关键词: hip arthroscopy psychological readiness return to sports

来  源:   DOI:10.1002/jeo2.12029   PDF(Pubmed)

Abstract:
UNASSIGNED: The aim of this study was to examine test-retest reliability and responsiveness of the short version (6-item) Hip Return to Sport after Injury (Hip-RSI) scale in patients following hip arthroscopy.
UNASSIGNED: The study included 100 hip arthroscopy patients responding to a digital survey including the short version (6-item) Hip-RSI, International Hip Outcome Tool (short version) (iHOT-12) and RTS status 3, 6 and 9 months following surgery. The Hip-RSI was administered twice at 3-month follow-up. Test-retest reliability was evaluated using intraclass correlation coefficients. Responsiveness was tested by correlations between changes in Hip-RSI and iHOT-12 scores and by comparing change in Hip-RSI scores of patients who progressed on the return to sport (RTS) continuum (from return to any sport to return to performance) to patients who did not, using independent samples t-tests.
UNASSIGNED: Hip-RSI was found to have excellent test-retest reliability on the individual (intraclass correlation coefficient, ICC [95% confidence interval, CI]: 0.90 [0.83-0.94]) and group level (ICC [95% CI]: 0.95 [0.91-0.97]) with a standard error of measurement of 5.53 and smallest detectable change of 15.3 on the individual and 2.2 on the group level. Hip-RSI was found responsive to change through positive correlations of changes in scores with changes in iHOT-12 scores from 3 to 6 months (r [95% CI]: 0.51 [0.35-0.65]; p < 0.001) and from 3 to 9 months following arthroscopy (r [95% CI]: 0.61 [0.57-0.79); p < 0.001). Further responsiveness was shown by significant mean changes in scores among patients that progressed on the RTS-continuum (3-6 months: 8.6 [95% CI: 3.8- 13.5); 3-9 months: 12.6 [5.6-19.7]).
UNASSIGNED: The short version (6-item) Hip-RSI demonstrated excellent test-retest reliability and responsiveness to change in the evaluation of psychological readiness to RTS following hip arthroscopy.
UNASSIGNED: Level II.
摘要:
这项研究的目的是检查髋关节镜检查后患者的短版(6项)髋关节损伤后恢复运动(Hip-RSI)量表的重测可靠性和反应性。
该研究包括100名髋关节镜检查患者,这些患者接受了一项数字调查,包括简短版本(6项)Hip-RSI,国际髋关节结果工具(短版)(iHOT-12)和RTS状态3,6和9个月后的手术。在3个月的随访中两次给予Hip-RSI。使用组内相关系数评估重测可靠性。反应性通过Hip-RSI和iHOT-12评分的变化之间的相关性以及通过比较在恢复运动(RTS)连续体(从恢复任何运动到恢复表现)进展的患者的Hip-RSI评分的变化来测试,使用独立样本t检验。
发现Hip-RSI在个体上具有出色的重测可靠性(组内相关系数,ICC[95%置信区间,CI]:0.90[0.83-0.94])和组水平(ICC[95%CI]:0.95[0.91-0.97]),测量的标准误差为5.53,个体的最小可检测变化为15.3,组水平为2.2。通过3至6个月(r[95%CI]:0.51[0.35-0.65];p<0.001)和关节镜检查后3至9个月(r[95%CI]:0.61[0.57-0.79);p<0.001)的评分变化与iHOT-12评分变化呈正相关,发现髋关节-RSI对变化有反应。进一步的反应性通过在RTS连续体上进展的患者中得分的显著平均变化(3-6个月:8.6[95%CI:3.8-13.5);3-9个月:12.6[5.6-19.7])显示。
简短版本(6项)Hip-RSI在髋关节镜检查后对RTS的心理准备评估中表现出出色的重测可靠性和响应性。
二级。
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