Description

The Constant-Murley Score evaluates shoulder function based on four key elements: Pain: The intensity of pain experienced by the patient is assessed, usually on a scale from 0 to 15 points. Activities of Daily Living (ADL): This includes the patient’s ability to perform daily tasks such as personal hygiene, dressing, and household chores. This category is scored from 0 to 20 points. Mobility: The range of motion of the shoulder in various directions is assessed, with a total score ranging from 0 to 40 points. The measurements include abduction, forward elevation, and external rotation. Strength: The strength of the shoulder is measured, usually using a dynamometer, and scored from 0 to 25 points.

Analysis

The analysis of the Constant-Murley Score provides a comprehensive assessment of shoulder function. Each component of the scale contributes to the total score, which ranges from 0 (worst condition) to 100 (excellent condition). The individual scores provide information about which specific aspect of shoulder function is most affected, guiding treatment direction.

Purpose

The main objectives of the Constant-Murley Score are: Shoulder Function Evaluation: To provide an overall picture of shoulder status, enabling the assessment of the severity of conditions and monitoring the progress of treatment. Guidance for Therapeutic Interventions: To assist physicians in identifying areas requiring intervention and in planning effective treatment programs. Progress Monitoring: To allow for tracking shoulder function over time and evaluating the effectiveness of therapeutic interventions.

Scoring

The total score of the Constant-Murley Score is determined by adding the scores from each individual category: 0-55: Severe dysfunction, 56-70: Moderate dysfunction, 71-85: Good function, 86-100: Excellent function. The score helps physicians better understand the level of shoulder functionality in the patient and compare outcomes before and after treatment.

References

The Constant-Murley Score was developed by C. R. Constant and A. H. Murley in 1987 and has been widely used in orthopedics and physical therapy. The key reference includes: Constant, C. R., & Murley, A. H. (1987). A clinical method of functional assessment of the shoulder. Clinical Orthopaedics and Related Research, (214), 160-164.