The Hospital for Special Surgery Pediatric Functional Activity Brief Scale (HSS Pedi-FABS): Normative Data

2018 ◽  
Vol 46 (5) ◽  
pp. 1228-1234 ◽  
Author(s):  
Peter D. Fabricant ◽  
Joash R. Suryavanshi ◽  
Jacob G. Calcei ◽  
Robert G. Marx ◽  
Roger F. Widmann ◽  
...  
Keyword(s):  
Functional Activity ◽  
Normative Data ◽  
Linear Regression Analysis ◽  
Population Sample ◽  
Sports Participation ◽  
Activity Level ◽  
Future Research ◽  
Cross Sectional ◽  
Special Surgery ◽  
Hospital For Special Surgery

Background: Recent data have shown an increase in youth sports participation at younger ages, which may be linked to greater musculoskeletal injury risk. The Hospital for Special Surgery Pediatric Functional Activity Brief Scale (HSS Pedi-FABS) is a validated 8-item instrument designed to quantify the activity of children between 10 and 18 years old. Normative data on pediatric and adolescent activity level are unknown. Purpose: To establish normative activity-level data for American youth and to determine if there is a natural decrease in activity level during adolescence. Study Design: Cross-sectional study; Level of evidence, 3. Methods: A cross-sectional investigation was performed among 2002 US children and adolescents equally split by sex and age and representing census-weighted distributions of state of residency, race/ethnicity, and health insurance status. Respondents completed the HSS Pedi-FABS, as well as survey questions on demographics and sports participation. Normative data were reported with descriptive statistics. Linear regression analysis was performed to determine if there was an effect of age on activity level during adolescence. Results: A total of 2002 respondents completed the survey; the mean age of the respondents at the time of survey completion was 14.0 ± 2.6 years. Mean weekly amount of reported physical activity was 9.3 ± 8.4 hours. HSS Pedi-FABS scores were normally distributed with a mean of 15.4 ± 8.5 points (out of 30 possible points). There was a modest but statistically significant decrease in HSS Pedi-FABS activity scores with increasing age ( r = −0.175, P < .001), corresponding to a linear decrease in activity scores by 27% on average from age 10 to 18 years. Conclusion: The current study provides baseline normative data for activity level in a census-weighted representative population sample of 2002 American youth through the use of a validated activity score (HSS Pedi-FABS). There was a modest but statistically significant decrease in activity scores with increasing age. These results will aid future research by providing normative, representative population-level activity data and will help to quantify the natural rate of decreased activity during adolescence.

Activity Measures in Pediatric Athletes: A Comparison of the Hospital for Special Surgery Pediatric Functional Activity Brief Scale and Tegner Activity Level Scale

2020 ◽  
Vol 48 (4) ◽  
pp. 985-990 ◽  
Author(s):  
K. John Wagner ◽  
Meagan J. Sabatino ◽  
Aaron J. Zynda ◽  
Catherine V. Gans ◽  
Jane S. Chung ◽  
...  
Keyword(s):  
Functional Activity ◽  
Sports Participation ◽  
Ceiling Effect ◽  
Activity Level ◽  
School Level ◽  
Patient Reported ◽  
Special Surgery ◽  
Level Scale ◽  
Tegner Activity Level ◽  
Hospital For Special Surgery

Background: In young athletes, patient-reported activity level is frequently used to determine return to the same level of sport after treatment. Purpose: To evaluate the validity and score distributions of the Hospital for Special Surgery Pediatric Functional Activity Brief Scale (HSS Pedi-FABS) compared with the Tegner Activity Level Scale (Tegner) in pediatric athletes. Study Design: Cohort study (Diagnosis); Level of evidence, 2. Methods: A retrospective review of 517 consecutive youth athletes who came to a sports medicine specialty clinic for a knee evaluation was performed. Patients completed the HSS Pedi-FABS, Tegner, and a sports participation survey before evaluation. Scores were compared with reported hours, days, and weeks of participation in sports as well as level of competition. Floor or ceiling effects were identified, and finally, the means and distributions of scores in the 8 most common primary sports were analyzed. Results: A total of 398 participants (54.0% female) with an average age of 14.5 years (range, 10.0-18.8 years) were included in the study. The HSS Pedi-FABS demonstrated correlations with hours per week ( r = 0.302; P < .001), days per week ( r = 0.278; P < .001), and weeks per year ( r = 0.136; P = .014) playing a primary sport. The Tegner only demonstrated a correlation with days per week ( r = 0.211; P = .001). Additionally, club/select-level athletes scored higher than junior high/high school–level athletes on the HSS Pedi-FABS (23.8 vs 21.0; P = .004), but no difference was observed with the Tegner. No floor or ceiling effect was observed for the HSS Pedi-FABS, but a ceiling effect was present for the Tegner (32.8%). The HSS Pedi-FABS demonstrated a varied score distribution between the 8 most common primary sports ( P < .001), with soccer players scoring the highest, on average (23.5). Conclusion: The HSS Pedi-FABS, compared with the Tegner, demonstrated more correlations with an athlete’s participation in sport with no floor or ceiling effect and had a wide distribution of scores even among same-sport athletes. The HSS Pedi-FABS may be a more valuable activity measure than the Tegner in pediatric athletes.

scholarly journals A COMPARISON OF THE MARX ACTIVITY RATING SCALE AND THE HOSPITAL FOR SPECIAL SURGERY PEDIATRIC FUNCTIONAL ACTIVITY BRIEF SCALE

2020 ◽  
Vol 8 (4_suppl3) ◽  
pp. 2325967120S0019
Author(s):  
Niv Marom ◽  
William Xiang ◽  
Madison R. Heath ◽  
Caroline Boyle ◽  
Peter D. Fabricant ◽  
...  
Keyword(s):  
Physical Activity ◽  
Physical Activity Level ◽  
Functional Activity ◽  
Rating Scale ◽  
Knee Injuries ◽  
Random Order ◽  
Activity Level ◽  
Special Surgery ◽  
Activity Rating ◽  
Hospital For Special Surgery

Background: The Marx Activity Rating Scale (MARS) and the Hospital for Special Surgery Pediatric Functional Activity Brief Scale (HSS Pedi-FABS) are both validated activity scales. While the MARS examines greatest physical activity level within the last year, the HSS Pedi-FABS assesses the greatest level of physical activity within the last month. Purpose: To determine whether the different time frames used in MARS and HSS Pedi-FABS affect scores on common items in both scales, and if so, to determine whether age or injury status affect this difference. Methods: The MARS and 4 analogous items on the HSS Pedi-FABS were administered sequentially in random order to patients being evaluated at two sports surgeons’ clinic for knee injuries in addition to their healthy companions in order to enroll an uninjured comparison group. Responses to each question were scored from 0-4 for a maximum overall score of 16. Participant demographics were also recorded. Paired and independent sample t-tests were used to determine mean differences between the two scales and between healthy and injured adults and children, respectively. Results: The final cohort included 88 participants of which 47% were children (ages 10-17) and 51% had a knee injury. All participants except for healthy adults scored significantly lower on the HSS Pedi-FABS than the MARS (p < 0.05, Table 1). On the HSS Pedi-FABS activity scale, healthy participants scored significantly higher than injured participants (p<0.01), but there were no significant differences based on age, Figure 1A. Conversely, on the MARS scale, children scored higher than adults (p≤0.001), but there were no significant differences based on injury, Figure 1B. Conclusion: Physical activity level is significantly different when evaluated by either MARS or its analogue portion of HSS Pedi-FABS. Because the only difference between the scales is the timeframe, the lower scores on the Pedi-FABS than the MARS are likely due to seasonal changes in activity which are not captured in the MARS. Because the Pedi-FABS analyzes a shorter window, it is more likely to capture acute changes in physical activity due to a recent injury than the MARS scale while the MARS scale is better suited for examining general physical activity unaffected by seasonality. Understating the differences between these scales can guide clinicians in using them appropriately when evaluating patient activity level. Tables: [Table: see text] Figures: [Figure: see text]

Accuracy of Anthropometric Measurements: Past, Present, and Future

1996 ◽  
Vol 33 (1) ◽  
pp. 10-22 ◽  
Author(s):  
Leslie G. Farkas
Keyword(s):  
Clinical Practice ◽  
Healthy Subjects ◽  
Normative Data ◽  
Population Sample ◽  
Anthropometric Measurements ◽  
Anthropometric Measurement ◽  
Cross Sectional ◽  
Relative Validity ◽  
Factors Influencing ◽  
Cross Sectional Studies

Experience, based on anthropometric examination of over 1000 children with facial syndromes and more than 2400 healthy subjects of both sexes and various ages, has led me to diverge in some points from the more usual views found in the physical anthropologic literature. The purpose of this paper is to discuss the major controversial topics associated with anthropometric measurement. These include the problems associated with formation of a representative population sample, the relative validity of longitudinal and cross-sectional studies, the interpretation of intraobserver and interobserver testings, and the questionable judgments of mensurative skill in clinical practice. The factors influencing the accuracy of anthropometric measurements, definitions of both the consistent and less reliable measurements, and the duration of validity of anthropometric normative data are also discussed.

scholarly journals Are context-specific measures of parental-reported physical activity and sedentary behaviour associated with accelerometer data in 2–9-year-old European children?

2014 ◽  
Vol 18 (5) ◽  
pp. 860-868 ◽  
Author(s):  
Vera Verbestel ◽  
Stefaan De Henauw ◽  
Karin Bammann ◽  
Gianvincenzo Barba ◽  
Charalambos Hadjigeorgiou ◽  
...  
Keyword(s):  
Physical Activity ◽  
Sedentary Behaviour ◽  
Sedentary Time ◽  
Sports Participation ◽  
Cross Sectional Study ◽  
Future Research ◽  
Accelerometer Data ◽  
Cross Sectional ◽  
Context Specific ◽  
Outdoor Playtime

AbstractObjectiveThe aim of the present study was to investigate if context-specific measures of parental-reported physical activity and sedentary behaviour are associated with objectively measured physical activity and sedentary time in children.DesignCross-sectional study.SettingSeven European countries taking part in the IDEFICS (Identification and Prevention of Dietary- and Lifestyle-induced Health Effects in Children and Infants) study.SubjectsData were analysed from 2–9-year-old children (n 5982) who provided both parental-reported and accelerometer-derived physical activity/sedentary behaviour measures. Parents reported their children’s daily screen-time, weekly sports participation and daily outdoor playtime by means of the Outdoor Playtime Checklist (OPC) and Outdoor Playtime Recall Questions (OPRQ).ResultsSports participation, OPC- and OPRQ-derived outdoor play were positively associated with accelerometer-derived physical activity. Television viewing and computer use were positively associated with accelerometer-derived sedentary time. All parental-reported measures that were significantly associated with accelerometer outcomes explained only a minor part of the variance in accelerometer-derived physical activity or sedentary time.ConclusionsParental-reported measures of physical activity and sedentary behaviour are not useful as a proxy for 2–9-year-old children’s physical activity and sedentary time. Findings do not preclude the use of context-specific measures but imply that conclusions should be limited to the context-specific behaviours that are actually measured. Depending on the aim of the study, future research should carefully consider the choice of measurements, including the use of subjective or objective measures of the behaviour of interest or a combination of both.

scholarly journals Increases in Psychological Flexibility Mediate Relationship Between Acute Psychedelic Effects and Decreases in Racial Trauma Symptoms Among People of Color

2021 ◽  
Vol 5 ◽  
pp. 247054702110356
Author(s):  
Alan K. Davis ◽  
Yitong Xin ◽  
Nathan D. Sepeda ◽  
Albert Garcia-Romeu ◽  
Monnica T. Williams
Keyword(s):  
Online Survey ◽  
Linear Regression Analysis ◽  
Psychological Flexibility ◽  
Multiple Linear Regression Analysis ◽  
People Of Color ◽  
Survey Study ◽  
Future Research ◽  
Trauma Symptoms ◽  
Cross Sectional ◽  
Racial Trauma

Background Previous research showed acute psychedelic effects were associated with decreases in racial trauma (RT) symptoms among black, indigenous, and people of color (BIPOC). Among samples comprised primarily of white participants, positive outcomes of psychedelic experiences have been mediated by increases in psychological flexibility. Therefore, we examined whether changes in psychological flexibility from before to after a psychedelic experience mediated the relationship between acute psychedelic effects and changes in RT symptoms among BIPOC. Methods This cross-sectional online survey study included 313 BIPOC (mean age = 33.1; SD = 11.2; female = 57%). A multiple linear regression analysis was used to examine the association between acute psychedelic effects and decreases in RT symptoms in a nonclinical setting; a path analysis was used to explore whether changes in psychological flexibility mediated this relationship. Results Acute insight and challenging effects were significantly ( p < .001) associated with decreases in RT symptoms following a psychedelic experience. Increases in psychological flexibility partially mediated relationships between greater intensity of psychological insight and less intensity of challenging experiences and decreases in RT symptoms ( ps<.001). Conclusion This research suggests psychedelics confer potential benefits in decreasing RT symptoms among BIPOC and psychological flexibility may be an important mediator of these effects. Future research should test this hypothesis in a longitudinal clinical trial among BIPOC.

scholarly journals Translation and Validation of the Hospital for Special Surgery Pediatric Functional Activity Brief Scale for French Paediatric Populations

2020 ◽  
Vol 72 (4) ◽  
pp. 348-354
Author(s):  
Michael J. Del Bel ◽  
Laryssa G. Kemp ◽  
Céline I. Girard ◽  
Julie Rossignol ◽  
Sébastien F. Goulet ◽  
...  
Keyword(s):  
Functional Activity ◽  
Special Surgery ◽  
Hospital For Special Surgery ◽  
Translation And Validation

scholarly journals IDENTIFICATION AND PREVENTION OF EXPECTED CYBERSECURITY THREATS DURING 2022 FIFA WORLD CUP IN QATAR

2020 ◽  
Vol 5 (1) ◽  
pp. 49-84
Author(s):  
Nasser AL-Dosari Khalifa
Keyword(s):  
Regression Analysis ◽  
Linear Regression Analysis ◽  
Principal Component ◽  
Perceived Quality ◽  
Learning Technologies ◽  
Future Research ◽  
World Cup ◽  
Cross Sectional ◽  
Fifa World Cup

Purpose: This research aimed to identify cybersecurity threats expected at the upcoming FIFA World Cup in Qatar in 2022 and assess how they can be prevented. Methodology: This was done by adopting a quantitative research design and survey strategy with 167 respondents from Qatar. The respondents were purposively sampled from the event industry, and a Likert scale was used to quantify the responses for further statistical analysis. The quantitative data collected was analysed using the SPSS version 25 for data analysis. A hypothesis was tested as to whether the perceived expected cybersecurity threats are significantly associated with the perceived quality of measures to tackle these threats. The testing was done using multiple methods, including Principal Component Analysis (PCA) and cross-sectional linear regression analysis.  Further analysis was done using One-way ANOVA and correlation analysis, as well as, independent samples t-test. Descriptive statistics, such as percentages and frequencies were used, with tables and charts used in presenting the findings. Findings: The results revealed high loadings of potential cyberattacks on sponsors, fans, online ticket sales, government and the FIFA website based on the PCA. The regression analysis revealed a statistically significant association between the perception of the cybersecurity risks and perceived quality of measures undertaken to address the cyber threats. The research was limited, however, by not covering technical issues of cybersecurity, including the development of improvements to current security systems, which presents an area for future research with the implementation of machine learning technologies, big data and AI training. Contribution: The study provided recommendations for policymakers to invest in technologies for the protection of sensitive data, including online databases and hiring competent specialists in the field of cybersecurity. To address the risks for fans, policymakers are recommended to start a campaign aimed at increasing the awareness of cyberattacks on personal and financial information at large events.

scholarly journals Hospital for Special Surgery Pediatric Functional Activity Brief Scale Predicts Physical Fitness Testing Performance

2013 ◽  
Vol 472 (5) ◽  
pp. 1610-1616 ◽  
Author(s):  
Peter D. Fabricant ◽  
Alex Robles ◽  
Son H. McLaren ◽  
Robert G. Marx ◽  
Roger F. Widmann ◽  
...  
Keyword(s):  
Physical Fitness ◽  
Functional Activity ◽  
Fitness Testing ◽  
Testing Performance ◽  
Special Surgery ◽  
Physical Fitness Testing ◽  
Hospital For Special Surgery
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