The OARSI core set of performance-based measures for knee osteoarthritis is reliable but not valid and responsive

Autor: C. (Sanna) A.C. Prinsen, S.M.A. Bierma-Zeinstra, D.A.J.M. Latijnhouwers, Rob P.A. Janssen, Max Reijman, M. C. van der Steen, J.J. Tolk
Přispěvatelé: Epidemiology and Data Science, APH - Methodology, General Practice, Orthopedics and Sports Medicine, Orthopaedic Biomechanics
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Male
Time Factors
Knee Joint
Intraclass correlation
Replacement
Osteoarthritis
Walking
Severity of Illness Index
0302 clinical medicine
Surveys and Questionnaires
Arthroplasty
Replacement
Knee/standards
Medicine
Orthopedics and Sports Medicine
Prospective Studies
Range of Motion
Articular
Arthroplasty
Replacement
Knee
Prospective cohort study
Reliability (statistics)
Pain Measurement
Osteoarthritis
Knee/diagnosis
030222 orthopedics
Osteoarthritis
Knee
Functional outcome
Middle Aged
Test (assessment)
Knee/diagnosis
Preoperative Period
Female
Knee/standards
Range of Motion
medicine.medical_specialty
Pain/surgery
Pain
Walk Test
Arthroplasty
Performance-based measures
03 medical and health sciences
Knee Joint/physiopathology
Physical medicine and rehabilitation
Humans
Aged
business.industry
Construct validity
Reproducibility of Results
030229 sport sciences
medicine.disease
Total knee arthroplasty
Orthopedic surgery
Physical therapy
Exercise Test
Surgery
business
human activities
Oxford knee score
Follow-Up Studies
Articular
Zdroj: Tolk, J J, Janssen, R P A, Prinsen, C A C, Latijnhouwers, D A J M, van der Steen, M C, Bierma-Zeinstra, S M A & Reijman, M 2019, ' The OARSI core set of performance-based measures for knee osteoarthritis is reliable but not valid and responsive ', Knee Surgery, Sports Traumatology, Arthroscopy, vol. 27, no. 9, pp. 2898-2909 . https://doi.org/10.1007/s00167-017-4789-y
Knee Surgery, Sports Traumatology, Arthroscopy, 27(9), 2898-2909. Springer Verlag
Knee Surgery Sports Traumatology Arthroscopy, 27(9), 2898-2909. Springer-Verlag
Knee Surgery, Sports Traumatology, Arthroscopy, 27(9), 2898-2909. Springer
ISSN: 0942-2056
Popis: PURPOSE: The Osteoarthritis Research Society International has identified a core set of performance-based tests of physical function for use in people with knee osteoarthritis (OA). The core set consists of the 30-second chair stand test (30-s CST), 4 × 10 m fast-paced walk test (40 m FPWT) and a stair climb test. The aim of this study was to evaluate the reliability, validity and responsiveness of these performance-based measures to assess the ability to measure physical function in knee OA patients.METHODS: A prospective cohort study of 85 knee OA patients indicated for total knee arthroplasty (TKA) was performed. Construct validity and responsiveness were assessed by testing of predefined hypotheses. A subgroup (n = 30) underwent test-retest measurements for reliability analysis. The Oxford Knee Score, Knee injury and Osteoarthritis Outcome Score-Physical Function Short Form, pain during activity score and knee extensor strength were used as comparator instruments. Measurements were obtained at baseline and 12 months after TKA.RESULTS: Appropriate test-retest reliability was found for all three tests. Intraclass correlation coefficient (ICC) for the 30-s CST was 0.90 (95% CI 0.68; 0.96), 40 m FPWT 0.93 (0.85; 0.96) and for the 10-step stair climb test (10-step SCT) 0.94 (0.89; 0.97). Adequate construct validity could not be confirmed for the three tests. For the 30-s CST, 42% of the predefined hypotheses were confirmed; for the 40 m FPWT, 27% and for the 10-step SCT 36% were confirmed. The 40 m FPWT was found to be responsive with 75% of predefined hypothesis confirmed, whereas the responsiveness for the other tests could not be confirmed. For the 30 s CST and 10-step SCT, only 50% of hypotheses were confirmed.CONCLUSIONS: The three performance-based tests had good reliability, but poor construct validity and responsiveness in the assessment of function for the domains sit-to-stand movement, walking short distances and stair negotiation. The findings of the present study do not justify their use for clinical practice.LEVEL OF EVIDENCE: Level 1. Diagnostic study.
Databáze: OpenAIRE
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