Changes in Self-Reported Knee Function and Health-Related Quality of Life After Knee Injury in Female Athletes

Knee trauma can lead to poor health-related quality of life (HRQoL) and osteoarthritis. We aimed to assess HRQoL 3–12 years following youth sport-related knee injury considering HRQoL and osteoarthritis determinants. Generic (EQ-5D-5L index, EQ-VAS) and condition-specific (Knee injury and Osteoarthritis Outcome Score quality of life subscale, KOOS QOL) HRQoL were assessed in 124 individuals 3–12 years following youth sport-related knee injury and 129 uninjured controls of similar age, sex, and sport. Linear regression examined differences in HRQoL outcomes by injury group. Multivariable linear regression explored the influence of sex, time-since-injury, injury type, body mass index, knee muscle strength, Intermittent and Constant Osteoarthritis Pain (ICOAP) score, and Godin Leisure-Time Exercise Questionnaire (GLTEQ) moderate-to-strenuous physical activity. Participant median (range) age was 23 years (14–29) and 55% were female. Injury history was associated with poorer KOOS QOL (−8.41; 95%CI −10.76, −6.06) but not EQ-5D-5L (−0.0074; −0.0238, 0.0089) or EQ-VAS (−3.82; −8.77, 1.14). Injury history (−5.14; −6.90, −3.38), worse ICOAP score (−0.40; −0.45, −0.36), and anterior cruciate ligament tear (−1.41; −2.77, −0.06) contributed to poorer KOOS QOL. Worse ICOAP score contributed to poorer EQ-5D-5L (−0.0024; −0.0034, −0.0015) and higher GLTEQ moderate-to-strenuous physical activity to better EQ-VAS (0.10; 0.03, 0.17). Knee trauma is associated with poorer condition-specific but not generic HRQoL 3–12 years post-injury.

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Comparison of 3 Knee-Specific Quality-of-Life Instruments for Patients With Meniscal Tears

Orthopaedic Journal of Sports Medicine ◽

10.1177/2325967117750082 ◽

2018 ◽

Vol 6 (1) ◽

pp. 232596711775008 ◽

Cited By ~ 2

Author(s):

Mirco Sgroi ◽

Semra Kocak ◽

Heiko Reichel ◽

Thomas Kappe

Keyword(s):

Quality Of Life ◽

Knee Function ◽

Assessment Tools ◽

Health Related Quality ◽

Meniscal Tears ◽

Significant Difference ◽

Related Quality ◽

Health Related ◽

The Impact

Background: Meniscal tears are a common cause of knee pain and disability. The objective measurement of the health-related quality of life of patients with meniscal tears plays a key role in clinical evaluation and therapeutic decision making. Several evaluation tools have been used to measure the effects of meniscal tears on knee function and quality of life. However, most of these tools are nonspecific for meniscal pathology. Purpose/Hypothesis: The purpose of the present study was to compare the capability of 3 commonly used knee assessment tools to measure the impact of meniscal tears on knee function and quality of life: the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), the Knee injury and Osteoarthritis Outcome Score (KOOS), and the Western Ontario Meniscal Evaluation Tool (WOMET). Our null hypothesis was that no difference would exist among the 3 assessment tools. Study Design: Cohort study (diagnosis); Level of evidence, 2. Methods: A total of 207 consecutive patients (mean ± SD: age, 52.6 ± 14.3 years) with arthroscopically confirmed meniscal tear were included. Preoperatively, 3 knee function and quality-of-life scores were obtained: KOOS, WOMAC, and WOMET. The relative outcome scores of the questionnaires were compared postoperatively. Results: The sum scores (relative scores) were as follows: 234.2 ± 92.5 (55.7%) for the KOOS, 132.6 ± 54.3 (55.5%) for the WOMAC, and 113 ± 30.8 (71%) for the WOMET. The relative score results for the WOMET were significantly higher than those for the WOMAC and the KOOS (both P < .01), while no significant difference was found between the WOMAC and the KOOS ( P = .735). Conclusion: A greater impact on health-related quality of life for patients with meniscal tears can be measured with the WOMET when compared with the WOMAC and the KOOS. Therefore, using the WOMET can be recommended for the evaluation of knee function and quality-of-life impairment of patients with meniscal tears.

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Differences in Health-Related Quality of Life Among Patients After Knee Injury

International Journal of Athletic Therapy & Training ◽

10.1123/ijatt.2019-0054 ◽

2020 ◽

Vol 25 (5) ◽

pp. 247-253

Author(s):

Rachel R. Kleis ◽

Janet E. Simon ◽

Michael Turner ◽

Luzita I. Vela ◽

Abbey C. Thomas ◽

...

Keyword(s):

Quality Of Life ◽

General Health ◽

Knee Injury ◽

Knee Surgery ◽

Health Related Quality ◽

Related Quality ◽

Health Related ◽

The Impact ◽

Component Scores

While knee injury-related pain and functional limitations are common in the physically active, the impact on general health is not well documented. Further, it is not known how much these outcomes differ among individuals that did or did not have surgery following the knee injury, as well as compared to those without knee injury history. We examined differences in health-related quality of life (HRQoL) and general health among patients after knee surgery, knee injury that did not require surgery, and healthy controls. Knee surgery participants reported higher body mass index and lower SF-8 physical component scores than knee nonsurgery and control (p < .001 all comparisons) groups. Knee nonsurgery participants had lower SF-8 physical component scores (p = .01) than control participants. Patients after knee surgery report more adverse health effects than those with nonsurgically treated knee injuries.

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