CORR Insights®: Can the Knee Outcome and Osteoarthritis Score (KOOS) Function Subscale Be Linked to the PROMIS Physical Function to Crosswalk Equivalent Scores?

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
David F. Hamilton
Keyword(s):  
Physical Function ◽  
Function Subscale

scholarly journals Functional and Social Limitations After Facial Palsy: Expanded and Independent Validation of the Italian Version of the Facial Disability Index

2014 ◽  
Vol 94 (9) ◽  
pp. 1327-1336 ◽  
Author(s):  
Chiara Pavese ◽  
Miriam Cecini ◽  
Nora Camerino ◽  
Annalisa De Silvestri ◽  
Carmine Tinelli ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Physical Function ◽  
Facial Palsy ◽  
Short Form ◽  
Well Being ◽  
The Social ◽  
Function Subscale ◽  
Test Retest Reliability ◽  
Physical Function Subscale

Background The Facial Disability Index (FDI) is widely used for self-assessment of functional impairment and quality of life in patients with facial palsy. Objective The study aim was to complete the validation of the FDI by generating an Italian version (IT-FDI) and evaluating its clinimetric properties. Design This was a longitudinal, observational measurement study. Methods The questionnaire was translated, cross-culturally adapted, and administered to 100 consecutive participants (outpatients) with facial palsy. The clinical severity of facial palsy, impairments in physical and social function, and quality of life were evaluated with the Sunnybrook Facial Grading System, IT-FDI, and 12-Item Short-Form Health Survey. Results The IT-FDI showed excellent test-retest reliability for every item and for total scores (intraclass correlation coefficients of .93 and .84 for physical function subscale and social/well-being function subscale, respectively). The IT-FDI confirmed the high internal consistency of the original version, with theta coefficients of .82 for the physical function subscale and .78 for the social/well-being function subscale. The physical function subscale correlated with the Sunnybrook Facial Grading System composite score (r=.44), and the social/well-being function subscale correlated with the 12-Item Short-Form Health Survey mental component (r=.55). The IT-FDI confirmed the good responsiveness of the original version, as expressed by effect size, standardized response mean, and responsiveness ratio of, respectively, 1, 1.03, and 1.21 for the physical function subscale and 0.75, 0.83, and 1.15 for the social/well-being function subscale. Limitations Responsiveness was evaluated with a limited number of participants. Conclusions The results demonstrated the test-retest reliability for all items of the FDI and confirmed its internal consistency, construct validity, and responsiveness with an independent and larger clinical subset. This study completes the validation of the FDI and provides the first validated questionnaire in Italian for assessment of disability and quality of life specifically in patients with facial palsy.

scholarly journals Functional Training in the Management of Chronic Facial Paralysis

2012 ◽  
Vol 92 (4) ◽  
pp. 605-613 ◽  
Author(s):  
V. Prakash ◽  
K. Hariohm ◽  
P. Vijayakumar ◽  
D. Thangjam Bindiya
Keyword(s):  
Training Program ◽  
Physical Function ◽  
Interpersonal Relationships ◽  
Facial Paralysis ◽  
Well Being ◽  
Subscale Score ◽  
Functional Training ◽  
Facial Identity ◽  
Function Subscale ◽  
Physical Function Subscale

Abstract Background and Purpose Disability in patients with facial paralysis is the result of impairment or loss of complex and multidimensional functions of the face, including expression of emotions, facial identity, and communication. However, the majority of interventions for facial paralysis are unidimensional and impairment oriented. Thus, a functional training program intended to address various dimensions of disability caused by facial paralysis was devised. This patient-centered, multidimensional approach to the rehabilitation of people with facial paralysis consists of patient education, functional training, and complementary exercises. This approach is focused on various dimensions of disability, including the physical, emotional, and social dimensions, by encouraging context-specific facial functions, positive coping strategies, and social interaction skills. Case Description The patient was a 25-year-old woman with chronic complete right facial paralysis caused by a postoperative complication of ear surgery. The patient's problems were evaluated with the Facial Disability Index (physical function subscale score=45/100, social/well-being function subscale score=28/100) and an informal interview exploring her experiences and priorities. Outcomes After 8 weeks of functional training, the patient showed considerable improvement in facial functions (physical function subscale score=95/100, social/well-being function subscale score=100/100) and reported positive changes in social interactions and interpersonal relationships. Discussion The use of a functional training program was associated with positive changes in emotional expression, psychosocial function, and social integration, thus contributing to reduced disability of a person with chronic facial paralysis.

scholarly journals Effects of Resistance Exercise on Glycated Hemoglobin and Functional Performance in Older Patients with Comorbid Diabetes Mellitus and Knee Osteoarthritis: A Randomized Trial

2019 ◽  
Vol 17 (1) ◽  
pp. 224 ◽  
Author(s):  
Shu-Mei Chen ◽  
Feng-Chih Shen ◽  
Jung-Fu Chen ◽  
Wen-Dien Chang ◽  
Nai-Jen Chang
Keyword(s):  
Diabetes Mellitus ◽  
Resistance Exercise ◽  
Physical Function ◽  
Older Patients ◽  
Glycated Hemoglobin ◽  
Dynamic Resistance ◽  
Dynamic Group ◽  
Resistance Exercises ◽  
Function Subscale ◽  
Physical Function Subscale

Type 2 diabetes mellitus (T2DM) is significantly associated with osteoarthritis (OA). This study investigated the effects of two resistance exercise approaches on glycated hemoglobin (HbA1c) level and function performance. Enrolled were 70 older patients with both T2DM and knee OA. The dynamic group performed resistance exercises with an elastic resistance band. The isometric group underwent isometric contraction exercises. After the 12-week intervention, a significant within-group improvement (all p < 0.001) was observed for the chair stand test (CST; 10.8%, vs. 7.1%), timed up and go (TUG) test (12.6% vs. 7.6%), Western Ontario and McMaster Universities Osteoarthritis (WOMAC) physical function subscale (62.3% vs. 36.1%), and overall WOMAC (54.5% vs. 34.5%) in the dynamic and isometric group, respectively. In addition, in terms of between-group differences, the dynamic group had significant improvements in CST (p = 0.011), TUG (p < 0.001), WOMAC physical function subscale (p = 0.033), and overall WOMAC (p = 0.036) scores compared with the isometric group. However, no significant change in HbA1c was observed in either group. In conclusion, the dynamic resistance exercise significantly improved muscle strength, dynamic balance, and physical function in this comorbid population; however, there was no notable difference in change in HbA1c among different resistance exercises.

scholarly journals Characteristics of young and lower functioning patients following total knee arthroplasty: a retrospective study

2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Jesse C. Christensen ◽  
Andrew J. Kittelson ◽  
Brian J. Loyd ◽  
Michael A. Himawan ◽  
Charles A. Thigpen ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Physical Function ◽  
Physical Performance ◽  
Knee Arthroplasty ◽  
Pain Severity ◽  
Timed Up And Go ◽  
Total Knee ◽  
Function Subscale ◽  
Physical Function Subscale ◽  
Higher Functioning

Abstract Background Rates of total knee arthroplasty (TKA) procedures in younger, more medically complex patients have dramatically increased over the last several decades. No study has examined categorization of lower and higher functioning subgroups within the TKA patient population. Our study aimed to determine preoperative characteristics of younger patients who are lower functioning following TKA. Methods Patients were categorized into higher and lower functioning subgroups defined using a median split of 1) postoperative Timed Up and Go (TUG) test times and 2) Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) physical function subscale scores. A split in age (65 years) was used to further classify patients into four categories: younger lower functioning, younger higher functioning, older lower functioning and older higher functioning. Measures from preoperative domains of health, psychological, physical performance and pain severity were examined for between-group differences. Results Comparing mean values, the younger lower functioning subgroup using the TUG had significantly weaker knee extensor, slower gait speed, higher body mass index and greater pain compared to other subgroups. The younger lower functioning subgroup using the WOMAC physical function subscale demonstrated higher pain levels and Coping Strategies Questionnaire-Catastrophizing Subscale scores compared to the older lower functioning subgroup. Conclusions Poorer preoperative physical performance and pain severity appear to have the largest influence on early postoperative TKA recovery in younger lower functioning patients relative to both younger and older higher functioning patients.

scholarly journals Depression negatively affects patient-reported knee functional outcome after intraarticular hyaluronic acid injection among geriatric patients with knee osteoarthritis

2019 ◽  
Vol 14 (1) ◽  
Author(s):  
Yu-Pin Chen ◽  
Yu-Yun Huang ◽  
Yueh Wu ◽  
Yi-Jie Kuo ◽  
Chung-Ying Lin
Keyword(s):  
Hyaluronic Acid ◽  
Knee Osteoarthritis ◽  
Physical Function ◽  
Geriatric Patients ◽  
Knee Function ◽  
Pain Severity ◽  
Hyaluronic Acid Injection ◽  
Patient Reported ◽  
Function Subscale ◽  
Physical Function Subscale

Abstract Purpose Intraarticular hyaluronic acid injection (IAHA) is a popular treatment for knee osteoarthritis (OA). This study investigates whether depression, anxiety, and pain affect self-reported knee function in geriatric OA people who have received IAHA. Methods Through convenience sampling, 102 geriatric patients (mean age = 70.91 ± 7.19; 28 males) with knee OA who had undergone IAHA participated in this study. All participants self-reported depression using the Geriatric Depression Scale (GDS), anxiety using the State-Trait Anxiety Inventory (STAI), knee function using the Western Ontario and McMaster University Osteoarthritis Index (WOMAC) and the International Knee Documentation Committee subjective knee evaluation form (IKDC), and pain severity using the Visual Analogue Scale (VAS). They completed the aforementioned questionnaires at baseline before injection and then again at 2-, 4-, and 6-month follow-ups. Results Depression was significantly associated with IKDC, WOMAC physical function subscale, and total WOMAC scores. Anxiety was only significantly associated with the WOMAC pain subscale score. Pain severity was significantly associated with IKDC, WOMAC stiffness subscale, WOMAC physical function subscale, and total WOMAC scores. Conclusion Given that depression negatively affected patient-reported knee function among geriatric OA patients who had undergone IAHA, further attention should be paid to the depressive status of this population.

Can the Knee Outcome and Osteoarthritis Score (KOOS) Function Subscale Be Linked to the PROMIS Physical Function to Crosswalk Equivalent Scores?

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Marilyn Heng ◽  
Xiaodan Tang ◽  
Benjamin D. Schalet ◽  
Austin K. Collins ◽  
Antonia F. Chen ◽  
...  
Keyword(s):  
Physical Function ◽  
Function Subscale

Evidence of Validity for the Foot and Ankle Ability Measure (FAAM)

2005 ◽  
Vol 26 (11) ◽  
pp. 968-983 ◽  
Author(s):  
RobRoy L. Martin ◽  
James J. Irrgang ◽  
Ray G. Burdett ◽  
Stephen F. Conti ◽  
Jessie M. Van Swearingen
Keyword(s):  
Physical Function ◽  
Musculoskeletal Disorders ◽  
Roc Analysis ◽  
Summary Score ◽  
Minimal Detectable Change ◽  
Validity Evidence ◽  
Foot And Ankle ◽  
Sf 36 ◽  
Function Subscale ◽  
Ability Measure

Background: There is no universally accepted instrument that can be used to evaluate changes in self-reported physical function for individuals with leg, ankle, and foot musculoskeletal disorders. The objective of this study was to develop an instrument to meet this need: the Foot and Ankle Ability Measure (FAAM). Additionally, this study was designed to provide validity evidence for interpretation of FAAM scores. Methods: Final item reduction was completed using item response theory with 1027 subjects. Validity evidence was provided by 164 subjects that were expected to change and 79 subjects that were expected to remain stable. These subjects were given the FAAM and SF-36 to complete on two occasions 4 weeks apart. Results: The final version of the FAAM consists of the 21-item activities of daily living (ADL) and 8-item Sports subscales, which together produced information across the spectrum ability. Validity evidence was provided for test content, internal structure, score stability, and responsiveness. Test retest reliability was 0.89 and 0.87 for the ADL and Sports subscales, respectively. The minimal detectable change based on a 95% confidence interval was ±5.7 and ±-12.3 points for the ADL and Sports subscales, respectively. Two-way repeated measures ANOVA and ROC analysis found both the ADL andSports subscales were responsive to changes in status ( p < 0.05). The minimal clinically important differences were 8 and 9 points for the ADL and Sports subscales, respectively. Guyatt responsive index and ROC analysis found the ADL subscale was more responsive than general measures of physical function while the Sports subscale was not. The ADL and Sport subscales demonstrated strong relationships with the SF-36 physical function subscale ( r = 0.84, 0.78) and physical component summary score ( r = 0.78, 0.80) and weak relationships with the SF-36 mental function subscale ( r = 0.18, 0.11) and mental component summary score ( r = 0.05, −0.02). Conclusions: The FAAM is a reliable, responsive, and valid measure of physical function for individuals with a broad range of musculoskeletal disorders of the lower leg, foot, and ankle.

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