前交叉韧带损伤后每月运动参与情况的在线登记：一项可靠性和有效性研究。
Online registration of monthly sports participation after anterior cruciate ligament injury: a reliability and validity study.
作者信息
Grindem Hege, Eitzen Ingrid, Snyder-Mackler Lynn, Risberg May Arna
机构信息
Norwegian Research Center for Active Rehabilitation (NAR), Department of Sports Medicine, Norwegian School of Sport Sciences, , Oslo, Norway.
出版信息
Br J Sports Med. 2014 May;48(9):748-53. doi: 10.1136/bjsports-2012-092075. Epub 2013 May 3.
BACKGROUND
The current methods measuring sports activity after anterior cruciate ligament (ACL) injury are commonly restricted to the most knee-demanding sports, and do not consider participation in multiple sports. We therefore developed an online activity survey to prospectively record the monthly participation in all major sports relevant to our patient-group.
OBJECTIVE
To assess the reliability, content validity and concurrent validity of the survey and to evaluate if it provided more complete data on sports participation than a routine activity questionnaire.
METHODS
145 consecutively included ACL-injured patients were eligible for the reliability study. The retest of the online activity survey was performed 2 days after the test response had been recorded. A subsample of 88 ACL-reconstructed patients was included in the validity study. The ACL-reconstructed patients completed the online activity survey from the first to the 12th postoperative month, and a routine activity questionnaire 6 and 12 months postoperatively.
RESULTS
The online activity survey was highly reliable (κ ranging from 0.81 to 1). It contained all the common sports reported on the routine activity questionnaire. There was a substantial agreement between the two methods on return to preinjury main sport (κ=0.71 and 0.74 at 6 and 12 months postoperatively). The online activity survey revealed that a significantly higher number of patients reported to participate in running, cycling and strength training, and patients reported to participate in a greater number of sports.
CONCLUSIONS
The online activity survey is a highly reliable way of recording detailed changes in sports participation after ACL injury. The findings of this study support the content and concurrent validity of the survey, and suggest that the online activity survey can provide more complete data on sports participation than a routine activity questionnaire.
背景
目前测量前交叉韧带（ACL）损伤后运动活动的方法通常仅限于对膝盖要求最高的运动，且未考虑参与多种运动的情况。因此，我们开发了一项在线活动调查，以前瞻性地记录我们患者群体每月参与的所有主要相关运动。
目的
评估该调查的信度、内容效度和同时效度，并评估其提供的运动参与数据是否比常规活动问卷更完整。
方法
145例连续纳入的ACL损伤患者符合信度研究的条件。在线活动调查的重测在记录测试回复后2天进行。88例ACL重建患者的子样本纳入效度研究。ACL重建患者在术后第1个月至第12个月完成在线活动调查，并在术后6个月和12个月完成常规活动问卷。
结果
在线活动调查具有高度信度（κ值范围为0.81至1）。它包含了常规活动问卷中报告的所有常见运动。两种方法在恢复到伤前主要运动方面有实质性一致性（术后6个月和12个月时κ值分别为0.71和0.74）。在线活动调查显示，报告参与跑步、骑自行车和力量训练的患者数量显著更多，且患者报告参与的运动种类更多。
结论
在线活动调查是记录ACL损伤后运动参与详细变化的高度可靠方法。本研究结果支持该调查的内容效度和同时效度，并表明在线活动调查能提供比常规活动问卷更完整的运动参与数据。
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