Minaie Arya, Bernholt David L, Block Andrew M, Patel Ronak M, Wright Rick W, Matava Matthew J, Nepple Jeffrey J
Department of Orthopaedic Surgery, Miller School of Medicine, Miami, Florida, USA.
Campbell Clinic Orthopaedics, University of Tennessee Health Science Center, Memphis, Tennessee, USA.
Orthop J Sports Med. 2021 Aug 13;9(8):23259671211017162. doi: 10.1177/23259671211017162. eCollection 2021 Aug.
The Patient-Reported Outcomes Measurement Information System (PROMIS) computer-adaptive testing (CAT) has been shown to be a valid and reliable means of assessing patient-reported outcomes. However, normal scores and distributions for a subset of a healthy young athletic population have not been established.
To establish normative PROMIS scores for the domains of Physical Function (PF-CAT), Mobility (M-CAT), Upper Extremity Function (UE-CAT), and Pain Interference (PI-CAT) and determine the frequency of floor and ceiling effects in a population of healthy collegiate athletes.
Cross-sectional study; Level of evidence, 3.
Healthy collegiate athletes (18-23 years of age) were prospectively enrolled to complete the 4 PROMIS CAT domains. Additionally, the athletes provided information regarding their age, sex, and sport(s). Mean scores (±SD) and identification of ceiling or floor effects were calculated. Ceiling and floor effects were considered significant if >15% of the participants obtained the highest or lowest possible score on a domain.
A total of 194 healthy athletes (mean age, 19.1 years) were included in the study: 118 (60.8%) men and 76 (39.2%) women. Mean scores were 62.9 ± 6.7 for PF-CAT, 58.2 ± 4.1 for M-CAT, 57.4 ± 5.8 for UE-CAT, and 43.2 ± 6.2 for PI-CAT. Distributions of scores for M-CAT and UE-CAT indicated strong ceiling effects by 77.3% and 66.0% of the participants, respectively. In healthy athletes, the PF-CAT differed most from the expected population-based mean score (50), with the mean being >1 SD above (62.9), without a ceiling effect observed. There were no significant sex- or age-based differences on any of the PROMIS domain scores.
Healthy collegiate athletes scored nearly 1 SD from population-based means for all of the domains tested. M-CAT and UE-CAT demonstrated ceiling effects in more than two-thirds of healthy athletes, which may limit their utility in this population. The PF-CAT did not demonstrate floor or ceiling effects and demonstrated differences in a young adult athletic population from the population mean. The mean PF-CAT score of 62.9 can represent a target for return of function in injured athletes.
患者报告结局测量信息系统（PROMIS）计算机自适应测试（CAT）已被证明是评估患者报告结局的一种有效且可靠的方法。然而，尚未建立健康年轻运动员群体子集的正常分数和分布。
建立身体功能（PF-CAT）、活动能力（M-CAT）、上肢功能（UE-CAT）和疼痛干扰（PI-CAT）领域的PROMIS标准分数，并确定健康大学生运动员群体中地板效应和天花板效应的频率。
横断面研究；证据等级，3级。
前瞻性纳入健康大学生运动员（18 - 23岁），以完成4个PROMIS CAT领域的测试。此外，运动员提供了有关其年龄、性别和运动项目的信息。计算平均分数（±标准差）并确定天花板效应或地板效应。如果超过15%的参与者在某个领域获得了最高或最低可能分数，则认为天花板效应和地板效应显著。
共有194名健康运动员（平均年龄19.1岁）纳入研究：118名（60.8%）男性和76名（39.2%）女性。PF-CAT的平均分数为62.9 ± 6.7，M-CAT为58.2 ± 4.1，UE-CAT为57.4 ± 5.8，PI-CAT为43.2 ± 6.2。M-CAT和UE-CAT分数分布分别显示，77.3%和66.0%的参与者存在强烈的天花板效应。在健康运动员中，PF-CAT与基于人群的预期平均分数（50）差异最大，平均高于1个标准差（62.9），未观察到天花板效应。在任何PROMIS领域分数上，均未观察到基于性别或年龄的显著差异。
健康大学生运动员在所有测试领域的得分与基于人群的平均分数相差近1个标准差。M-CAT和UE-CAT在超过三分之二的健康运动员中表现出天花板效应，这可能限制了它们在该人群中的效用。PF-CAT未表现出地板效应或天花板效应，并且在年轻成年运动员群体中与人群平均分数存在差异。PF-CAT平均分数62.9可代表受伤运动员功能恢复的目标。
