Exercise and Sports Medicine, Department of Orthopedics and Traumatology, School of Medical Sciences, University of Campinas, UNICAMP, Campinas, SP, Brazil.
Department of Orthopedics, University of Illinois at Chicago, Chicago, United States.
Int J Sports Med. 2021 Jul;42(9):853-858. doi: 10.1055/a-1327-2970. Epub 2021 Jan 13.
The validation of a 4-domain PROM tailored to orthopedic sports medicine was performed through item generation, item scaling, validity and reliability testing, statistical analysis, as well as item reduction. Conbrach's alpha was used to verify item homogeneity, i. e. their accuracy or consistency. This PROM showed acceptable statistical accuracy and clinical applicability for a variety of surgical treatments, regardless of the anatomical injury sites. Moreover, this PROM considers the athletes' primary physical demands in an non-injured baseline condition, their motivation to continue sports practice and participation, and the influence of sports practice on their quality of life. This 4-domain PROM tailored for orthopedic sports medicine appears to be a valid tool to assess athletes and high-performing practitioners with sports injuries, recording their perception of injury, expectations of treatment; evaluation of postoperative care and treatment received, and perceived outcomes compared to their pre-injury status of physical demands in sports activity. The tool is unique, allowing direct comparisons between athletes' perception of pre-injury baseline, injury, treatment, and outcome. It will be a welcome adjunct to the sports medicine professional's tool box when assessing athlete's status and outcome after injury and intervention.
该 4 域 PROM 是专门为矫形运动医学定制的，经过项目生成、项目定标、有效性和可靠性测试、统计分析以及项目简化等步骤进行了验证。Conbrach's alpha 用于验证项目的同质性，即准确性或一致性。该 PROM 显示出了针对各种手术治疗的可接受的统计准确性和临床适用性，无论解剖损伤部位如何。此外，该 PROM 考虑了运动员在非受伤基础状态下的主要身体需求、他们继续运动实践和参与的动机，以及运动实践对他们生活质量的影响。这种专门用于矫形运动医学的 4 域 PROM 似乎是一种评估运动员和运动损伤高表现者的有效工具，记录他们对损伤的感知、对治疗的期望、对术后护理和治疗的评估，以及与受伤前体育活动身体需求相比的感知结果。该工具是独特的，允许在运动员受伤前的基础状态、损伤、治疗和结果的感知之间进行直接比较。它将成为运动医学专业人员评估运动员受伤和干预后的状态和结果的有用工具。
