Mostafaee Neda, Negahban Hossein, Shaterzadeh Yazdi Mohammad Jafar, Goharpey Shahin, Mehravar Mohammad, Pirayeh Nahid
Department of Physical Therapy, School of Paramedical Sciences, Mashhad University of Medical Sciences , Mashhad, Iran.
Orthopedic Research Center, Mashhad University of Medical Sciences , Mashhad, Iran.
Physiother Theory Pract. 2020 Sep;36(9):1019-1026. doi: 10.1080/09593985.2018.1548672. Epub 2018 Nov 23.
To evaluate the responsiveness and determine the minimal clinically important changes (MCICs), anchored by the patient response to a 7-point global rating scale, for Knee Injury and Osteoarthritis Outcome Score (KOOS), and Tegner activity scale in athletes undergoing physiotherapy treatment after anterior cruciate ligament reconstruction (ACL-R). Fifty-four patients undergoing physiotherapy completed the Persian versions of KOOS and Tegner scales at weeks 6 and 10 post ACL-R. The 7-point global rating of change was also completed at week 10. Responsiveness was calculated via receiver operating characteristic curve and correlation analysis. Acceptable responsiveness was reached by the KOOS sports and recreation subscale (Sport/Rec) (area under the curve (AUC) = 0.72; Gamma = 0.37) and Tegner scale (AUC = 0.75; Gamma = 0.59). The MCIC scores of KOOS subscales and Tegner scale were reported. Our findings demonstrated that the KOOS Sport/Rec subscale and Tegner scale have adequate responsiveness between weeks 6 and 10 of physiotherapy. Therefore, these scales should be used to evaluate the effects of physiotherapy treatment and the changes in activity levels in this population. The MCIC scores of the KOOS and Tegner scale can be used to detect changes significant to the patient while avoiding limitations of other methods.
为评估以患者对7分总体评定量表的反应为依据的膝关节损伤和骨关节炎疗效评分（KOOS）以及前交叉韧带重建（ACL-R）后接受物理治疗的运动员的特格纳活动量表的反应性，并确定最小临床重要变化（MCIC）。54例接受物理治疗的患者在ACL-R术后第6周和第10周完成了KOOS和特格纳量表的波斯语版本。在第10周也完成了7分总体变化评定。通过受试者工作特征曲线和相关性分析计算反应性。KOOS运动和娱乐子量表（Sport/Rec）（曲线下面积（AUC）=0.72；伽马=0.37）和特格纳量表（AUC=0.75；伽马=0.59）达到了可接受的反应性。报告了KOOS子量表和特格纳量表的MCIC分数。我们的研究结果表明，KOOS Sport/Rec子量表和特格纳量表在物理治疗的第6周和第10周之间具有足够的反应性。因此，这些量表应用于评估该人群物理治疗的效果和活动水平的变化。KOOS和特格纳量表的MCIC分数可用于检测对患者有显著意义的变化，同时避免其他方法的局限性。
