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Reliability, Validity, and Responsiveness of Four Knee Outcome Scales for Athletic Patients

Marx, Robert G ; Jones, Edward C ; Allen, Answorth A ; Altchek, David W ; OʼBrien, Stephen J ; Rodeo, Scott A ; Williams, Riley J ; Warren, Russell F ; Wickiewicz, Thomas L

Journal of bone and joint surgery. American volume, 2001-10, Vol.83 (10), p.1459-1469 [Periódico revisado por pares]

Boston, MA: Copyright by The Journal of Bone and Joint Surgery, Incorporated

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  • Título:
    Reliability, Validity, and Responsiveness of Four Knee Outcome Scales for Athletic Patients
  • Autor: Marx, Robert G ; Jones, Edward C ; Allen, Answorth A ; Altchek, David W ; OʼBrien, Stephen J ; Rodeo, Scott A ; Williams, Riley J ; Warren, Russell F ; Wickiewicz, Thomas L
  • Assuntos: Adolescent ; Adult ; Biological and medical sciences ; Diseases of the osteoarticular system ; Female ; Humans ; Joint Diseases - diagnosis ; Joint Diseases - physiopathology ; Knee Joint ; Male ; Medical sciences ; Middle Aged ; Miscellaneous. Osteoarticular involvement in other diseases ; Reproducibility of Results ; Severity of Illness Index ; Sports ; Surveys and Questionnaires ; Treatment Outcome
  • É parte de: Journal of bone and joint surgery. American volume, 2001-10, Vol.83 (10), p.1459-1469
  • Notas: ObjectType-Article-2
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  • Descrição: BackgroundMany patient-based knee-rating scales are available for the evaluation of athletic patients. However, there is little information on the measurement properties of these instruments and therefore no evidence to support the use of one questionnaire rather than another. The goal of the present study was to determine the reliability, validity, and responsiveness of four knee-rating scales commonly used for the evaluation of athletic patientsthe Lysholm scale, the subjective components of the Cincinnati knee-rating system, the American Academy of Orthopaedic Surgeons sports knee-rating scale, and the Activities of Daily Living scale of the Knee Outcome Survey.MethodsAll patients in the study had a disorder of the knee and were active in sports (a Tegner score of 4 points). Forty-one patients who had a knee disorder that had stabilized and who were not receiving treatment were administered all four questionnaires at baseline and again at a mean of 5.2 days (range, two to fourteen days) later to test reliability. Forty-two patients were administered the scales at baseline and at a minimum of three months after treatment to test responsiveness. The responses of 133 patients at baseline were studied to test construct validity.ResultsThe reliability was high for all scales, with the intraclass correlation coefficient ranging from 0.88 to 0.95. As for construct validity, the correlations among the knee scales ranged from 0.70 to 0.85 and those between the knee scales and the physical component scale of the Short Form-36 (SF-36) and the patient and clinician severity ratings ranged from 0.59 to 0.77. Responsiveness, measured with the standardized response mean, ranged from 0.8 for the Cincinnati knee-rating system to 1.1 for the Activities of Daily Living scale.ConclusionsAll four scales satisfied our criteria for reliability, validity, and responsiveness, and all are acceptable for use in clinical research.
  • Editor: Boston, MA: Copyright by The Journal of Bone and Joint Surgery, Incorporated
  • Idioma: Inglês
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  • Realização: ABCD-USP USP   Logos de Redes Sociais: Freepik

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