Low correlation between functional performance and patient reported outcome measures in individuals with non-surgically treated ACL injury.

Autor: Sonesson, Sofi, Österberg, Annika, Gauffin, Håkan, Ardern, Clare L., Kvist, Joanna, Hägglund, Martin
Zdroj: Physical Therapy in Sport; Jan2021, Vol. 47, p185-192, 8p
Abstrakt: Describe a consecutive cohort of people with a non-surgically treated ACL injury and evaluate correlations between functional performance and patient reported outcome measures (PROMs). Cross-sectional. Sixty-eight individuals (38 males, 18–45 years old) 2–5 years after ACL injury. Tegner Activity Scale, International Knee Documentation Committee Subjective Knee Form (IKDC-SKF), Anterior Cruciate Ligament Return to Sport after Injury scale (ACL-RSI) and ACL-Quality of Life (ACL-QoL) were completed. Functional performance was assessed using 4 hop tests and a squat test. Mean IKDC-SKF score was 72 ± 17 and mean LSI on performance tests were above 90%. Tegner Activity Scale was reduced from median 8 pre-injury to 5 at follow up. Satisfaction with activity level was median 7 on a 10-point ordinal scale. Correlations were moderate to strong (r = 0.552–0.856) between PROMs, negligible to weak (r = 0.003–0.403) between performance tests and PROMs and negligible to moderate (r = 0.142–0.683) between performance tests. Functional performance had negligible or weak correlation to PROMs, which indicates the need for multi-modal assessment strategies. Activity level was reduced 2–5 years after a non-surgically treated ACL injury, but most patients were able to resume physical activity at a sufficient level to maintain health and displayed symmetrical functional performance. Retrospective cohort study, Level III. • Functional performance had negligible or weak correlation to PROMs. • Self-reported knee function was strongly correlated to knee-related quality of life. • Functional performance was symmetrical with mean LSI above 90% in all tests. • Activity level was reduced 2–5 years after a non-surgically treated ACL injury. [ABSTRACT FROM AUTHOR]
Databáze: Supplemental Index
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