PDF(Pubmed)
Abstract：
OBJECTIVE: To determine the most appropriate method of functional assessment for \"patellofemoral pain\" (PFP)/\"chondromalacia patella\" for its diagnostic value, (validity, reliability, sensitivity, specificity, predictive value and clinical applicability); to outline initial interpretations of the questionnaires and their appropriateness, through the cut-off points determined in their scores based on physical test and Magnetic Resonance Imaging (MRI); to establish which methods should be used in conjunction with each other to obtain clinical diagnoses that are robust effective and efficient.
METHODS: (1)Intra- and inter-observer reliability and of the relationship among PFP questionnaires/physical tests validated. (2)Predictive capacity of the questionnaires. Subject: 113 knees with PFP, assessed using \"Knee-injury-and-Osteoarthritis Outcome-Score-for-Patellofemoral-pain-and-osteoarthritis\" (KOOS-PF), \"Kujala-Patellofemoral-Score\" (KPS), \"Victorian-Institute-of-Sports-Assessment-for-Patellar-tendons-questionnaire\" (VISA-P), and the physical tests: \"patellar-palpation\", \"patellar-tilt\", \"patellar-apprehension\", \"Clarke\" and \"squat\".
RESULTS: Questionnaires correlations themselves was 0.78CONCLUSIONS: KOOS-PF, KPS and VISA-P demonstrated their diagnostic value in PFP/chondromalacia (validity, reliability, sensitivity, specificity, predictive value and clinical applicability). KOOS-PF was the most versatile, and the most appropriate in mild cases and for early detection and prevention. Squat was the best due to its reliability and clinical relationship with the questionnaires, which predicted it correctly. The functional assessment tools discussed should be applied by combining them with each other.
METHODS: (1)Intra- and inter-observer reliability and of the relationship among PFP questionnaires/physical tests validated. (2)Predictive capacity of the questionnaires. Subject: 113 knees with PFP, assessed using \"Knee-injury-and-Osteoarthritis Outcome-Score-for-Patellofemoral-pain-and-osteoarthritis\" (KOOS-PF), \"Kujala-Patellofemoral-Score\" (KPS), \"Victorian-Institute-of-Sports-Assessment-for-Patellar-tendons-questionnaire\" (VISA-P), and the physical tests: \"patellar-palpation\", \"patellar-tilt\", \"patellar-apprehension\", \"Clarke\" and \"squat\".
RESULTS: Questionnaires correlations themselves was 0.78
摘要：
目的：为“髌股疼痛”（PFP）/“髌骨软化症”的诊断价值确定最适当的功能评估方法，(有效性，可靠性,灵敏度,特异性，预测价值和临床适用性)；概述问卷的初步解释及其适当性，通过根据体格检查和磁共振成像（MRI）在其分数中确定的截止点；确定应将哪些方法相互结合使用以获得可靠有效和高效的临床诊断。
方法：（1）验证了观察者内部和观察者之间的可靠性以及PFP问卷/物理测试之间的关系。(2)问卷的预测能力。主题:113膝盖患有PFP，使用“膝关节损伤和骨关节炎结果评分-髌股疼痛和骨关节炎”(KOOS-PF)进行评估，“Kujala-髌股评分”（KPS），“维多利亚-体育研究所-髌骨肌腱评估问卷”(VISA-P)，和身体检查:“髌骨触诊”，“髌骨倾斜”，\“髌骨忧虑\”，“克拉克”和“蹲下”。
结果：问卷本身的相关性为0.78结论：KOOS-PF，KPS和VISA-P证明了它们在PFP/软骨软化症中的诊断价值(有效性，可靠性,灵敏度,特异性，预测价值和临床适用性)。KOOS-PF是最通用的,最适合轻度病例和早期发现和预防。深蹲是最好的，因为它的可靠性和与问卷的临床关系，正确地预测了它。所讨论的功能评估工具应通过相互结合来应用。
方法：（1）验证了观察者内部和观察者之间的可靠性以及PFP问卷/物理测试之间的关系。(2)问卷的预测能力。主题:113膝盖患有PFP，使用“膝关节损伤和骨关节炎结果评分-髌股疼痛和骨关节炎”(KOOS-PF)进行评估，“Kujala-髌股评分”（KPS），“维多利亚-体育研究所-髌骨肌腱评估问卷”(VISA-P)，和身体检查:“髌骨触诊”，“髌骨倾斜”，\“髌骨忧虑\”，“克拉克”和“蹲下”。
结果：问卷本身的相关性为0.78
