Physical Therapy Rehabilitation Science

korean Academy of Physical Therapy Rehabilitation Science (물리치료재활과학회)
권호 표지
DOI QR코드

DOI QR Code

Assessment of the Global Rating of Knee Function in Patients Following Anterior Cruciate Ligament Reconstruction

  • Received : 2021.07.23
  • Accepted : 2021.12.08
  • Published : 2022.03.31
Download PDF
⟨ Previous Next ⟩

Abstract

Objective: The purpose of this study was to assess the validity of the global rating of knee function as a measure of participation restrictions experienced during activities of daily living and sports by patients with a history of anterior cruciate ligament reconstruction (ACLR). Design: Cross-sectional study. Methods: Forty-three subjects (33 males, 10 females, age=20.3 ± 1.3 years), at a mean of 31.2 ± 14.4 months following ACLR, participated in this study. During testing, subjects were first asked to provide a global rating of function by assessing their level of knee function on a 0 to 100 scale, with 0 points representing complete loss of function due to their knee injury and 100 points representing their level of function prior to their knee injury. After providing a global rating of function, subjects completed the Knee Outcome Survey (KOS) Activities of Daily Living Scale (ADLS) and Sports Activity Scale (SAS), which served as the measure of participation restrictions in this study. Results: Pearson product correlations revealed moderate relationships between the global rating of function and the ADLS (r=0.66, p<0.0001) and SAS (r=0.69, p<0.0001). Conclusions: The global rating of knee function provides a valid measure of participation restrictions experienced during activities of daily living and sports by patients with a history of ACLR.

Keywords

Acknowledgement

We would like to thank all of the participants in this study who graciously participated in this study.

References

  1. The International Classification of Functioning, Disability and Health. 2018; Geneva: World Health Organization.
  2. Farnsworth JL, Evans T, Binkley H, Kang M. Development and validation of a novel knee-specific patient-reported outcomes measure. J Sport Rehabil. 2020;30:267-277. https://doi.org/10.1123/jsr.2019-0264
  3. Irrgang JJ, Snyder-Mackler L, Wainner RS, Fu FH, Harner CD: Development of a patient reported measure of knee function. J Bone Joint Surg. 1998;80-A:1132-1145. https://doi.org/10.2106/00004623-199808000-00006
  4. Barber-Westin SD, Noyes FR, McCloskey JW. Rigorous statistical reliability, validity, and responsiveness testing of the Cincinnati knee rating system in 350 subjects with uninjured, injured, or anterior cruciate ligament-reconstructed knees. Am J Sports Med. 1999;27:402-416. https://doi.org/10.1177/03635465990270040201
  5. Magnuson JA, Strnad G, Smith C, Jones MH, Saluan P, Irrgang JJ, Spindler KP. Comparison of standard and right/left International Knee Documentation Committee Subjective Knee Form Scores. Am J Sports Med. 2019;47:1203-1208. https://doi.org/10.1177/0363546519829770
  6. Briggs KK, Lysholm J, Tegner Y, Rodkey WG, Kocher MS, Steadman JR. The reliability, validity, and responsiveness of the Lysholm score and Tegner activity scale for anterior cruciate ligament injuries of the knee: 25 years later. Am J Sports Med. 2009;37:890-807. https://doi.org/10.1177/0363546508330143
  7. Worrell TW, Guenin J, Huse L, Rutter S, Wruble C, Fritz J, Farr J. Health outcomes in patients with patellofemoral pain. J Rehabil Meas. 1998;2:10-19.
  8. Fitzgerald GK, Axe MJ, Snyder-Mackler L. The efficacy of perturbation training in nonoperative anterior cruciate ligament rehabilitation programs for physically active individuals. Phys Ther. 2000;80:128-140. https://doi.org/10.1093/ptj/80.2.128
  9. Snyder-Mackler L, Fitzgerald GK, Bartolozzi AR, Ciccotti MG. The relationship between passive joint laxity and functional outcome after anterior cruciate ligament injury. Am J Sports Med. 1997;25:191-195. https://doi.org/10.1177/036354659702500209
  10. Goodstadt NM, Hunter-Giordano A, Axe MJ, Snyder-Mackler L. Functional testing to determine readiness to discontinue brace use, one year after ACL reconstruction. Int J Sports Phys Ther. 2013;8(2):91-96.
  11. Sonesson S, Gauffin H, Kvist J. Early knee status affects self-reported knee function 1 year after non-surgically treated anterior cruciate ligament injury. Phys Ther Sport. 2021;50:173-183. https://doi.org/10.1016/j.ptsp.2021.05.007
  12. Borsa PA, Lephart SM, Irrgang JJ: Sport-specificity of knee scoring systems to assess disability in anterior cruciate ligament-deficient athletes. J Sport Rehab. 7:44-60, 1998 https://doi.org/10.1123/jsr.7.1.44
  13. Shrout PE, Fleiss JL: Intraclass correlations: uses in assessing rater reliability. Psych Bull. 86:420-428, 1979 https://doi.org/10.1037/0033-2909.86.2.420
  14. Flagg KY, Karavatas SG, Thompson S Jr, Bennett C. Current criteria for return to play after anterior cruciate ligament reconstruction: an evidence-based literature review. Ann Transl Med. 2019;7(Suppl 7):S252. https://doi.org/10.21037/atm.2019.08.23
  15. Alswat MM, Khojah O, Alswat AM, Alghamdi A, Almadani MS, Alshibely A, Dabroom AA, Algarni HM, Alshehri MS. Returning to sport after anterior cruciate ligament reconstruction in physically active individuals. Cureus. 2020;12:e10466.
  16. Grogan Moore ML, Jayakumar P, Laverty D, Hill AD, Koenig KM. Patient-reported outcome measures and patient activation: what are their roles in orthopedic trauma? J Orthop Trauma. 2019;33 Suppl 7:S38-S42.
  17. Tatman LM, Obremskey WT. Patient reported outcomes: the foundation of value. J Orthop Trauma. 2019;33 Suppl 7:S53-S55. https://doi.org/10.1097/BOT.0000000000001613
  18. Shelbourne KD, Barnes AF, Gray T. Correlation of a single assessment numeric evaluation (SANE) rating with modified Cincinnati knee rating system and IKDC subjective total scores for patients after ACL reconstruction or knee arthroscopy. Am J Sports Med. 2012;40:2487-2491. https://doi.org/10.1177/0363546512458576
  19. Copeland JM, Taylor WJ, Dean SG. Factors influencing the use of outcome measures for patients with low back pain: a survey of New Zealand physical therapists. Phys Ther. 2008;88:1492-1505. https://doi.org/10.2522/ptj.20080083
  20. Lam KC, Harrington KM, Cameron KL, Valier ARS. Use of patient-reported outcome measures in athletic training: common measures, selection considerations, and practical barriers. J Athl Train. 2019;54:449-458. https://doi.org/10.4085/1062-6050-108-17
  21. Wright JG, Feinstein AR. A comparative contrast of clinimetric and psychometric methods for constructing indexes and rating scales. J Clin Epidemiol. 1992;45:1201-1218. https://doi.org/10.1016/0895-4356(92)90161-F