Shoulder Prosthesis Telerehab Care Trial

Content: 5 questions for the subscale pain and 8 questions for the disability subscale.

Scoring: numeric rating scale from 1 to 10, with a maximum of 130. The total score is the sum of the sub-scores.

Interpretation: The higher the score the more pain and disability. The lower the score, the better patients perceive their shoulder

Content: 5 questions for the subscale pain and 8 questions for the disability subscale.

Scoring: numeric rating scale from 1 to 10, with a maximum of 130. The total score is the sum of the sub-scores.

Interpretation: The higher the score the more pain and disability. The lower the score, the better patients perceive their shoulder

Content: 5 questions for the subscale pain and 8 questions for the disability subscale.

Scoring: numeric rating scale from 1 to 10, with a maximum of 130. The total score is the sum of the sub-scores.

Interpretation: The higher the score the more pain and disability. The lower the score, the better patients perceive their shoulder

Content: 5 questions for the subscale pain and 8 questions for the disability subscale.

Scoring: numeric rating scale from 1 to 10, with a maximum of 130. The total score is the sum of the sub-scores.

Interpretation: The higher the score the more pain and disability. The lower the score, the better patients perceive their shoulder

Content: 5 questions for the subscale pain and 8 questions for the disability subscale.

Scoring: numeric rating scale from 1 to 10, with a maximum of 130. The total score is the sum of the sub-scores.

Interpretation: The higher the score the more pain and disability. The lower the score, the better patients perceive their shoulder

Content: 5 questions for the subscale pain and 8 questions for the disability subscale.

Scoring: numeric rating scale from 1 to 10, with a maximum of 130. The total score is the sum of the sub-scores.

Interpretation: The higher the score the more pain and disability. The lower the score, the better patients perceive their shoulder

ACTIVE ROM: forward flexion and abduction with extended elbow, functional internal and external rotation in standing position.

• maximal pain free ROM
• forward flexion and abduction with extended elbow: measured with the EasyAngle (Meloq AB Sweden)
• hand-to-back and hand-nek test : scored as in Constant-Murley Score

• PASSIVE: forward flexion, abduction, external and internal rotation in supine position.
• maximal pain free ROM
• forward flexion and abduction: measured with the EasyAngle (Meloq AB Sweden)
• rotations: measured as ER1 (arm at the side)/ ER2 (arm in 90° abduction) and IR1 (arm in 90° forward flexion)/ IR2 (arm in 90° abduction) with the EasyAngle (Meloq AB Sweden).

PASSIVE: forward flexion, abduction, external and internal rotation in supine position.

• maximal pain free ROM
• forward flexion and abduction: measured with the EasyAngle (Meloq AB Sweden)
• rotations: measured as ER1 (arm at the side)/ ER2 (arm in 90° abduction) and IR1 (arm in 90° forward flexion)/ IR2 (arm in 90° abduction) with the EasyAngle (Meloq AB Sweden).

Forward flexion, extension, ab- and adduction, external and internal rotation.

• isometrical contraction for 5 seconds, 3 repetitions, 30 sec break in between
• measured with EasyForce (Meloq AB Sweden)
• seated, both feet on the ground, back against backrest
• elbow flexed (90°) held at side, fist forward, thumb upward

Content: partially clinical (65 points) and partially PROM (35 points) assessed.

Scoring: The formula to calculate the total score is:" pain (0-15) + ADL (4x (0-5) = 0-20) + mobility (4 x (0-10) = 0-40) + strength (0 -25)". Strength will be measured with the arm elevated to 90 ° in the scapular plane using an IDOmeter.

Interpretation: 0-55 points = bad, 56-70 points = mediocre, 71-85 points = good, 86-100 points = excellent score

Content: 12 questions about specific ADL tasks that require external or internal rotation while performing.

Scoring: Each activity is scored between 0 (unable to do) and 3 (not difficult at all). All activities should be performed without the help of flexing the neck or bending the trunk and without the help of first abducting the elbow (i.e., without doing a hornblower sign).

Interpretation: The maximal score is 36. A higher score means that the patient is able to perform ADL activities with enough strength in external and internal rotation

Content: 1 question: 'how would you rate your shoulder today as a percentage of normal?'.

Scoring: percentage between 0 and 100% Interpretation: 100% being a normal shoulder.

Content: 5 questions + EQ-5D VAS for general health. Scoring: 5-response scale (from 'no problems' to 'extreme problems') + VAS percentage between 0 (worst imaginable health state) and 100 (best imaginable health state).

Interpretation: VAS score for general health indicates how a patient perceives his general health, Other questions are descriptive for problems in mobility, self-care, usual activities, pain/ discomfort, anxiety/depression.

Content: 18 questions to identify problems with self-sufficiency in self-care and housekeeping. Patients do not respond if they do that activity but rather if they could do that activity.

Scoring: ordinal scale from 1 (Yes, I can do that on my own without any effort) up to 4 (No, I can't do that on my own, but only with the help of others).

Interpretation: A higher score (max 72) is related to a lower self-sufficiency.

Content: 3 sections section A: 6 questions to evaluate the prescribed exercises. section B: 6 questions on how a patient does the recommended exercises or activities.

section C: 10 statements on why a patient does or does not do the recommended exercises or activities.

Scoring: sections B and C: 5-point Likert scale (0 - 4) (some questions scored reversed).

Interpretation:

section B (range 0 - 24): a higher score indicates a better compliance/adherence .

section C (range 0 - 40): a higher score indicates a better adherence.

Content: performed exercises, household activities, VAS pain. Diary on paper for physio-group, by the app for the app-group.

Content: 9 questions about 'confidence in engaging in exercise 3 times a week for 20 minutes if faced with a barrier'.

Scoring: 'not very confident' (0) and 'very confident' (10). Interpretation: The higher the score , the patient feel more confident in performing prescribed exercises.

Content: A single question (How would you currently describe the change in your operated shoulder compared to just before surgery) is scored on a scale, ranging from 'very much worse' through 'unchanged' to 'completely recovered'.

Scoring: The scale used is divided in 11 points ( very much worse -5, the same 0, very much better + 5) Interpretation: the number given indicates how a patient perceives the change after surgery.

Content: 2 questions: To what extent have you recovered from your symptoms?, How satisfied are you with your treatment?.

Scoring: a 7-point rating scale. Interpretation: The higher the score , the better.

Content: 21 questions in 3 categories: ease of use and satisfaction, system information arrangement, usefulness (version for interactive app, user patient and provider).

Scoring: between 1 (strongly disagree) and 7 (strongly agree) => average score. Interpretation: the higher the score the higher the usability.

Content: 10 questions about system satisfaction, usability and learnability. Scoring: 5 response options ranging from strongly disagree (1) to strongly agree (5).

Interpretation: A score above 68 (/100) is considered above average, while a score lower than 68 is considered a below average score.

Content: 1 question to assess how difficult users find a task. Scoring: 7-point rating scale ranging from very difficult (1) to very easy (7).

Interpretation: The average SEQ score is 5.5 (between 5.3 and 5.6). It is advised to ask a more detailed information/ explanation if a score <5 is given.

Content: specify age of participant

Content: specify gender of participant

Content: specify why patient needed a shoulder arthroplasty