Özcan Damla, Unver Bayram, Karatosun Vasfi
Health Sciences Institute, Dokuz Eylul University, Balcova, Izmir, Turkey.
Faculty of Physical Therapy and Rehabilitation, Dokuz Eylul University, Balcova, Izmir, Turkey.
Physiother Theory Pract. 2025 Feb;41(2):370-376. doi: 10.1080/09593985.2024.2337784. Epub 2024 Apr 1.
Practical, applicable, valid, and reliable tools are needed to assess physical performance in patients with Total Knee Arthroplasty (TKA) in a variety of settings, including routine clinical assessment, research studies, and community-based programs.
The aim of this study is to evaluate the validity and reliability of the Short Physical Performance Battery (SPPB) among patients with TKA.
We included 45 patients who underwent TKA surgery (mean age 68.89 ± 9.26). The SPPB, Timed up and go (TUG) test and, Hospital for Special Surgery (HSS) Knee Score were administered to the patients. SPPB was performed twice on the same day with 1 h rest.
The ICC coefficient, MDC and SEM values were 0.97, 1.02 and 0.37 respectively. The Pearson correlation coefficient of the SPPB with the TUG and HSS was -.78, and 0.74 respectively.
SPPB has excellent reliability, and strong validity in assessing physical performance in patients with TKA. SPPB can identify even minimal detectable difference in physical performance and can be reliably used to monitor patient outcomes in the postoperative period for a comprehensive assessment of TKA in many physical performance domains, including balance, walking speed, and lower extremity strength.
NCT06201637.
在包括常规临床评估、研究以及社区项目等各种环境中，需要实用、适用、有效且可靠的工具来评估全膝关节置换术（TKA）患者的身体功能。
本研究旨在评估简短身体功能测试量表（SPPB）在TKA患者中的有效性和可靠性。
我们纳入了45例行TKA手术的患者（平均年龄68.89±9.26）。对患者进行了SPPB、计时起立行走测试（TUG）以及特种外科医院（HSS）膝关节评分。SPPB在同一天进行两次，中间休息1小时。
组内相关系数（ICC）、最小可检测变化值（MDC）和标准误（SEM）分别为0.97、1.02和0.37。SPPB与TUG以及HSS的Pearson相关系数分别为-0.78和0.74。
SPPB在评估TKA患者身体功能方面具有出色的可靠性和较强的有效性。SPPB能够识别出身体功能中即使是最小的可检测差异，并且能够可靠地用于监测术后患者的结果，以便在包括平衡、步行速度和下肢力量等多个身体功能领域对TKA进行全面评估。
NCT06201637。
