Stitelmann Anna, Allet Lara, Armand Stéphane, Tscholl Philippe
Department of Orthopedic Surgery and Traumatology of the Musculoskeletal System, Geneva University Hospitals, 1205 Geneva, Switzerland.
Geneva School of Health Sciences, HES-SO University of Applied Sciences and Arts Western Switzerland, 1202 Geneva, Switzerland.
J Clin Med. 2024 Jun 11;13(12):3407. doi: 10.3390/jcm13123407.
The side hop test (SHT) measures the number of jumps performed over 30 s. Although this measure has demonstrated its value in clinical practice, the temporal parameters of the SHT allow for a deeper analysis of the execution strategy. The aim of this study is to assess the reliability and construct validity of contact time parameters during the SHT recorded by a video analysis system in anterior cruciate ligament reconstructed (ACLR) patients. We investigated the reliability (intra-rater, standard error of measurement (SEM), and minimum detectable change (MDC)), discriminant validity (operated (OP) versus non-operated (NOP) side), and convergent validity (relationship with strength and psychological readiness) of SHT contact time parameters, number of valid hops and limb symmetry index (LSI) in 38 ACLR patients. Contact time parameters are presented as mean, standard deviation (SD), and coefficient of variation (CV) of contact time. Intra-tester reliability was good to excellent for all contact time parameters. For discriminant validity, the mean and SD contact times of the OP leg were significantly longer than those of the NOP leg, although the difference was smaller than the SEM and MDC values. The number of valid jumps and CV contact time parameters were not significantly different. Isokinetic quadriceps strength (60°/s) was strongly correlated with mean contact time for both legs. However, psychological readiness was not correlated with any of the contact time parameters. Temporal parameters of the SHT measured on video analysis are valid and reliable parameters to assess the performance strategy of the SHT. The results should be interpreted with caution regarding the SEM and MDC values. Further studies are needed to measure criterion validity, inter-rater reliability, and responsiveness.
侧跳测试(SHT)测量30秒内完成的跳跃次数。尽管该测量方法在临床实践中已证明其价值,但SHT的时间参数有助于对执行策略进行更深入的分析。本研究的目的是评估视频分析系统记录的前交叉韧带重建(ACLR)患者在SHT期间接触时间参数的可靠性和结构效度。我们调查了38例ACLR患者SHT接触时间参数、有效跳跃次数和肢体对称指数(LSI)的可靠性(评分者内信度、测量标准误差(SEM)和最小可检测变化(MDC))、判别效度(手术侧(OP)与非手术侧(NOP))以及收敛效度(与力量和心理准备的关系)。接触时间参数以接触时间的平均值、标准差(SD)和变异系数(CV)表示。所有接触时间参数的测试者内信度良好至优秀。对于判别效度,OP侧腿的平均和SD接触时间显著长于NOP侧腿,尽管差异小于SEM和MDC值。有效跳跃次数和CV接触时间参数无显著差异。等速股四头肌力量(60°/s)与双腿的平均接触时间密切相关。然而,心理准备与任何接触时间参数均无相关性。视频分析测量的SHT时间参数是评估SHT表现策略的有效且可靠的参数。关于SEM和MDC值,结果应谨慎解释。需要进一步研究来测量效标效度、评分者间信度和反应度。