Kirschner S, Walther M, Böhm D, Matzer M, Heesen T, Faller H, König A
Department of Orthopedic Surgery, University of Würzburg, König-Ludwig Haus, Brettreichstrasse 11, 97074 Würzburg, Germany.
Rheumatol Int. 2003 Jan;23(1):15-20. doi: 10.1007/s00296-002-0253-4. Epub 2002 Nov 7.
In a prospective clinical trial, the German short musculoskeletal function assessment (SMFA-D), the short form (SF)-36, and the Western Ontario and McMaster Universities osteoarthritis index (WOMAC) were evaluated in 63 patients with primary osteoarthritis undergoing total knee arthroplasty. All instruments were sensitive to change, demonstrating the effect of total knee arthroplasty at 1-year follow-up. The SMFA-D effect sizes in comparable scales were bigger than in the SF-36 and similar to those of the WOMAC. Significant correlations of the SMFA-D indices with the SF-36 and WOMAC scales preoperatively could be shown. After 1-year follow-up, all correlations between the SMFA-D indices and SF-36 scales were significant. In other comparison, only the correlation between the SMFA-D function index and the WOMAC function scales remained significant. The correlation of the SMFA-D function index with external validation criteria was higher than that using the other instruments. We recommend the SMFA-D for assessing change in functional status of patients with primary osteoarthritis of the knee following arthroplasty.
在一项前瞻性临床试验中，对63例接受全膝关节置换术的原发性骨关节炎患者进行了德国简短肌肉骨骼功能评估（SMFA-D）、简短健康调查（SF-36）和西安大略和麦克马斯特大学骨关节炎指数（WOMAC）评估。所有工具对变化均敏感，显示了全膝关节置换术在1年随访时的效果。SMFA-D在可比量表中的效应大小大于SF-36，且与WOMAC相似。术前可显示SMFA-D指数与SF-36和WOMAC量表之间存在显著相关性。1年随访后，SMFA-D指数与SF-36量表之间的所有相关性均显著。在其他比较中，仅SMFA-D功能指数与WOMAC功能量表之间的相关性仍然显著。SMFA-D功能指数与外部验证标准的相关性高于使用其他工具时的相关性。我们推荐使用SMFA-D来评估膝关节原发性骨关节炎患者置换术后功能状态的变化。
