Obremskey William T, Brown Ouida, Driver Robin, Dirschl Douglas R
University of North Carolina, School of Medicine, Chapel Hill, NC, USA.
Orthopedics. 2007 Feb;30(2):145-51. doi: 10.3928/01477447-20070201-01.
This study assessed whether the Short Musculoskeletal Functional Assessment questionnaire had fewer floor or ceiling effects than the SF-36 in evaluation of the functional recovery of operatively stabilized isolated ankle fractures. We also hypothesized that the Short Musculoskeletal Functional Assessment would be more effective than the (Short Form) SF-36 in discriminating the functional recovery of different groups of patients after an ankle fracture. One hundred twenty-seven patients with an isolated ankle fracture were evaluated with the Short Musculoskeletal Functional Assessment and SF-36 questionnaires after operative fracture fixation. The Short Musculoskeletal Functional Assessment had fewer floor and ceiling effects in long-term follow-up of patients with an isolated unstable ankle fracture. The Short Musculoskeletal Functional Assessment and SF-36 both appear able to assess general patient health, and both instruments identify patients who had significant problems with functional recovery. The Short Musculoskeletal Functional Assessment may be a more effective single instrument to track a patient's functional recovery than the SF-36 if it is able to assess general health and identify patients who are having poorer functional activity without significant floor or ceiling effects.
本研究评估了在评估手术固定的单纯踝关节骨折功能恢复情况时，简短肌肉骨骼功能评估问卷是否比SF-36具有更少的地板效应或天花板效应。我们还假设，在区分踝关节骨折后不同患者组的功能恢复方面，简短肌肉骨骼功能评估将比（简短型）SF-36更有效。127例单纯踝关节骨折患者在骨折手术固定后接受了简短肌肉骨骼功能评估和SF-36问卷评估。在对单纯不稳定踝关节骨折患者的长期随访中，简短肌肉骨骼功能评估具有更少的地板效应和天花板效应。简短肌肉骨骼功能评估和SF-36似乎都能够评估患者的总体健康状况，并且这两种工具都能识别出功能恢复存在显著问题的患者。如果简短肌肉骨骼功能评估能够评估总体健康状况并识别出功能活动较差且无明显地板效应或天花板效应的患者，那么它可能是一种比SF-36更有效的跟踪患者功能恢复的单一工具。
