Mjk. Bankes et al., A STANDARD METHOD OF SHOULDER STRENGTH MEASUREMENT FOR THE CONSTANT SCORE WITH A SPRING BALANCE, Journal of shoulder and elbow surgery, 7(2), 1998, pp. 116-121
The strength component of the Constant score has been criticized for i
ts lack of a precisely defined measurement method. A series of experim
ents was performed to compare three different methods in normal and pa
thologic shoulders with the use of a standard test position. These wer
e (1) the Isobex isometric dynamometer, (2) Constant's unsecured sprin
g balance, and (3) a new modification in which the spring balance is f
ixed at one end and the reading is taken after 5 seconds of maximum ef
fort. The results suggest that this simple modification with a low-cos
t spring balance can give similar values to those from the Isobex. The
need for precision of terms and a definition of the method is discuss
ed, and recommendations For the standardization of the many variables
in making this measurement are made.