Department of Sports Medicine, Peking University Third Hospital, Institute of Sports Medicine of Peking University, Beijing Key Laboratory of Sports Injuries, Beijing, China.
Department of Health, Education and Technology, Division of Health and Rehabilitation, Luleå University of Technology, Luleå, Sweden.
J Rehabil Med. 2022 Jul 15;54:jrm00317. doi: 10.2340/jrm.v54.2304.
To verify the reliability and validity of Chinese versions of the Lysholm score and the Tegner activity scale for knee arthroplasty.
Sixty-four patients undergoing total knee arthroplasty and 28 healthy volunteers were included in this study. Participants were divided into 4 groups: a pre-operation group; a 3 months post-operation group; a 1-year post-operation group; and a control group of healthy volunteers. Participants completed the Lysholm score and Tegner activity scale twice over a period of 3-7 days.
The intraclass correlation coefficients of the Lysholm score and Tegner scale were both relatively high, at 0.99 and 0.97, respectively. Moreover, the Cronbach's alpha of the Lysholm score was 0.71. The items "locking" and "instability" differed slightly between groups (Kruskal-Wallis: for locking, χ2 (p) = 13.48, p = 0.0037; for instability, χ2 (p) = 4.32, p = 0.2292).
The simplified-Chinese versions of the Lysholm score and the Tegner scale are applicable for use with patients undergoing total knee arthroplasty, and have relatively high validity and reliability. The items "locking" and "instability" should be combined with clinical data to make the Lysholm score more suitable for assessment of total knee arthroplasty.
验证膝关节置换术后中文版 Lysholm 评分和 Tegner 活动量表的信度和效度。
本研究纳入了 64 例接受全膝关节置换术的患者和 28 名健康志愿者。参与者被分为 4 组：术前组、术后 3 个月组、术后 1 年组和健康志愿者对照组。参与者在 3-7 天内完成 Lysholm 评分和 Tegner 活动量表两次。
Lysholm 评分和 Tegner 量表的组内相关系数均较高，分别为 0.99 和 0.97。此外，Lysholm 评分的 Cronbach's alpha 为 0.71。“锁定”和“不稳定”这两个项目在组间略有差异（Kruskal-Wallis：对于锁定，χ2(p)=13.48，p=0.0037；对于不稳定，χ2(p)=4.32，p=0.2292）。
简化中文版 Lysholm 评分和 Tegner 量表适用于全膝关节置换术患者，具有较高的信度和效度。“锁定”和“不稳定”两个项目应结合临床数据，使 Lysholm 评分更适合评估全膝关节置换术。
