Pierobon Andrés, Taylor Will, Caya Richelle, Villalba Federico, Soliño Santiago, Policastro Pablo Oscar, Siegert Richard, Darlow Ben
University of Otago, Wellington, New Zealand.
University of Otago, Wellington, New Zealand.
Braz J Phys Ther. 2025 Jan-Feb;29(1):101166. doi: 10.1016/j.bjpt.2024.101166. Epub 2024 Dec 12.
Physical function assessment is key for the management of knee musculoskeletal conditions. There are a wide variety of self-reported outcome measures (SROMs) and performance-based outcome measures (PBOMs) to assess physical function of individuals with knee conditions. However, the content of these measures has not been explored.
To explore the range and frequency of physical functions assessed by lower limb PBOMs and SROMs for people with knee osteoarthritis (OA), anterior cruciate ligament (ACL) injuries, and patellofemoral pain (PFP).
A scoping review was conducted. We included development or measurement properties studies of knee functional outcome measures for populations with knee OA, ACL injuries, and PFP. We extracted the physical functions assessed in each measure. Each identified physical function was linked to a code from the International Classification of Functioning, Disability and Health (ICF) framework.
4146 articles were screened. A total of 143 articles were included. The median number of physical functions assessed was nine for SROMs and one for PBOMs. The three most assessed physical functions were climbing stairs, walking short distances, and standing up from sitting. Climbing stairs was the most assessed physical function in measures for knee OA and PFP populations, whereas jumping was in measures for the ACL-injured population.
SROMs assess a broader range of physical functions, whereas PBOMs focus on discrete activities. ACL and PFP measures evaluated more challenging physical functions than knee OA measures. Current physical function outcome measures are not well suited to assess performance in knee OA populations with mild or diverse levels of impairment.
身体功能评估是膝关节肌肉骨骼疾病管理的关键。有各种各样的自我报告结局指标（SROMs）和基于表现的结局指标（PBOMs）来评估膝关节疾病患者的身体功能。然而，这些指标的内容尚未得到探索。
探讨下肢PBOMs和SROMs对膝骨关节炎（OA）、前交叉韧带（ACL）损伤和髌股疼痛（PFP）患者所评估的身体功能范围及频率。
进行了一项范围综述。我们纳入了针对膝OA、ACL损伤和PFP人群的膝关节功能结局指标的开发或测量特性研究。我们提取了每个指标中评估的身体功能。每个确定的身体功能都与《国际功能、残疾和健康分类》（ICF）框架中的一个代码相关联。
筛选了4146篇文章。共纳入143篇文章。SROMs评估的身体功能中位数为9项，PBOMs为1项。评估最多的三项身体功能是爬楼梯、短距离行走和从坐姿站起。爬楼梯是膝OA和PFP人群指标中评估最多的身体功能，而跳跃是ACL损伤人群指标中评估最多的。
SROMs评估的身体功能范围更广，而PBOMs侧重于离散活动。ACL和PFP指标评估的身体功能比膝OA指标更具挑战性。目前的身体功能结局指标不太适合评估轻度或不同程度损伤的膝OA人群的表现。
