Klinik und Poliklinik für Unfallchirurgie, Klinikum rechts der Isar, Technische Universität München, Ismaninger Str. 22, 81675, Munich, Germany.
Eur J Med Res. 2018 Sep 28;23(1):46. doi: 10.1186/s40001-018-0344-7.
There are many approved patient-related outcome measurement tools regarding ankle pathologies. However, there is none incorporating the range of motion (ROM) as an objective parameter. Most instruments focus on subjective parameters such as pain and impairment at work or daily living. Furthermore, the majority is only applicable to a specific pathology. Therefore, the objective of our study was to develop and validate the Munich Ankle Questionnaire (MAQ) as a universal self-assessment score including subjective and objective items.
The established McGuire Score, Bray Score, Ankle Hindfoot Score (AOFAS) and Olerud and Molander Score were analyzed for relevant items and subscales. Items of interest were then condensed and allocated to the respective subscales of the MAQ. The final MAQ consists of 6 items addressing general and demographic data and 12 items addressing three domains: pain (3 items), work and daily living (5 items), movement and ROM (4 items). The evaluation of validity, reliability and responsiveness of the MAQ was performed in a prospective clinical study including traumatic as well as degenerative ankle pathologies.
In total, 148 patients (79 female, 69 male, median age 45 years) were included in the validation study. With intra-class correlation coefficients of at least 0.77, test-retest reliability was proven. Construct validity with a correlation coefficient of 0.82 and responsiveness with a correlation coefficient ranging from 0.42 to 0.47 were confirmed.
The MAQ is a reliable and valid self-assessment measurement tool for the follow-up examination regarding subjective and objective parameters of traumatic and degenerative ankle pathologies. The MAQ has no limitation to specific disorders and allows a broad application.
有许多针对踝关节疾病的经批准的患者相关结局测量工具。然而，没有一个工具将活动范围（ROM）作为客观参数纳入其中。大多数工具侧重于主观参数，如疼痛和工作或日常生活中的障碍。此外，大多数工具仅适用于特定的病理。因此，我们的研究目的是开发和验证慕尼黑踝关节问卷（MAQ）作为一种包含主观和客观项目的通用自我评估评分。
分析了已建立的 McGuire 评分、Bray 评分、踝关节后足评分（AOFAS）和 Olerud 和 Molander 评分，以获取相关项目和子量表。然后将感兴趣的项目进行浓缩并分配到 MAQ 的相应子量表中。最终的 MAQ 由 6 个项目组成，用于一般和人口统计学数据，以及 12 个项目用于三个领域：疼痛（3 个项目）、工作和日常生活（5 个项目）、运动和 ROM（4 个项目）。在一项包括创伤性和退行性踝关节疾病的前瞻性临床研究中，对 MAQ 的有效性、可靠性和反应性进行了评估。
共有 148 例患者（79 名女性，69 名男性，中位年龄 45 岁）纳入验证研究。通过至少为 0.77 的组内相关系数，证明了测试-重测可靠性。通过 0.82 的相关系数证实了结构有效性，通过 0.42 至 0.47 的相关系数证实了反应性。
MAQ 是一种可靠且有效的自我评估工具，可用于对创伤性和退行性踝关节疾病的主观和客观参数进行随访检查。MAQ 没有特定疾病的限制，允许广泛应用。
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