1
|
Beauchamp M, Hao Q, Kuspinar A, Alder G, Makino K, Nouredanesh M, Zhao Y, Mikton C, Thiyagarajan JA, Diaz T, Raina P. Measures of perceived mobility ability in community-dwelling older adults: a systematic review of psychometric properties. Age Ageing 2023; 52:iv100-iv111. [PMID: 37902516 PMCID: PMC10615037 DOI: 10.1093/ageing/afad124] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2023] [Indexed: 10/31/2023] Open
Abstract
OBJECTIVES The objective of this systematic review was to synthesise the psychometric properties of measures of perceived mobility ability and related frameworks used to define and operationalise mobility in community-dwelling older adults. METHODS We registered the review protocol with PROSPERO (CRD42022306689) and included studies that examined the psychometric properties of perceived mobility measures in community-dwelling older adults. Five databases were searched to identify potentially relevant primary studies. We qualitatively summarised psychometric property estimates and related operational frameworks. We conducted risk of bias and overall quality assessments, and meta-analyses when at least three studies were included for a particular outcome. The synthesised results were compared against the Consensus-based Standards for the Selection of Health Measurement Instruments criteria for good measurement properties. RESULTS A total of 36 studies and 17 measures were included in the review. The Late-Life Function and Disability Index: function component (LLFDI-FC), lower extremity functional scale (LEFS), Mobility Assessment Tool (MAT)-short form (MAT-SF) or MAT-Walking, and Perceived Driving Abilities (PDA) Scale were identified with three or more eligible studies. Most measures showed sufficient test-retest reliability (moderate or high), while the PDA scale showed insufficient reliability (low). Most measures had sufficient or inconsistent convergent validity (low or moderate) or known-groups validity (low or very low), but their predictive validity and responsiveness were insufficient or inconsistent (low or very low). Few studies used a conceptual model. CONCLUSION The LLFDI-FC, LEFS, PDA and MAT-SF/Walking can be used in community-dwelling older adults by considering the summarised psychometric properties. No available comprehensive mobility measure was identified that covered all mobility domains.
Collapse
Affiliation(s)
- Marla Beauchamp
- School of Rehabilitation Science, McMaster University, Hamilton, ON, Canada
- McMaster Institute for Research on Aging, McMaster University, Hamilton, ON, Canada
| | - Qiukui Hao
- School of Rehabilitation Science, McMaster University, Hamilton, ON, Canada
- McMaster Institute for Research on Aging, McMaster University, Hamilton, ON, Canada
| | - Ayse Kuspinar
- School of Rehabilitation Science, McMaster University, Hamilton, ON, Canada
- McMaster Institute for Research on Aging, McMaster University, Hamilton, ON, Canada
| | - Gésine Alder
- McMaster Institute for Research on Aging, McMaster University, Hamilton, ON, Canada
| | - Keitaro Makino
- McMaster Institute for Research on Aging, McMaster University, Hamilton, ON, Canada
- Department of Preventive Gerontology, National Center for Geriatrics and Gerontology, Obu, Japan
| | - Mina Nouredanesh
- School of Rehabilitation Science, McMaster University, Hamilton, ON, Canada
- McMaster Institute for Research on Aging, McMaster University, Hamilton, ON, Canada
| | - Yunli Zhao
- Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, ON, Canada
| | - Christopher Mikton
- Demographic Change and Healthy Aging Unit, Social Determinants of Health, World Health Organization, Geneva, Switzerland
| | | | - Theresa Diaz
- Department of Maternal, Newborn, Child and Adolescent Health and Ageing, World Health Organization, Geneva, Switzerland
| | - Parminder Raina
- McMaster Institute for Research on Aging, McMaster University, Hamilton, ON, Canada
- Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, ON, Canada
- Labarge Centre for Mobility in Aging, McMaster University, Hamilton, ON, Canada
| |
Collapse
|
2
|
Sijtsma K, van der Ark LA. Advances in nonparametric item response theory for scale construction in quality-of-life research. Qual Life Res 2022; 31:1-9. [PMID: 34751897 PMCID: PMC8800886 DOI: 10.1007/s11136-021-03022-w] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/13/2021] [Indexed: 11/28/2022]
Abstract
We introduce the special section on nonparametric item response theory (IRT) in Quality of Life Research. Starting from the well-known Rasch model, we provide a brief overview of nonparametric IRT models and discuss the assumptions, the properties, and the investigation of goodness of fit. We provide references to more detailed texts to help readers getting acquainted with nonparametric IRT models. In addition, we show how the rather diverse papers in the special section fit into the nonparametric IRT framework. Finally, we illustrate the application of nonparametric IRT models using data from a questionnaire measuring activity limitations in walking. The real-data example shows the quality of the scale and its constituent items with respect to dimensionality, local independence, monotonicity, and invariant item ordering.
Collapse
Affiliation(s)
- Klaas Sijtsma
- Tilburg School of Social and Behavioural Sciences, Tilburg University, P.O Box 90153, 5000 LE, Tilburg, The Netherlands
| | - L Andries van der Ark
- Research Institute of Child Development and Education, University of Amsterdam, P. O. Box 15776, 1001 NG, Amsterdam, The Netherlands.
| |
Collapse
|
3
|
de Rooij M, van der Leeden M, Cheung J, van der Esch M, Häkkinen A, Haverkamp D, Roorda LD, Twisk J, Vollebregt J, Lems WF, Dekker J. Efficacy of Tailored Exercise Therapy on Physical Functioning in Patients With Knee Osteoarthritis and Comorbidity: A Randomized Controlled Trial. Arthritis Care Res (Hoboken) 2017; 69:807-816. [DOI: 10.1002/acr.23013] [Citation(s) in RCA: 66] [Impact Index Per Article: 9.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2016] [Revised: 07/10/2016] [Accepted: 08/09/2016] [Indexed: 01/22/2023]
Affiliation(s)
- Mariëtte de Rooij
- Amsterdam Rehabilitation Research Center
- Reade; Amsterdam The Netherlands
| | - Marike van der Leeden
- Amsterdam Rehabilitation Research Center
- Reade, and VU University Medical Center; Amsterdam The Netherlands
| | - John Cheung
- Slotervaart Hospital; Amsterdam The Netherlands
| | | | - Arja Häkkinen
- University of Jyväskylä and Jyväskylä Central Hospital; Jyväskylä Finland
| | | | - Leo D. Roorda
- Amsterdam Rehabilitation Research Center
- Reade; Amsterdam The Netherlands
| | - Jos Twisk
- VU University Medical Center; Amsterdam The Netherlands
| | - Joke Vollebregt
- Amsterdam Rehabilitation Research Center
- Reade; Amsterdam The Netherlands
| | | | - Joost Dekker
- VU University Medical Center; Amsterdam The Netherlands
| |
Collapse
|
4
|
Nasrala Neto E, Bittencourt WS, Nasrala MLS, Oliveira ALLD, Souza ACGD, Nascimento JFD. Correlations between low back pain and functional capacity among the elderly. REVISTA BRASILEIRA DE GERIATRIA E GERONTOLOGIA 2016. [DOI: 10.1590/1981-22562016019.150227] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Abstract Objective: To investigate the association between low back pain and functional capacity among non-institutionalized elderly persons. Method: A cross-sectional observational study of non-institutionalized elderly persons was performed. The Timed Up and Go (TUG) and Sitting-Rising Test (SRT) functional tests were used, together with the Roland Morris Disability Questionnaire (RMDQ). Result: A total of 99 elderly persons of both genders were included. Kendall’s Correlation analysis showed a significant correlation between the RMDQ and the SRT scores for the act of sitting (p=0.001) and the act of lifting (p=0.028). Despite the statistical significance, these two variables were weakly correlated (r=-239;r=-163). The results also identified a statistically significant correlation between the TUG and SRT tests for the act of sitting (r=-222; p=0.003) and the act of lifting (r=-206; p=0.006). Conclusion: It was observed that most of the non-institutionalized elderly persons had good functional capacity. It is also possible to affirm that there is an association between low back pain and functional capacity.
Collapse
|
5
|
Grieve S, Jones L, Walsh N, McCabe C. What outcome measures are commonly used for Complex Regional Pain Syndrome clinical trials? A systematic review of the literature. Eur J Pain 2015; 20:331-40. [PMID: 26075938 DOI: 10.1002/ejp.733] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/25/2015] [Indexed: 11/10/2022]
Affiliation(s)
- S. Grieve
- Royal National Hospital for Rheumatic Diseases; Bath UK
- Faculty of Health and Applied Sciences; University of the West of England; Bristol UK
| | - L. Jones
- Faculty of Health and Applied Sciences; University of the West of England; Bristol UK
| | - N. Walsh
- Faculty of Health and Applied Sciences; University of the West of England; Bristol UK
| | - C. McCabe
- Royal National Hospital for Rheumatic Diseases; Bath UK
- Faculty of Health and Applied Sciences; University of the West of England; Bristol UK
| |
Collapse
|
6
|
Health-related quality of life in 975 patients with complex regional pain syndrome type 1. Pain 2014; 155:629-634. [DOI: 10.1016/j.pain.2013.12.017] [Citation(s) in RCA: 38] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2013] [Revised: 12/05/2013] [Accepted: 12/10/2013] [Indexed: 11/18/2022]
|
7
|
Development and validation of the computer-administered animated activity questionnaire to measure physical functioning of patients with hip or knee osteoarthritis. Phys Ther 2014; 94:251-61. [PMID: 24029297 DOI: 10.2522/ptj.20120472] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/09/2023]
Abstract
BACKGROUND Physical functioning of patients with hip or knee osteoarthritis is measured by self-report questionnaires and performance-based tests. However, performance-based tests often are not feasible. OBJECTIVE The aim of this study was to develop a computer-administered questionnaire (ie, the Animated Activity Questionnaire [AAQ]) to measure physical functioning in patients with hip or knee OA. By showing animations of activities, the influence of the patient's own reference frame is minimized. The AAQ measures the same aspects of physical functioning as performance-based tests do. DESIGN This was a development and preliminary validation (cross-sectional) study. METHODS A pilot version of the AAQ was developed using motion capture to analyze the movement of a person performing 7 daily activities. Different animations of the same activity were made with 2 to 5 levels of difficulty. For each activity, participants were asked to choose one animation that best corresponds to their own way of performing the activity. A preliminary validation study was performed to compare the AAQ with validated self-report questionnaires (Knee Injury and Osteoarthritis Outcome Score, Hip Disability and Osteoarthritis Outcome Score, and questionnaires on walking, stair climbing, and rising and sitting down) and performance-based tests (walking, Timed "Up & Go" Test, Timed Stair Test) in 33 patients with hip or knee osteoarthritis. RESULTS As expected, the AAQ showed a correlation above .70 (.79, 95% confidence interval=.61-.89) with the total score of the performance-based tests. On the subscore level, the results were partly as expected. Fifty-eight percent of the participants preferred the AAQ over self-report questionnaires and performance-based tests. LIMITATIONS The findings need to be replicated in larger samples of patients because the sample size of the study was rather small. CONCLUSION The AAQ might be a good alternative for measuring physical functioning of patients with hip or knee osteoarthritis. The AAQ can easily be adapted for use in other patient populations. However, further development and validation are needed.
Collapse
|
8
|
Fischer SGL, Collins S, Boogaard S, Loer SA, Zuurmond WWA, Perez RSGM. Intravenous Magnesium for Chronic Complex Regional Pain Syndrome Type 1 (CRPS-1). PAIN MEDICINE 2013; 14:1388-99. [DOI: 10.1111/pme.12211] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
|
9
|
Knoop J, Dekker J, van der Leeden M, van der Esch M, Thorstensson CA, Gerritsen M, Voorneman RE, Peter WF, de Rooij M, Romviel S, Lems WF, Roorda LD, Steultjens MPM. Knee joint stabilization therapy in patients with osteoarthritis of the knee: a randomized, controlled trial. Osteoarthritis Cartilage 2013; 21:1025-34. [PMID: 23721797 DOI: 10.1016/j.joca.2013.05.012] [Citation(s) in RCA: 79] [Impact Index Per Article: 7.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/26/2012] [Revised: 05/17/2013] [Accepted: 05/20/2013] [Indexed: 02/02/2023]
Abstract
OBJECTIVE To investigate whether an exercise program, initially focusing on knee stabilization and subsequently on muscle strength and performance of daily activities is more effective than an exercise program focusing on muscle strength and performance of daily activities only, in reducing activity limitations in patients with knee osteoarthritis (OA) and instability of the knee joint. DESIGN A single-blind, randomized, controlled trial involving 159 knee OA patients with self-reported and/or biomechanically assessed knee instability, randomly assigned to two treatment groups. Both groups received a supervised exercise program for 12 weeks, consisting of muscle strengthening exercises and training of daily activities, but only in the experimental group specific knee joint stabilization training was provided. Outcome measures included activity limitations (Western Ontario and McMaster Universities Osteoarthritis Index - WOMAC physical function, primary outcome), pain, global perceived effect and knee stability. RESULTS Both treatment groups demonstrated large (∼20-40%) and clinically relevant reductions in activity limitations, pain and knee instability, which were sustained 6 months post-treatment. No differences in effectiveness between experimental and control treatment were found on WOMAC physical function (B (95% confidence interval - CI) = -0.01 (-2.58 to 2.57)) or secondary outcome measures, except for a higher global perceived effect in the experimental group (P = 0.04). CONCLUSIONS Both exercise programs were highly effective in reducing activity limitations and pain and restoring knee stability in knee OA patients with instability of the knee. In knee OA patients suffering from knee instability, specific knee joint stabilization training, in addition to muscle strengthening and functional exercises, does not seem to have any additional value. Dutch Trial Register (NTR) registration number: NTR1475.
Collapse
Affiliation(s)
- J Knoop
- Amsterdam Rehabilitation Research Center, Reade, The Netherlands.
| | | | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
10
|
Self-reported knee instability and activity limitations in patients with knee osteoarthritis: results of the Amsterdam osteoarthritis cohort. Clin Rheumatol 2012; 31:1505-10. [PMID: 22729472 DOI: 10.1007/s10067-012-2025-1] [Citation(s) in RCA: 50] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2012] [Revised: 05/09/2012] [Accepted: 06/12/2012] [Indexed: 10/28/2022]
Abstract
The objective of this study was to evaluate whether self-reported knee instability is associated with activity limitations in patients with knee osteoarthritis (OA), in addition to knee pain and muscle strength. A cohort of 248 patients diagnosed with knee OA was examined. Self-reported knee instability was defined as the perception of any episode of buckling, shifting, or giving way of the knee in the past 3 months. Knee pain was assessed using a numeric rating scale, and knee extensor and flexor strength were measured using an isokinetic dynamometer. Activity limitations were measured by using the Western Ontario and McMasters Universities Osteoarthritis Index physical function questionnaire, the timed Get Up and Go, and the timed stair climbing and three questionnaires evaluating walking, climbing stairs, and rising from a chair. Other potential determinants of activity limitations were also collected, including joint proprioception, joint laxity, age, sex, body mass index (BMI), disease duration, and radiographic disease severity. Regression analyses evaluated the effect of adding self-reported knee instability to knee pain and muscle strength, when examining associations with the activity limitations measures. Self-reported knee instability was common (65 %) in this cohort of patients with knee OA. Analyses revealed that self-reported knee instability is significantly associated with activity limitations, even after controlling for knee pain and muscle strength. Joint proprioception, joint laxity, age, sex, BMI, duration of complaints, and radiographic severity did not confound the associations. In conclusion, self-reported knee instability is associated with activity limitations in patients with knee OA, in addition to knee pain and muscle strength. Clinically, self-reported knee instability should be assessed in addition to knee pain and muscle strength.
Collapse
|
11
|
Construct Validity and Test-Retest Reliability of the Walking Questionnaire in People With a Lower Limb Amputation. Arch Phys Med Rehabil 2012; 93:983-9. [DOI: 10.1016/j.apmr.2011.11.030] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2011] [Revised: 11/22/2011] [Accepted: 11/23/2011] [Indexed: 11/15/2022]
|
12
|
Steultjens MPM, Stolwijk-Swüste J, Roorda LD, Dallmeijer AJ, van Dijk GM, Post B, Dekker J. WOMAC-pf as a measure of physical function in patients with Parkinson's disease and late-onset sequels of poliomyelitis: unidimensionality and item behaviour. Disabil Rehabil 2012; 34:1423-30. [PMID: 22376135 DOI: 10.3109/09638288.2011.645110] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
PURPOSE To assess psychometric properties of the Western Ontario and MacMasters Universities Osteoarthritis Index (WOMAC)-pf, an osteoarthritis (OA)-specific questionnaire used to establish the level of physical functioning in patients with late-onset sequels of poliomyelitis (LOSP) and Parkinson's disease (PD). STUDY DESIGN AND SETTING Unidimensionality (using principal component analyses [PCA] and Rasch analyses) was separately established for three diagnostic groups: OA (n = 288), LOSP (n = 168) and PD (n = 200). Additionally, differential item functioning (DIF) among the three diagnostic groups was assessed using ordinal regression (Polytomous Universal Model) analyses. Baseline data were used from an ongoing cohort study of these three patient populations. RESULTS Unidimensionality was adequate, with all items loading on the first principal component. The Rasch analyses revealed that item fit was generally good. Uniform and non-uniform DIF were found to be present among the three diagnostic groups in three and one of the 17 physical functioning subscale (WOMAC-pf) items, respectively. CONCLUSION The WOMAC-pf is a unidimensional measure of physical functioning in patients with LOSP and PD, in addition to its established use in OA. [ IMPLICATIONS FOR REHABILITATION • Disability in physical functioning related to mobility(walking, stair climbing, etc.) is a common feature of many chronic diseases, including osteoarthritis, late-onset sequels of poliomyelitis and Parkinson's disease.• In this study, the Western Ontario and MacMasters Universities Osteoarthritis Index-pf was shown to bea useful and adequate tool to assess physical functioning in these patient groups.• The study highlighted that, despite differences in diagnosis,history and course of the disease, patients with different conditions experience similar disabilities in their physical functioning.]
Collapse
Affiliation(s)
- Martijn P M Steultjens
- Institute for Applied Health Research and School of Health, Glasgow Caledonian University , Glasgow, Scotland , United Kingdom
| | | | | | | | | | | | | | | |
Collapse
|
13
|
Packham T, MacDermid JC, Henry J, Bain J. A systematic review of psychometric evaluations of outcome assessments for complex regional pain syndrome. Disabil Rehabil 2011; 34:1059-69. [DOI: 10.3109/09638288.2011.626835] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
|
14
|
de Laat FA, Rommers GM, Geertzen JH, Roorda LD. Construct Validity and Test-Retest Reliability of the Questionnaire Rising and Sitting Down in Lower-Limb Amputees. Arch Phys Med Rehabil 2011; 92:1305-10. [DOI: 10.1016/j.apmr.2011.03.016] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2011] [Accepted: 03/10/2011] [Indexed: 10/17/2022]
|
15
|
de Laat FA, Rommers GM, Geertzen JH, Roorda LD. Construct Validity and Test-Retest Reliability of the Climbing Stairs Questionnaire in Lower-Limb Amputees. Arch Phys Med Rehabil 2010; 91:1396-401. [DOI: 10.1016/j.apmr.2010.06.013] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2010] [Revised: 06/07/2010] [Accepted: 06/09/2010] [Indexed: 10/19/2022]
|
16
|
Heitz C, Bachmann LM, Leibfried A, Kissling R, Kessels AGH, Perez RSGM, Marinus J, Brunner F. Translating the Dutch Walking Stairs, Walking Ability and Rising and Sitting Questionnaires into German and assessing their concurrent validity with VAS measures of pain and activities in daily living. BMC Musculoskelet Disord 2010; 11:108. [PMID: 20515456 PMCID: PMC2896347 DOI: 10.1186/1471-2474-11-108] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/30/2009] [Accepted: 06/01/2010] [Indexed: 11/29/2022] Open
Abstract
BACKGROUND The Dutch Walking Stairs, Walking Ability and Rising and Sitting Questionnaires are three validated instruments to measure physical activity and limitations in daily living in patients with lower extremity disorders living at home of which no German equivalents are available. Our scope was to translate the Walking Stairs, Walking Ability and Rising and Sitting Questionnaires into German and to verify its concurrent validity in the two domains pain and activities in daily living by comparing them with the corresponding measures on the Visual Analogue Scale. METHODS We translated the Walking Stairs, Walking Ability and Rising and Sitting Questionnaires according to published guidelines. Demographic data and validity were assessed in 52 consecutive patients with Complex Regional Pain Syndrome 1 of the lower extremity. Information on age, duration of symptoms, type of Complex Regional Pain Syndrome 1 and type of initiating event were obtained. We assessed the concurrent validity in the two domains pain and activities in daily living by comparing them with the corresponding measures on the Visual Analogue Scale. RESULTS We found that variability in the German Walking Stairs, Walking Ability and Rising and Sitting Questionnaires was largely explained by measures of pain and activities in daily living on the Visual Analogue Scale. CONCLUSION Our study shows that the domains pain and activities in daily living are properly represented in the German versions of the Walking Stairs, Walking Ability and Raising and Sitting Questionnaires. We would like to propagate their use in clinical practice and research alike.
Collapse
Affiliation(s)
- Carolin Heitz
- Department Physiotherapy, Balgrist University Hospital, Zurich, Switzerland
| | - Lucas M Bachmann
- Horten Centre for patient oriented research, University of Zurich, Zurich, Switzerland
| | - Anne Leibfried
- Department of Physical Medicine and Rheumatology, Balgrist University Hospital, Switzerland
| | - Rudolf Kissling
- Department of Physical Medicine and Rheumatology, Balgrist University Hospital, Switzerland
| | - Alfons GH Kessels
- Clinical Epidemiology and Medical Technology Assessment, University Hospital Maastricht, Maastricht, Netherlands
| | - Roberto SGM Perez
- Department of Anaesthesiology, VU University Medical Center, Amsterdam, Netherlands
- TREND (Trauma Related Neuronal Dysfunction) consortium http://www.trendconsortium.nl/home-en
- EMGO Institute for Health and Care Research (EMGO), VU University Medical Center, Amsterdam, Netherlands
| | - Johan Marinus
- TREND (Trauma Related Neuronal Dysfunction) consortium http://www.trendconsortium.nl/home-en
- Department of Neurology, Leiden University Medical Center, Leiden, Netherlands
| | - Florian Brunner
- Department of Physical Medicine and Rheumatology, Balgrist University Hospital, Switzerland
- Department of General Practice, AMC University of Amsterdam, Amsterdam, Netherlands
| |
Collapse
|
17
|
Yari P, Dijkstra PU, Geertzen JH. Functional outcome of hip disarticulation and hemipelvectomy: a cross-sectional national descriptive study in the Netherlands. Clin Rehabil 2009; 22:1127-33. [PMID: 19052251 DOI: 10.1177/0269215508095088] [Citation(s) in RCA: 37] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
OBJECTIVE To describe characteristics of hip disarticulation and hemipelvectomy amputees, to assess their level of activities, participation and experienced limitations in mobility and to describe the amputation-related problems. DESIGN A cross-sectional study. SETTING Patients were mainly recruited via orthopaedic workshops in the Netherlands. SUBJECTS Forty-six patients with an acquired unilateral hip disarticulation or hemipelvectomy at least one year post amputation. MAIN OUTCOME MEASURES Sickness Impact Profile 68 (SIP 68) to assess the level of activity and participation and the questionnaire Rising and Sitting Down, Walking and Climbing Stairs to assess perceived limitations in mobility. RESULTS The 46 patients (31 with hip disarticulation and 15 with hemipelvectomy) had a mean age of 55.8 years (SD 12.1). In 78% of cases the reason for amputation was a tumour. Mean SIP 68 was low, 10.5 (SD 6.9). Hip disarticulation amputees had significantly poorer emotional stability than the hemipelvectomy amputees (P = 0.04). All amputees experienced considerable limitations in their mobility according to the Rising and Sitting Down, Walking and Climbing Stairs scores. CONCLUSIONS Hip disarticulation and hemipelvectomy amputees have a relatively high level of activity and participation (SIP scores) but at the same time experience limitations in walking, rising and sitting down and climbing stairs.
Collapse
Affiliation(s)
- Parwin Yari
- Center for Rehabilitation, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands
| | | | | |
Collapse
|
18
|
Brunner F, Bachmann LM, Weber U, Kessels AGH, Perez RSGM, Marinus J, Kissling R. Complex regional pain syndrome 1--the Swiss cohort study. BMC Musculoskelet Disord 2008; 9:92. [PMID: 18573212 PMCID: PMC2443796 DOI: 10.1186/1471-2474-9-92] [Citation(s) in RCA: 67] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/20/2008] [Accepted: 06/23/2008] [Indexed: 01/01/2023] Open
Abstract
BACKGROUND Little is known about the course of Complex Regional Pain Syndrome 1 and potential factors influencing the course of this disorder over time. The goal of this study is a) to set up a database with patients suffering from suspected CRPS 1 in an initial stadium, b) to perform investigations on epidemiology, diagnosis, prognosis, and socioeconomics within the database and c) to develop a prognostic risk assessment tool for patients with CRPS 1 taking into account symptomatology and specific therapies. METHODS/DESIGN Prospective cohort study. Patients suffering from a painful swelling of the hand or foot which appeared within 8 weeks after a trauma or a surgery and which cannot be explained by conditions that would otherwise account for the degree of pain and dysfunction will be included. In accordance with the recommendations of International Classification of Functioning, Disability and Health (ICF model), standardised and validated questionnaires will be used. Patients will be monitored over a period of 2 years at 6 scheduled visits (0 and 6 weeks, 3, 6, 12, and 24 months). Each visit involves a physical examination, registration of therapeutic interventions, and completion of the various study questionnaires. Outcomes involve changes in health status, quality of life and costs/utility. DISCUSSION This paper describes the rationale and design of patients with CRPS 1. Ideally, potential risk factors may be identified at an early stage in order to initiate an early and adequate treatment in patients with increased risk for delayed recovery.
Collapse
Affiliation(s)
- Florian Brunner
- Department of Physical Medicine and Rheumatology, Balgrist University Hospital, Zurich, Switzerland
| | - Lucas M Bachmann
- Horten Centre for patient oriented research, University of Zurich, Zurich, Switzerland
| | - Ulrich Weber
- Department of Physical Medicine and Rheumatology, Balgrist University Hospital, Zurich, Switzerland
| | - Alfons GH Kessels
- Clinical Epidemiology and Medical Technology Assessment, University Hospital Maastricht, Maastricht, The Netherlands
| | - Roberto SGM Perez
- Department of Anaesthesiology, VU University Medical Center, Amsterdam, The Netherlands
- Research Institute for Extramural Medicine (EMGO), VU University Medical Center, Amsterdam, The Netherlands
| | - Johan Marinus
- Department of Neurology, Leiden University Medical Center, Leiden, The Netherlands
| | - Rudolf Kissling
- Department of Physical Medicine and Rheumatology, Balgrist University Hospital, Zurich, Switzerland
| |
Collapse
|
19
|
Turk DC, Dworkin RH, Burke LB, Gershon R, Rothman M, Scott J, Allen RR, Atkinson HJ, Chandler J, Cleeland C, Cowan P, Dimitrova R, Dionne R, Farrar JT, Haythornthwaite JA, Hertz S, Jadad AR, Jensen MP, Kellstein D, Kerns RD, Manning DC, Martin S, Max MB, McDermott MP, McGrath P, Moulin DE, Nurmikko T, Quessy S, Raja S, Rappaport BA, Rauschkolb C, Robinson JP, Royal MA, Simon L, Stauffer JW, Stucki G, Tollett J, von Stein T, Wallace MS, Wernicke J, White RE, Williams AC, Witter J, Wyrwich KW. Developing patient-reported outcome measures for pain clinical trials: IMMPACT recommendations. Pain 2006; 125:208-215. [PMID: 17069973 DOI: 10.1016/j.pain.2006.09.028] [Citation(s) in RCA: 225] [Impact Index Per Article: 12.5] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2006] [Revised: 05/22/2006] [Accepted: 09/18/2006] [Indexed: 11/16/2022]
Affiliation(s)
- Dennis C Turk
- University of Washington, Seattle, WA 98195, USA University of Rochester School of Medicine and Dentistry, Rochester, NY, USA United States Food and Drug Administration, Rockville, MD, USA Northwestern University, Chicago, IL, USA Johnson and Johnson, Raritan, NY, USA AstraZeneca, Wilmington, DE, USA University of California San Diego, La Jolla, CA, USA Merck and Company, Blue Bell, PA, USA University of Texas, M.D. Anderson Cancer Center, USA American Chronic Pain Association, Rocklin, CA, USA Allergan, Inc, Irvine, CA, USA National Institute of Dental and Craniofacial Research, Bethesda, MD, USA University of Pennsylvania, Philadelphia, PA, USA Johns Hopkins University, Baltimore, MD, USA University Health Network and University of Toronto, Toronto, Canada Novartis Pharmaceuticals, East Hanover, NJ, USA VA Connecticut Healthcare System, West Haven, CT, USA Yale University, New Haven, CT, USA Celgene Corporation, Warren, NJ, USA Pfizer Global Research and Development, Ann Arbor, MI, USA Dalhousie University, Halifax, Nova Scotia, Canada London Regional Cancer Centre, London, Ont., Canada University of Liverpool, Liverpool, UK GlaxoSmithKline, Research Triangle Park, NC, USA Johnson & Johnson, Raritan, NJ, USA Alpharma, Elizabeth, NJ, USA Harvard Medical School, Boston, MA, USA Alpharma, Piscataway, NY, USA University of Munich, Munich, Germany US Department of Veterans Affairs, Washington, DC, USA NeurogesX, Inc, San Carlos, CA, USA Eli Lilly and Co., Indianapolis, IN, USA Endo Pharmaceuticals Inc., Chadds Ford, PA, USA St. Thomas Hospital, London, UK Saint Louis University, St. Louis, MO, USA
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
20
|
Abstract
PURPOSE OF REVIEW Disability (activity limitation) is an important and common health outcome for patients with osteoarthritis, making accurate measures essential. This paper explores self-report measures of activity limitation associated with osteoarthritis and reports on recent conceptual advances that impact on the measurement of activity limitation. RECENT FINDINGS The Western Ontario and McMaster Universities Osteoarthritis Index and the Short Form-36, the most commonly used measures to assess activity limitation, continue to be validated in osteoarthritis. There has been little consensus, however, about which measure to use across different types of osteoarthritis. While new measures have been developed to assess activity limitation, it remains unclear whether or not these are an improvement over existing measures. The International Classification of Functioning, Disability and Health is becoming an important consideration. Commonly used measures do not map directly onto individual constructs of this classification, however a new measure for Japanese people with knee osteoarthritis was developed based on these constructs. SUMMARY There have been significant developments in the conceptual approach to measuring activity limitation. Measures are needed that operationalize activity limitation as defined by the International Classification of Functioning, Disability and Health (within or ideally across cultures), providing a common underlying construct for measures and hence facilitating comparability across studies.
Collapse
Affiliation(s)
- Beth Pollard
- School of Psychology, University of Aberdeen, William Guild Building, Aberdeen, UK.
| | | |
Collapse
|