Knee-Specific Quality-of-Life Instruments

2007 ◽  
Vol 35 (9) ◽  
pp. 1450-1458 ◽  
Author(s):  
Suzanne M. Tanner ◽  
Katie N. Dainty ◽  
Robert G. Marx ◽  
Alexandra Kirkley
Keyword(s):  
Quality Of Life ◽  
Knee Injury ◽  
Cruciate Ligament ◽  
International Knee Documentation Committee ◽  
Meniscal Tears ◽  
Evaluation Tool ◽  
Life Instrument ◽  
Anterior Cruciate ◽  
Quality Of Life Instruments

Background Knee-specific quality-of-life instruments are commonly used outcome measures. However, they have not been compared for their ability to detect symptoms and disabilities important to patients. Study Design Cohort study (diagnosis); Level of evidence, 1. Methods Subjective portions of 11 knee-specific instruments were consolidated. The frequency and importance of each item were assessed. One hundred fifty-three patients with anterior cruciate ligament ruptures, isolated meniscal tears, or osteoarthritis were polled. Instruments were ranked according to the number of items with high mean importance, high frequency importance product, and low mean importance, and according to the number endorsed by at least 51% of patients. Results For anterior cruciate ligament tears, the Mohtadi quality-of-life instrument scored highest in 3 categories. For meniscal tears, the Western Ontario Meniscal Evaluation Tool scored highly in all 4 categories. For osteoarthritis, the Western Ontario and McMaster Universities Osteoarthritis Index scored highly in 4 categories. Of the general knee instruments, the International Knee Documentation Committee Standard Evaluation Form and the Knee Injury and Osteoarthritis Outcome Score scored favorably. Conclusion The Mohtadi quality-of-life instrument, Western Ontario Meniscal Evaluation Tool, and Western Ontario and McMaster Universities Osteoarthritis Index—disease-specific instruments—contain many items important to patients. Of general knee instruments studied, the International Knee Documentation Committee Standard Evaluation Form and the Knee Injury and Osteoarthritis Outcome Score contain the most items important to patients. Clinical Relevance This study guides clinicians and researchers in selecting instruments that ensure that the patient's perspective is considered for outcome studies involving 3 common knee disorders.

DETERMINANTS OF QUALITY OF LIFE RELATED TO ACL RECONSTRUCTION: MALES OF ONE REHABILITATION CENTER

2016 ◽  
Vol 78 (5-6) ◽  
Author(s):  
Rohani Haron ◽  
Rozita Abdul Latif ◽  
Ajau Danis
Keyword(s):  
Quality Of Life ◽  
Acl Reconstruction ◽  
Cruciate Ligament ◽  
International Knee Documentation Committee ◽  
Ligament Injury ◽  
Recreational Sport ◽  
Male Patients ◽  
Potential Factors ◽  
Anterior Cruciate

Anterior cruciate ligament injury is extremely common in athletics and recreational sport. The emphasis of physiotherapy rehabilitation in post-ACL reconstruction is to enhance quality of life. The purpose of the study was to identify determinants of quality of life after ACL reconstruction rehabilitation. Sixty male patients who undergone 12 to 16 weeks of rehabilitation completed the background data, ACL quality of life (ACL-QOL), Lysholm, International Knee Documentation Committee (IKDC), Knee Injury and Osteoarthritis Outcome Score (KOOS) and Tanpa Scale Kinesiophhobia (TSK). Multiple linear regression showed that KOOS-pain and KOOS-sport/recreation explained 59.5% of the variation in quality of life. Thus, pain and recreation were the determinants of quality of life. This finding is useful in identifying potential factors that enhance quality of life in ACL reconstruction rehabilitation.

Predictors Of Outcome Following Anterior Cruciate Ligament Reconstruction: A Prospective Cohort Study In Uk Sports Medicine

2019 ◽  
Vol 26 (6) ◽  
pp. 7-7
Author(s):  
Bradley Stephen Neal ◽  
Stuart Miller ◽  
Claire Small ◽  
Simon David Lack
Keyword(s):  
Quality Of Life ◽  
Anterior Cruciate Ligament ◽  
Anterior Cruciate Ligament Reconstruction ◽  
Knee Injury ◽  
Ligament Reconstruction ◽  
Cruciate Ligament ◽  
Cruciate Ligament Reconstruction ◽  
Outcome Score ◽  
Anterior Cruciate

Background/Aims Following anterior cruciate ligament reconstruction, patients are reported to be at greater risk of re-rupture if they fail to meet structured discharge criteria. This prospective cohort study aimed to provide objective and subjective measures guiding safe return to play of amateur athletes following anterior cruciate ligament reconstruction. Methods Primary anterior cruciate ligament reconstruction patients presenting to Pure Sports Medicine were invited to participate. Successful return to play was determined using the Patient-Specific Functional Scale at the primary end point (9/12 post-operative), with scores >8 indicating successful outcomes. Secondary data were collected at baseline (Knee Injury and Osteoarthritis Outcome Score, Anterior Cruciate Ligament-Quality of Life), 3/12 (Knee Injury and Osteoarthritis Outcome Score, Anterior Cruciate Ligament-Quality of Life, quadriceps and hamstrings dynamometry), 6/12 (Knee Injury and Osteoarthritis Outcome Score, Anterior Cruciate Ligament-Quality of Life, quadriceps and hamstrings dynamometry, single/triple hop) and 9/12 post-operative (Knee Injury and Osteoarthritis Outcome Score, Anterior Cruciate Ligament-Quality of Life, quadriceps and hamstrings dynamometry, single/triple hop and slalom run). Binary logistic regression was used to determine the association between secondary data and the primary outcome. Results A total of 90 participants with anterior cruciate ligament reconstruction were recruited from March 2017 to June 2018, and 87 participants consented to baseline measures. To date, 29 participants have completed full data collection, with 12 participants determined to have a successful outcome. A lower hamstrings:quadriceps ratio in the contralateral limb at 3/12 post-operative (odds ratio: 0.005, 95% confidence interval: 0.001–0.89, P=0.045) and a higher Anterior Cruciate Ligament-Quality of Life score at 6/12 post-operative (odds ratio: 1.1, 95% confidence interval: 0.02–1.20, P=0.012) are associated with positive 9/12 post-operative outcomes. Conclusions Preliminary data analysis indicates that both hamstrings:quadriceps ratio function and participant psychology are associated with positive outcomes post-anterior cruciate ligament reconstruction.

scholarly journals Comparison of Blood Flow Restriction Training versus Non-Occlusive Training in Patients with Anterior Cruciate Ligament Reconstruction or Knee Osteoarthritis: A Systematic Review

2020 ◽  
Vol 10 (1) ◽  
pp. 68
Author(s):  
Cristina Bobes Álvarez ◽  
Paloma Issa-Khozouz Santamaría ◽  
Rubén Fernández-Matías ◽  
Daniel Pecos-Martín ◽  
Alexander Achalandabaso-Ochoa ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Systematic Review ◽  
Blood Flow ◽  
Anterior Cruciate Ligament ◽  
Knee Osteoarthritis ◽  
Acl Reconstruction ◽  
Cruciate Ligament ◽  
Flow Restriction ◽  
Anterior Cruciate

Patients undergoing anterior cruciate ligament (ACL) reconstruction and patients suffering from knee osteoarthritis (KOA) have been shown to have quadriceps muscle weakness and/or atrophy in common. The physiological mechanisms of blood flow restriction (BFR) training could facilitate muscle hypertrophy. The purpose of this systematic review is to investigate the effects of BFR training on quadriceps cross-sectional area (CSA), pain perception, function and quality of life on these patients compared to a non-BFR training. A literature research was performed using Web of Science, PEDro, Scopus, MEDLINE, Dialnet, CINAHL and The Cochrane Library databases. The main inclusion criteria were that papers were English or Spanish language reports of randomized controlled trials involving patients with ACL reconstruction or suffering from KOA. The initial research identified 159 publications from all databases; 10 articles were finally included. The search was conducted from April to June 2020. Four of these studies found a significant improvement in strength. A significant increase in CSA was found in two studies. Pain significantly improved in four studies and only one study showed a significant improvement in functionality/quality of life. Low-load training with BFR may be an effective option treatment for increasing quadriceps strength and CSA, but more research is needed.

Low Rates of Return to Preinjury Sport After Bilateral Anterior Cruciate Ligament Reconstruction

2018 ◽  
Vol 47 (2) ◽  
pp. 334-338 ◽  
Author(s):  
Kate E. Webster ◽  
Julian A. Feller ◽  
Alexander J. Kimp ◽  
Timothy S. Whitehead
Keyword(s):  
Quality Of Life ◽  
Acl Reconstruction ◽  
Cruciate Ligament ◽  
Return To Sport ◽  
Rates Of Return ◽  
Acl Injuries ◽  
Reconstruction Surgery ◽  
Anterior Cruciate

Background: Patients with bilateral anterior cruciate ligament (ACL) injuries tend to report worse results in terms of knee function and quality of life as compared with those with unilateral injury. There are limited data regarding return to preinjury sport in this group. Purpose: To report return-to-sport rates for patients who had bilateral ACL reconstruction and to compare outcomes according to age and sex. Study Design: Case series; Level of evidence, 4. Methods: A total of 107 patients (62 male, 45 female) who underwent primary ACL reconstruction surgery to both knees completed a detailed sports activity survey at a mean 5-year follow-up (range, 2.5-10 years). Follow-up also included the International Knee Documentation Committee subjective form, Marx Activity Scale, and Knee injury and Osteoarthritis Outcome Score–Quality of Life subscale. Rates of return to preinjury levels of sport were calculated for the whole cohort, and for further analysis, the group was divided according to age (<25 vs ≥25 years), sex, and time between the reconstruction procedures (<3 vs ≥3 years). Results: The rate of return to preinjury sport after bilateral ACL reconstruction was 40% (95% CI, 31%-50%), as compared with an 83% (95% CI, 74%-88%) return rate after the first reconstruction procedure. Although not statistically significant, return rates were higher for male versus female patients (47% vs 31%) and older versus younger patients (45% vs 31%). Of those who returned to their preinjury levels of sport after the second reconstruction, 72% thought that they could perform as well as before their ACL injuries. In contrast, only 20% thought that they could perform as well if they returned to a lower level. Fear of reinjury was the most common reason cited for failure to return to sport after the second reconstruction. Patient-reported outcome scores were higher for those who returned to their preinjury levels of sport but did not differ for sex and age. Conclusion: Return-to-sport rates drop markedly after a second (contralateral) ACL reconstruction, with less than half of the investigated cohort returning to its preinjury level of sport. Return-to-sport outcomes are less than ideal for patients who have ACL reconstruction surgery to both knees.

scholarly journals Study protocol for a randomised controlled trial of meniscal surgery compared with exercise and patient education for treatment of meniscal tears in young adults

BMJ Open ◽  
2017 ◽  
Vol 7 (8) ◽  
pp. e017436 ◽  
Author(s):  
Søren Thorgaard Skou ◽  
Martin Lind ◽  
Per Hölmich ◽  
Hans Peter Jensen ◽  
Carsten Jensen ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Knee Injury ◽  
Controlled Trial ◽  
Meniscal Tear ◽  
Arthroscopic Surgery ◽  
Meniscal Tears ◽  
Younger Adults ◽  
Meniscal Surgery ◽  
Randomised Controlled

IntroductionArthroscopic surgery is a very common orthopaedic procedure. While several trials have investigated the effect of knee arthroscopy for middle-aged and older patients with meniscal tears, there is a paucity of trials comparing meniscal surgery with non-surgical treatment for younger adults. The aim of this randomised controlled trial (RCT) is to investigate if early arthroscopic surgery is superior to exercise therapy and education, with the option of later surgery if needed, in improving pain, function and quality of life in younger adults with meniscal tears.Methods and analysisThis is a protocol for a multicentre, parallel-group RCT conducted at six hospitals across all five healthcare regions in Denmark. 140 patients aged 18–40 years with a clinical history and symptoms consistent with a meniscal tear, verified on MRI, found eligible for meniscal surgery by an orthopaedic surgeon will be randomly allocated to one of two groups (1:1 ratio). Participants randomised to surgery will undergo either arthroscopic partial meniscectomy or meniscal repair followed by standard postsurgical care, while participants allocated to exercise and education will undergo a 12-week individualised, supervised neuromuscular and strengthening exercise programme and patient education. The primary outcome will be difference in change from baseline to 12 months in the mean score on four Knee Injury and Osteoarthritis Outcome Score subscales, covering pain, symptoms, function in sports and recreation and quality of life (Knee Injury and Osteoarthritis Outcome Score (KOOS4)) supported by the individual subscale scores allowing clinical interpretation. Alongside, the RCT an observational cohort will follow patients aged 18–40 years with clinical suspicion of a meniscal tear, but not fully eligible or declining to participate in the trial.Ethics and disseminationResults will be presented in peer-reviewed journals and at international conferences. This study is approved by the Regional Committees on Health Research Ethics for Southern Denmark.Registration detailsClinicalTrials.gov (NCT02995551).

Development and Validation of the Quality Of Life Outcome Measure (Questionnaire) for Chronic Anterior Cruciate Ligament Deficiency

1998 ◽  
Vol 26 (3) ◽  
pp. 350-359 ◽  
Author(s):  
Nick Mohtadi
Keyword(s):  
Quality Of Life ◽  
Anterior Cruciate Ligament ◽  
Outcome Measure ◽  
Cruciate Ligament ◽  
Average Score ◽  
Anterior Cruciate Ligament Deficiency ◽  
Validity Assessment ◽  
Significant Difference ◽  
Anterior Cruciate

A patient-based, subjective outcome measure for chronic anterior cruciate ligament deficiency was developed, pretested, and validated. The development of the outcome measure was completed in four stages: 1) item generation (167 items), 2) item reduction (by surveying 79 patients), 3) questionnaire formation and pretesting (20 patients), and 4) reliability, responsiveness, and validity assessment (100 patients). This disease-specific quality of life measure is a 32-item questionnaire using a 100-mm visual analog scale response format. Face validity was derived from extensive direct patient input. Content validity was determined by consensus among 20 knee surgeons. There was no significant difference on test-retest reliability, with an overall average error of 6%. The outcome measure demonstrated responsiveness to clinical change correctly in 21 of 25 patients (84%). Construct validity was shown by the ability of the questionnaire to measure the full spectrum of disease; scores ranged from 8 to 99 out of a maximum score of 100. The questionnaire was able to distinguish patients who went on to have surgery (average score, 31) from those who would be treated nonoperatively (average score, 79). The quality of life outcome measure for chronic anterior cruciate ligament deficiency is the first subjective knee scale of its kind to be validated to measure quality of life in patients with chronic anterior cruciate ligament deficiency.

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