Carpenter Connor M, Cooper Savannah B, Wilson Philip L, Miller Shane M, Wyatt Charles W, Johnson Benjamin L, Shea Kevin G, Ellis Henry B
Center for Excellence in Sports Medicine, Scottish Rite for Children, Frisco, Texas, USA.
Texas A&M University School of Medicine, Bryan, Texas, USA.
Orthop J Sports Med. 2022 Dec 22;10(12):23259671221143534. doi: 10.1177/23259671221143534. eCollection 2022 Dec.
The Hospital for Special Surgery Pediatric Functional Activity Brief Scale (HSS Pedi-FABS) has demonstrated normally distributed scores in children aged 10 to 18 years. It has been used to evaluate knee injuries; however, there is limited information regarding its use in evaluating other injury types.
To (1) assess the validity and utility of HSS Pedi-FABS in youth athletes with injuries to different parts of the body and (2) evaluate the association between the HSS Pedi-FABS and the Patient-Reported Outcomes Measurement Information System (PROMIS) Pediatric Global Health 7 (PGH), as well as PROMIS-Pain Interference (PGH-PI) and PROMIS-Fatigue (PGH-F) components.
Cohort study (diagnosis); Level of evidence, 3.
The authors performed a retrospective review of youth athletes aged 10 to 18 years who completed the HSS Pedi-FABS as part of their previsit intake questionnaire between April 2016 and July 2020. HSS Pedi-FABS score distributions were compared and evaluated for ceiling effects in cohorts determined by demographic, injury characteristic, and sports participation variables; a ceiling effect was determined to be present if >15% of respondents received the highest possible score. HSS Pedi-FABS scores were analyzed for a correlation with PGH, PGH-PI, and PGH-F components.
Included were 2274 patients (mean age, 14.6 ± 2.1 years; 53.0% female) participating in 21 distinct primary sports for 9.6 ± 7.9 hours per week. The mean HSS Pedi-FABS scores by injury group were as follows: elbow (22.7 ± 6.7), shoulder (21.0 ± 8.7), ankle (20.2 ± 8.8), knee (19.5 ± 9.1), and hip (15.4 ± 10.4) ( < .001). Broad distribution was seen in each cohort, with no floor or ceiling effects. The HSS Pedi-FABS score correlated with patient-reported hours per week ( = 0.33), days per week ( = 0.33), and years of participation ( = 0.21) ( < .001 for all). All 3 PROMIS components correlated with HSS Pedi-FABS: PGH ( = 0.28), PGH-PI ( = -0.11), and PGH-F ( = -0.15) ( < .001).
Study findings indicated that the HSS Pedi-FABS is a valid tool for measuring physical activity level in most injured youth athletes, not just those with knee injuries. The correlation of HSS Pedi-FABS with the PGH suggests a positive relationship of childhood physical activity with general health.
特殊外科医院儿童功能活动简表（HSS Pedi - FABS）在10至18岁儿童中显示出分数呈正态分布。它已被用于评估膝关节损伤；然而，关于其在评估其他损伤类型中的应用信息有限。
（1）评估HSS Pedi - FABS在身体不同部位受伤的青少年运动员中的有效性和实用性；（2）评估HSS Pedi - FABS与患者报告结局测量信息系统（PROMIS）儿童总体健康7（PGH）、PROMIS疼痛干扰（PGH - PI）和PROMIS疲劳（PGH - F）分量之间的关联。
队列研究（诊断）；证据等级，3级。
作者对2016年4月至2020年7月期间作为就诊前调查问卷一部分完成HSS Pedi - FABS的10至18岁青少年运动员进行了回顾性研究。比较并评估了按人口统计学、损伤特征和运动参与变量确定的队列中HSS Pedi - FABS分数分布的天花板效应；如果超过15%的受访者获得了可能的最高分，则确定存在天花板效应。分析了HSS Pedi - FABS分数与PGH、PGH - PI和PGH - F分量的相关性。
纳入了2274名患者（平均年龄14.6±2.1岁；53.0%为女性），他们参加21项不同的主要运动，每周运动9.6±7.9小时。各损伤组的HSS Pedi - FABS平均分数如下：肘部（22.7±6.7）、肩部（21.0±8.7）、脚踝（20.2±8.8）、膝盖（19.5±9.1）和髋部（15.4±10.4）（<0.001）。每个队列中分数分布广泛，无地板效应或天花板效应。HSS Pedi - FABS分数与患者报告的每周小时数（r = 0.33）、每周天数（r = 0.33）和参与年限（r = 0.21）相关（所有P值均<0.001）。所有3个PROMIS分量均与HSS Pedi - FABS相关：PGH（r = 0.28）、PGH - PI（r = -0.11）和PGH - F（r = -0.15）（<0.001）。
研究结果表明，HSS Pedi - FABS是测量大多数受伤青少年运动员身体活动水平的有效工具，而不仅仅适用于膝关节受伤的运动员。HSS Pedi - FABS与PGH的相关性表明儿童身体活动与总体健康之间存在正相关关系。
