mml:mo><mml:mn>0.003<\/mml:mn><\/mml:mrow><\/mml:math>), while the Constant score did not report significant improvement until 12 months postoperatively (<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\"><mml:mrow><mml:mi>P<\/mml:mi><mml:mo>=<\/mml:mo><mml:mn>0.001<\/mml:mn><\/mml:mrow><\/mml:math>). Only the WOSI detected differential shoulder function related to shoulder instability. Those experiencing even a single episode of subluxation reported a 10% drop in their WOSI score, attaining the previously established minimal clinically important difference (MCID). Those experiencing a frank dislocation or multiple episodes of subluxation reported a 20% decline. The WOSI allows better discrimination of the severity of postoperative instability symptoms following arthroscopic Bankart repair.<\/jats:p>","DOI":"10.1100\/2012\/410125","type":"journal-article","created":{"date-parts":[[2012,5,1]],"date-time":"2012-05-01T22:01:14Z","timestamp":1335909674000},"page":"1-7","source":"Crossref","is-referenced-by-count":36,"title":["An Evaluation of the Responsiveness and Discriminant Validity of Shoulder Questionnaires among Patients Receiving Surgical Correction of Shoulder Instability"],"prefix":"10.1100","volume":"2012","author":[{"given":"Kyle A. R.","family":"Kemp","sequence":"first","affiliation":[{"name":"Orthopaedic Research, Alberta Health Services, Capital Health Region, 1F1.52 WMC, 8440-112 Street, Edmonton, AB, Canada T6G 2B7"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David M.","family":"Sheps","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Alberta, 1F1.52 WMC, 8440\u2013112 Street, Edmonton, AB, Canada T6G 2B7"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren A.","family":"Beaupre","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Alberta, 1F1.52 WMC, 8440\u2013112 Street, Edmonton, AB, Canada T6G 2B7"},{"name":"Department of Physical Therapy, University of Alberta, 3-71 Corbett Hall, Edmonton, AB, Canada T6G 2G4"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fiona","family":"Styles-Tripp","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine, Covenant Health-Grey Nuns Hospital, 110 Youville Drive West, Room 1107, Edmonton, AB, Canada T6L 5X8"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charlene","family":"Luciak-Corea","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine, Covenant Health-Grey Nuns Hospital, 110 Youville Drive West, Room 1107, Edmonton, AB, Canada T6L 5X8"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Balyk","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Alberta, 1F1.52 WMC, 8440\u2013112 Street, Edmonton, AB, Canada T6G 2B7"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"98","reference":[{"key":"7","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2003.10.028"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.1016\/j.csm.2008.03.001"},{"issue":"4","key":"17","doi-asserted-by":"crossref","first-page":"472","DOI":"10.1177\/036354659602400411","volume":"24","year":"1996","journal-title":"American Journal of Sports Medicine"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2003.10.030"},{"issue":"6","key":"9","doi-asserted-by":"crossref","first-page":"764","DOI":"10.1177\/03635465980260060501","volume":"26","year":"1998","journal-title":"American Journal of Sports Medicine"},{"key":"4","first-page":"160","volume":"214","year":"1987","journal-title":"Clinical Orthopaedics and Related Research"},{"key":"16","doi-asserted-by":"crossref","first-page":"347","DOI":"10.1016\/S1058-2746(09)80019-0","volume":"3","year":"1994","journal-title":"Journal of Shoulder and Elbow Surgery"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.C.01624"},{"key":"18","doi-asserted-by":"publisher","DOI":"10.1002\/art.24396"},{"key":"19","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2009.04.008"},{"issue":"1","key":"11","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1016\/0021-9681(85)90005-0","volume":"38","year":"1985","journal-title":"Journal of Chronic Diseases"},{"issue":"1","key":"6","year":"2004","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"15","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD005077.pub2"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2004.09.018"},{"issue":"4","key":"3","first-page":"695","volume":"79","year":"1997","journal-title":"The Journal of Bone and Joint Surgery\u2014Series B"},{"key":"1","doi-asserted-by":"publisher","DOI":"10.1002\/art.21085"},{"issue":"2","key":"2","first-page":"229","volume":"78","year":"1996","journal-title":"The Journal of Bone and Joint Surgery\u2014Series B"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2007.06.027"},{"key":"14","doi-asserted-by":"publisher","DOI":"10.1080\/00016470410001708230"}],"container-title":["The Scientific World Journal"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/tswj\/2012\/410125.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/tswj\/2012\/410125.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/tswj\/2012\/410125.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,6,28]],"date-time":"2019-06-28T04:17:09Z","timestamp":1561695429000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.hindawi.com\/journals\/tswj\/2012\/410125\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012]]},"references-count":19,"alternative-id":["410125","410125"],"URL":"https:\/\/doi.org\/10.1100\/2012\/410125","relation":{},"ISSN":["1537-744X"],"issn-type":[{"value":"1537-744X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012]]}}}