The Disablement in the Physically Active Scale, Part II: The Psychometric Properties of an Outcomes Scale for Musculoskeletal Injuries

Vela, Luzita I.; Denegar, Craig R.

doi:10.4085/1062-6050-45.6.630

Cited by 89 publications

(163 citation statements)

References 42 publications

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“…The DPA is a 16-item generic, population-specific PRO that measures HRQOL across 4 domains: impairment, functional limitations, disability, and quality of life. 5,6 The DPA is scored using a 5-point Likert scale, in which 1 represents no problem and 5 represents severe problem. 5,6 Once each item and domain are scored, 16 points are subtracted from the final score.…”

Section: Instrumentationmentioning

confidence: 99%

“…1 Examples of generic PROs are the Short-Form 12 4 and the Disablement in the Physically Active Scale (DPA). 5,6 Region-specific PROs assess the patient's perception of function for a certain region of the body, such as the ankle or knee. 1 Examples of region-specific PROs that are used in athletes are the Foot and Ankle Ability Measure-Sport (FAAM-S) 7 and the Knee Injury and Osteoarthritis Outcome Score (KOOS).…”

mentioning

confidence: 99%

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Patient-Reported Outcomes in Male and Female Collegiate Soccer Players During an Athletic Season

Hoch

Druvenga

Ferguson

et al. 2015

Journal of Athletic Training

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Context: Clinicians are urged to document patient-based outcomes during rehabilitation to measure health-related quality of life (HRQOL) from the patient's perspective. It is unclear how scores on patient-reported outcome instruments (PROs) vary over the course of an athletic season because of normal athletic participation.Objective: Our primary purpose was to evaluate the effect of administration time point on HRQOL during an athletic season. Secondary purposes were to determine test-retest reliability and minimal detectable change scores of 3 PROs commonly used in clinical practice and if a relationship exists between generic and region-specific outcome instruments.Design: Cross-sectional study. Setting: Athletic facility.Patients or Other Participants: Twenty-three collegiate soccer athletes (11 men, 12 women).Main Outcome Measure(s): At 5 time points over a spring season, we administered the Disablement in the Physically Active Scale (DPA), Foot and Ankle Ability Measure-Sport, and Knee Injury and Osteoarthritis Outcome Score (KOOS).Results: Time effects were observed for the DPA (P ¼ .011) and KOOS Quality of Life subscale (P ¼ .027). However, the differences between individual time points did not surpass the minimal detectable change for the DPA, and no post hoc analyses were significant for the KOOS-Quality of Life subscale. Test-retest reliability was moderate for the KOOS-Pain subscale (intraclass correlation coefficient ¼ 0.71) and good for the remaining KOOS subscales, DPA, and Foot and Ankle Ability Measure-Sport (intraclass correlation coefficients . 0.79). The DPA and KOOS-Sport subscale demonstrated a significant moderate relationship (P ¼ .018).Conclusions: Athletic participation during a nontraditional, spring soccer season did not affect HRQOL. All 3 PROs were reliable and could be used clinically to monitor changes in health status throughout an athletic season. Our results demonstrate that significant deviations in scores were related to factors other than participation, such as injury. Finally, both generic and region-specific instruments should be used in clinical practice.Key Words: health-related quality of life, patient-centered outcomes, injury history, evidence-based practice Key PointsThe Disablement in the Physically Active Scale, Foot and Ankle Ability Measure-Sport, and Knee Injury and Osteoarthritis Outcome Score scales are reliable instruments that have been used clinically to assess activity limitations and participation restrictions in collegiate athletes. Significant changes in health-related quality of life are likely to be associated with an injury that restricts athletic participation or another factor rather than participation itself. To capture all dimensions of health-related quality of life, clinicians should use both a generic and a region-specific instrument.

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Section: Instrumentationmentioning

confidence: 99%

mentioning

confidence: 99%

Patient-Reported Outcomes in Male and Female Collegiate Soccer Players During an Athletic Season

Hoch

Druvenga

Ferguson

et al. 2015

Journal of Athletic Training

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“…She began within the chronic pain range of the Disablement in the Physically Active Scale at her initial visit but was discharged within the healthy normal range. 21 Application of the MYK system involves exclusive one-on-one clinician-patient interaction and contact, which incorporates the components of manual therapy that increase a patient's sense of well-being and may elicit the release of an endorphin that aids in pain relief. 22 Although the patient's KOOS quality-of-life scores did not change from intake to discharge, they did improve over time.…”

Section: Discussionmentioning

confidence: 99%

Using the MyoKinesthetic System to Treat Bilateral Chronic Knee Pain: A Case Study

Stevenson

Baker

May

et al. 2016

Journal of Chiropractic Medicine

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Objective: The purpose of this case study was to report the effects of the MyoKinesthetic (MYK) system on pain, functional ability, and psychosocial well-being of a 20-year-old female collegiate softball athlete diagnosed with chronic bilateral knee pain associated with osteoarthritis. Clinical Features: The patient presented with bilateral chronic knee pain lasting more than 2 years. A clinical examination and radiographic imaging revealed chondromalacia and the beginning stages of osteoarthritis of the knee. No other comorbidities were noted. Intervention and Outcome: The patient received 4 treatments with the MYK system over 2 weeks. Treatments 1 through 3 were directed at the S1 nerve root; the fourth treatment was directed at the L4 nerve root. Outcome measures included the Numeric Pain Scale, the Patient-Specific Functional Scale, and the Disability in the Physically Active Scale. Pain, function, and quality of life were measured collectively using the Knee Injury and Osteoarthritis Outcome Score. The patient experienced clinical improvements (minimal clinical important differences, minimal detectable changes) for all outcome measures, with the exception of the quality-of-life subscale within the Knee Injury and Osteoarthritis Outcome Score. Conclusions: The patient in this case study reported a decrease in pain and an increase in function during the course of 4 treatments, which were administered over 14 days and in accordance to the MYK guidelines. Traditional treatment guidelines typically recommend 8 weeks for positive effects to manifest. Manual therapy techniques, such the MYK system, may be a viable treatment option for patients with osteoarthritis of the knee. (J Chiropr Med 2016;15:294-298)

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“…Additionally, the initial DPA Scale score in this study (M = 33.25) was higher than reported normal baseline values for this outcomes measure (M = 27.27); however, the patients in this study achieved much lower scores at discharge (M = 5.88) than the reported normal values for persistent injuries at 6 weeks (M = 18.91). 29 Although the MYK System did not produce significant changes in active range of motion (AROM), it should be noted that FTD measurements were within normal ranges prior to treatment. 35 Additionally, the mean value for FFD at the initial exam exceeded the normal range by 14.33 cm, indicating hypermobility in thoracolumbar flexion in this patient population.…”

Section: Discussionmentioning

confidence: 99%

“…Additionally, 89% of patients reported a DPA Scale score that exceeded the MCID value after 1 week of treatment. 29 …”

Section: Disablement In the Physically Active Scalementioning

confidence: 99%

Analysis of Patient Outcomes Using the MyoKinesthetic System for the Treatment of Low Back Pain: A Case Series

Brody

Nasypany

Baker

et al. 2017

Journal of Chiropractic Medicine

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Objective: The purpose of this case series was to test the feasibility of using the MyoKinesthetic (MYK) System as a treatment-based classification system and intervention for a sample of patients with low back pain. Methods: This within-subject intervention was completed in a university athletic training clinic. Nine participants (mean age: 31 years) with a primary complaint of LBP were evaluated and included. An athletic trainer performed the initial assessment, which contained the following components: patient history, palpation, range of motion testing, lower quarter neurologic screening, MYK System posture screen, orthopedic special tests, and baseline data for pain intensity, disability, and function. All participants were treated with the MYK System. The primary outcomes were pain, disability, function, active range of motion, posture, and global efficacy of treatment. Results: The mean number of MYK treatments administered was 12.11 (SD = 6.25), and the mean number of days until discharge was 28.67 (SD = 9.38). A repeated-measures analysis of variance revealed statistically significant and clinically meaningful improvements in pain, disability, function, and posture from the initial evaluation to discharge and from the initial evaluation to a 1-month follow-up (P b .01). Conclusion: This study determined the feasibility of further evaluation of the MYK System as a treatment-based classification system and intervention for patients with low back pain. (J Chiropr Med 2017;16:111-121)

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The Disablement in the Physically Active Scale, Part II: The Psychometric Properties of an Outcomes Scale for Musculoskeletal Injuries

Abstract: The DPA is a reliable, valid, and responsive instrument.

Cited by 89 publications

References 42 publications

Patient-Reported Outcomes in Male and Female Collegiate Soccer Players During an Athletic Season

Patient-Reported Outcomes in Male and Female Collegiate Soccer Players During an Athletic Season

Using the MyoKinesthetic System to Treat Bilateral Chronic Knee Pain: A Case Study

Analysis of Patient Outcomes Using the MyoKinesthetic System for the Treatment of Low Back Pain: A Case Series

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