Measures of Physical Performance

Coleman, Grace; Dobson, Fiona; Hinman, Rana S; Bennell, Kim L; White, Daniel K.

doi:10.1002/acr.24373

Cited by 13 publications

(18 citation statements)

References 180 publications

(237 reference statements)

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“…For performance-based measures in people with HOA the MCID of 2.0-2.6 repetitions was found to be associated with a major improvement in 30secCST and 0.2-0.3 m/sec in 40mFPWT [36]. No information on the MCID relevant to HOA was found for SCT [37].…”

Section: Discussionmentioning

confidence: 76%

Assessing the impact of a long-term physiotherapy program on hip function in patients with osteoarthritis: the role of patient-reported and assessor-observed outcome measures

Lewińska¹,

Palczewski²,

Cieszanowski³

et al. 2022

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Introduction:Because there are few trials evaluating rehabilitation effects in people with hip osteoarthritis, it is important to increase the body of research and develop assessment methods improving the objectivity of evaluation. Aim of the research:To evaluate the effect of a long-term, land-based physiotherapy program on the hip-related function in patients with hip osteoarthritis, and to assess the relationship of self-reported and assessor-observed functional outcome measures. Material and methods: The trial was conducted prospectively over a 12-month period. The study cohort consisted of 37 people of both genders. The intervention included three rounds of 3-week physiotherapist-supervised treatment and two 5-month intervals of an unsupervised maintenance program in between. The functional assessment was performed 4 times using the Hip Dysfunction and Osteoarthritis Outcome Score (HOOS) and a set of performance-based tests (PBTs): the 30-Second Chair Stand Test (30secCST), 40-Metre Fast-paced Walk Test (40mFPWT), and Stair Climb Test (SCT). The hip joint was evaluated twice structurally using the Scoring Hip Osteoarthritis with MRI (magnetic resonance imaging). Results: A significant improvement in hip-related function was observed in HOOS among MRI progressors, exclusively physical workers. Non-progressors, mostly sedentary workers, were characterized by improvement of PBTs. There was a correlation between HOOS and 40mFPWT and SCT at the baseline, 3-week, and 6-month follow-ups. The outcomes for 30secCST were not consistent. We observed a positive effect of rehabilitation on hip function in the studied population, although progressors and non-progressors achieved different outcomes. The relationship of PBTs and HOOS was marked, but not unequivocal. Conclusions:The improvement in self-reported measures may mask disease progression in MRI progressors. StreszczenieWprowadzenie: Ze względu na to, że istnieje niewiele badań oceniających efekty rehabilitacji u osób z chorobą zwyrodnieniową stawu biodrowego, ważne jest rozszerzenie zakresu badań i opracowanie metod oceny poprawiających jej obiektywność. Cel pracy: Ocena wpływu długoterminowego programu fizjoterapii na funkcję stawu biodrowego u pacjentów z chorobą zwyrodnieniową stawów biodrowych oraz ocena związku raportowanych przez pacjenta i ocenianych przez obserwatora funkcjonalnych miar efektu. Materiał i metody: Badanie prowadzono prospektywnie na przestrzeni 12 miesięcy. Grupa badana składała się z 37 osób obojga płci. Interwencja obejmowała trzy 3-tygodniowe serie nadzorowanego postępowania fizjoterapeutycznego oraz dwa 5-miesięczne okresy nienadzorowanego programu podtrzymującego. Ocenę funkcjonalną przeprowadzono czterokrotnie, przy użyciu specyficznego dla stawu biodrowego kwestionariusza Hip dysfunction and Osteoarthritis Outcome Score (HOOS)

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Section: Discussionmentioning

confidence: 76%

Assessing the impact of a long-term physiotherapy program on hip function in patients with osteoarthritis: the role of patient-reported and assessor-observed outcome measures

Lewińska¹,

Palczewski²,

Cieszanowski³

et al. 2022

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“…The SCT measures the time it takes an individual to climb and descend a set number of stairs. It has numerous variations (e.g., varying the number or height of steps, completing the test in a set time or timed test to ascend and descend set number of steps) (5)(6)(7)(8)(9). It is feasible (takes less than 5 minutes to complete) and demands minimal equipment (staircase and stopwatch) (9).…”

Section: Introductionmentioning

confidence: 99%

“…It has numerous variations (e.g., varying the number or height of steps, completing the test in a set time or timed test to ascend and descend set number of steps) (5)(6)(7)(8)(9). It is feasible (takes less than 5 minutes to complete) and demands minimal equipment (staircase and stopwatch) (9). It can also be tested using a mobile application, adding the potential for use in tele-rehabilitation and "virtual" remote consultations (10).…”

Section: Introductionmentioning

confidence: 99%

“…The SCT is increasingly used in clinical trials in hip and knee osteoarthritis (7,(11)(12)(13)(14) and other populations (15,16) despite limited evidence on its measurement properties. Although it has been described as a test that conceptually measures lower extremity strength, power, and balance (i.e., construct validity) (6,9), the empirical evidence to support this is contradictory (17,18). Evidence for its reliability and responsiveness in individuals with hip and knee osteoarthritis is mixed, showing 1) unacceptable to excellent reliability (4)(5)(6)9,19) and 2) acceptable responsiveness following hip and knee arthroplasty (9), but no evidence for its responsiveness in hip and knee osteoarthritis managed nonsurgically based on 2 relatively small studies (17,18).…”

Section: Introductionmentioning

confidence: 99%

“…Although it has been described as a test that conceptually measures lower extremity strength, power, and balance (i.e., construct validity) (6,9), the empirical evidence to support this is contradictory (17,18). Evidence for its reliability and responsiveness in individuals with hip and knee osteoarthritis is mixed, showing 1) unacceptable to excellent reliability (4)(5)(6)9,19) and 2) acceptable responsiveness following hip and knee arthroplasty (9), but no evidence for its responsiveness in hip and knee osteoarthritis managed nonsurgically based on 2 relatively small studies (17,18). Coleman and colleagues, in a recent narrative review, also highlighted the lack of evidence on its minimum important change (MIC; the smallest within-subject change in score that patients consider to be important) (9).…”

Section: Introductionmentioning

confidence: 99%

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Reliability, Validity, Responsiveness, and Minimum Important Change of the Stair Climb Test in Adults With Hip and Knee Osteoarthritis

Sharma

Wilson

Pryymachenko

et al. 2022

Arthritis Care & Research

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Objective The Osteoarthritis Research Society International (OARSI) recommends assessment of physical function using a performance‐based test of stair negotiation but was unable to recommend any specific test. We assessed the reliability, validity, responsiveness, measurement error, and minimum important change (MIC) of the 6‐step timed Stair Climb Test (SCT). Methods We used pooled data from 397 participants with hip or knee osteoarthritis (54% women) from 4 clinical trials (86% retained at 12‐week follow‐up). Construct validity was assessed by testing 6 a priori hypotheses against other OARSI‐recommended physical function measures. A self‐reported Global Rating of Change scale was used to classify participants as worsened, improved, and stable. Participants who worsened in physical function were excluded from all analyses. Responsiveness and MIC were assessed using multiple anchor‐based and distribution‐based approaches. Test–retest reliability, standard error of measurement (SEM), and smallest detectable change (SDC) were assessed on stable participants. Results Five of 6 hypotheses (83%) for construct validity were met. Test–retest reliability was excellent (intraclass correlation coefficient2,1 0.83; 95% confidence interval 0.71–0.90). The SEM and SDC values were 0.44 and 1.21 seconds, respectively. We did not find adequate support for responsiveness. The MIC values ranged from 0.78 to 1.95 seconds using different approaches (median 1.37 seconds). Conclusion The 6‐step timed SCT adequately assesses the construct of physical function in individuals with hip or knee osteoarthritis with excellent 12‐week test–retest reliability. However, support for its responsiveness was inadequate to recommend its use as an outcome measure in people with osteoarthritis for research and clinical practice.

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Using a measurement type-independent metric to compare patterns of determinants between patient-reported versus performance-based physical function in hemodialysis patients

Liegl,

Fischer,

Canaud

et al. 2024

Qual Life Res

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Purpose We applied a previously established common T-score metric for patient-reported and performance-based physical function (PF), offering the unique opportunity to directly compare measurement type-specific patterns of associations with potential laboratory-based, psychosocial, sociodemographic, and health-related determinants in hemodialysis patients. Methods We analyzed baseline data from the CONVINCE trial (N = 1,360), a multinational randomized controlled trial comparing high-flux hemodialysis with high-dose hemodiafiltration. To explore the associations of potential determinants with performance-based versus patient-reported PF, we conducted multiple linear regression (backward elimination with cross-validation and Lasso regression). We used standardized T-scores as estimated from the PROMIS PF short-form 4a (patient-reported PF) and the Physical Performance Test (performance-based PF) as dependent variables. Results Performance-based and patient-reported PF were both significantly associated with a laboratory marker-based indicator of muscle mass (simplified creatinine index), although the effects were relatively small (partial f2 = 0.04). Age was negatively associated with PF; the effect size was larger for performance-based (partial f2 = 0.12) than for patient-reported PF (partial f2 = 0.08). Compared to performance-based PF, patient-reported PF showed a stronger association with self-reported health domains, particularly pain interference and fatigue. When using the individual difference between patient-reported and performance-based T-scores as outcome, we found that younger age and more fatigue were associated with lower patient-reported PF compared to performance-based PF (small effect size). Conclusion Patient-reported and performance-based assessments were similarly associated with an objective marker of physical impairment in hemodialysis patients. Age and fatigue may result in discrepancies when comparing performance-based and patient-reported scores on the common PF scale. Trial Registration CONVINCE is registered in the Dutch Trial Register (Register ID: NL64750.041.18). The registration can be accessed at: https://onderzoekmetmensen.nl/en/trial/52958.

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Measures of Physical Performance

Cited by 13 publications

References 180 publications

Assessing the impact of a long-term physiotherapy program on hip function in patients with osteoarthritis: the role of patient-reported and assessor-observed outcome measures

Assessing the impact of a long-term physiotherapy program on hip function in patients with osteoarthritis: the role of patient-reported and assessor-observed outcome measures

Reliability, Validity, Responsiveness, and Minimum Important Change of the Stair Climb Test in Adults With Hip and Knee Osteoarthritis

Using a measurement type-independent metric to compare patterns of determinants between patient-reported versus performance-based physical function in hemodialysis patients

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