Measurement properties of performance-based outcome measures to assess physical function in young and middle-aged people known to be at high risk of hip and/or knee osteoarthritis: a systematic review

Authors:

Kroman, S. L., Roos, E. M., Bennell, K. L., Hinman, R. S., and Dobson, F.

Abstract:

OBJECTIVES: To systematically appraise the evidence on measurement properties of performance-based outcome measures to assess physical function in young and middle-aged people known to be at high risk of hip and/or knee osteoarthritis (OA).

METHODS: Electronic searches were performed in MEDLINE, CINAHL, Scopus and SPORTDiscus in May 2013. Two reviewers independently rated the measurement properties using the 4-point COSMIN checklist. Best evidence synthesis was made using COSMIN quality, consistency and direction of findings and sample size.

RESULTS: Twenty of 2736 papers were eligible for inclusion and 24 different performance-based outcome measures knee or obese populations were evaluated. No tests related to hip populations were included. Twenty-five measurement properties including reliability (nine studies), construct validity (hypothesis testing) (nine studies), measurement error (three studies), structural validity (two studies), interpretability (one study) and responsiveness (one study) were evaluated. A positive rating was given to 12.5% (30/240) of all possible measurement ratings. Tests were grouped into two categories based on the population characteristics. The one-legged hop for distance, followed by the 6-m timed hop and cross over hop for distance were the best-rated tests for the knee-injured population. Whereas the 6-min walk test was the only included test for the obese population.

CONCLUSION: This review highlights the many gaps in knowledge about the measurement properties of performance-based outcome measures for young and middle-aged people known to be at high risk of hip and/or knee OA. There is a need for consensus on which outcome measures should be used and/or combined when assessing physical function in this population. Further good quality research is required

DOI:

URL:

PM:24216060; http://ac.els-cdn.com/S1063458413010042/1-s2.0-S1063458413010042-main.pdf?_tid=22353ea8-c4f2-11e5-9174-00000aacb35d&acdnat=1453898174_e972cfb323ab77e75d9429714d31d523
https://www.ncbi.nlm.nih.gov/pubmed/24216060

Journal:

Osteoarthritis.Cartilage.

issn:

Publication year:

2014

pages:

26-39

Functional status:

Physical functioning

Age:

Adults (18-65)

Disease:

Codes for special purposes
Diseases of and symptoms related to the musculoskeletal system and connective tissue

PRO / non-PRO:

Non-patient Reported Outcome

Type of measurement instrument:

4 - Performance-based tests

Instrument:

6MWT - 6 Minute Walk Test    |  | also see: database.cosmin.nl
Antero-medial lunge
Balance and reach
Carioca test
Climbing a stool
Co-contraction test
F8W - Figure-of-eight Walk Test [alias: Figure-of-eight] [alias: Figure-8 walk]
Heel Raise Test
Hop Tests (versions: Single Leg Hop; Triple Hop; Multiple Hop; Crossover Hop; 6m Timed Hop; Hop Sequence; Figure of eight; Squared Hop; Medial Hop; Lateral Hop; Side Hop Test; Timed Speedy Hop; Up-and-down; Side-to-side; Vertical Hop; Stair Hop; 10s Vertical Hop)
Knee bends
Lateral step-up
One-leg rise
Single-leg wall slide
Squat (versions: repeated squatting; Isometric)
SRT - Shuttle Run Tests (versions: 4x4; 4x5; 4x10; 10x5; 7,5SRT; 10mSRT; 16mSRT; 20mSRT; triple 120m; 300m; 10x5; SR‑20m-(AD) - SR adapted)   
Stairs hopple test
Stairs-running test
Step-down
Test Battery
Vertical jump test