A new method for treatment outcome evaluation in shoulder pathology
Prof. Dr. Brigitte Jolles, Service d’Orthopédie et de Traumatologie de l’Appareil Moteur, CHUV, Hôpital Orthopédique de la Suisse Romande, Lausanne
BackgroundNowadays, physicians have some tools to assess the efficacy of shoulder treatments. Among these tools, they have a lot of questionnaires, that each patient have to fill out, and which contain different items as for example questions on shoulder pain, range of motion or effects of the disease on their daily lives. These subjective data are very important but they lack an objective part in the assessment of the treatment outcome.
As for the doctors, they can assess the range of motion or the muscular power for example. However, they can't make a direct relationship between these data and the limitations patients have or the improvements patients will have with treatment in the activities of the daily lives.
Therefore, physicians currently lack a convenient and simple method to reliably assess the activity and the quality of life of their patients before and after shoulder treatment.
AimThis project will provide a new tool for objective outcome evaluation and functional assessment of patients with shoulder pain and pathology, a tool that can be used easily by any physician at the hospital or in his/her office and moreover by the patient at home. It will allow measurement of changes in the biomechanics of the shoulder by noting the effects of these changes on clinical findings and day-living patient pain and activity.
Technically, the system will be non-invasive, unobtrusive, and it will allow long term monitoring of the patient's activities. Selection of the useful parameters will be made and visualization tools will be used to help the physician to quickly and easily interpret the results also producing a valid, reliable and responsive outcome measure.
SignificanceThe contribution of the proposed method would be of great use to appreciate the improvement in functional performances after shoulder pain treatment, to control the efficiency of a rehabilitation program in order to adjust and reorient functional rehabilitation as well as a better apprehend the estimation of different physical activities of daily life.
Project period: 58 months
Budget: 465'094 CHF