RESUMEN
BACKGROUND: Patient-reported outcome measures (PROMs) are required for patient-centred care. There are limited PROMs with good psychometric properties, and limitations to any language-based scale are often constrained by the written words or numerals used. Therefore, we developed the Functional Activity Scoring Tool (FAST), a self-reporting pictorial scale. FAST measures the impact of knee osteoarthritis on essential activities of daily living (ADL) and the significant changes in the self-perceived functional status over time. OBJECTIVES: This study aims to (1) develop FAST with adaptation from the Wong-Baker FACES pain rating scale, (2) validate FAST against the Patient-Specific Functional Scale (PSFS) and Knee Injury and Osteoarthritis Outcome Score (KOOS) and (3) establish the reliability, validity and responsiveness of FAST in individuals with knee osteoarthritis. METHODS AND ANALYSIS: The prospective study protocol investigates the validity, responsiveness and reliability of FAST. The PSFS and KOOS will be gold standard comparisons. Participant recruitment will occur at four public polyclinics that offer physiotherapy outpatient services in Singapore. Onsite physiotherapists familiar with the study eligibilities will refer potential participants to the investigators after the routine physiotherapy assessment. After providing written consent, eligible participants will complete outcome measurements with FAST, the PSFS and KOOS during baseline and follow-up assessments. The Global Rating of Change (GROC) scale will determine how the participant's knee status was changed compared with the beginning of the physiotherapy intervention. ETHICS AND DISSEMINATION: SingHealth Centralised Institutional Review Board approved the study (CIRB reference number: 2022/2602). The final results will be published via scientific publication. FAST will benefit the evaluation and management of those who suffer knee osteoarthritis regardless of English proficiency or language barriers. TRIAL REGISTRATION NUMBER: NCT05590663.
Asunto(s)
Osteoartritis de la Rodilla , Humanos , Osteoartritis de la Rodilla/diagnóstico , Actividades Cotidianas , Estudios Prospectivos , Reproducibilidad de los Resultados , PacientesRESUMEN
OBJECTIVE: The objective of this study is to systematically review randomized controlled trials comparing the effect of shockwave therapy with other forms of interventions on pain and disability in individuals with rotator cuff tendinopathy. INTRODUCTION: Shoulder pain is a common musculoskeletal complaint in which rotator cuff tendons are usually affected. Shockwave therapy is a novel conservative treatment option for rotator cuff-related shoulder pain. A systematic review in 2004 reported conflicting results on the effectiveness of shockwave therapy in treating chronic rotator cuff tendonitis, whereby it is effective for calcific rotator cuff tendonitis but not for non-calcific ones. Hence, it is timely to review this topic with the addition of results from studies published since 2004. INCLUSION CRITERIA: This review will consider randomized controlled trials that have evaluated shockwave therapy delivered via radial or focused extracorporeal means in individuals with rotator cuff tendinopathy without restrictions of race, gender, and age. Studies comparing individuals receiving shockwave therapy of varying dosages will be excluded in this review. METHODS: A three-step search strategy will be used to locate studies published in English from databases. No search restrictions will be applied regarding the year of publication. Study selection, assessment of methodological quality, and data extraction will be conducted by two independent reviewers. Data will be pooled in a statistical meta-analysis, where possible. A funnel plot will be generated to detect any potential publication bias. The quality of the evidence will be analyzed using the Grading of Recommendations, Assessment, Development, and Evaluation approach. SYSTEMATIC REVIEW REGISTRATION NUMBER: PROSPERO CRD42020160166.
Asunto(s)
Tratamiento con Ondas de Choque Extracorpóreas , Ondas de Choque de Alta Energía , Tendinopatía , Humanos , Tratamiento con Ondas de Choque Extracorpóreas/métodos , Metaanálisis como Asunto , Ensayos Clínicos Controlados Aleatorios como Asunto , Manguito de los Rotadores , Dolor de Hombro/terapia , Revisiones Sistemáticas como Asunto , Tendinopatía/terapiaRESUMEN
STUDY DESIGN: Cross-cultural adaptation and psychometric evaluation. OBJECTIVE: The aim of this study was to translate the Neck Disability Index (NDI) into the simplified-Chinese language and to evaluate the reliability, validity, and responsiveness of the new questionnaire. SUMMARY OF BACKGROUND DATA: Neck pain is a major health problem resulting in major disability. NDI is the most frequently used scale for self-rating of disability due to neck pain. At present, there is no simplified-Chinese version of the NDI. The aims of this study were to culturally adapt and translate the NDI into the simplified-Chinese language (NDI-SC) and to evaluate its psychometric properties in patients with neck pain. METHODS: The NDI was translated into simplified-Chinese version based on established guidelines. A total of 70 patients participated in this study. Patients were asked to complete a set of questionnaires comprising of their demographic information, the NDI-SC, and a visual analog scale (VAS) of pain. Fifty-six patients returned after 1 to 2 weeks to complete the same set of questionnaires and the global rating of change (GROC) scale. Then, the NDI-SC was evaluated for content validity, construct validity, internal consistency, test-retest reliability, and responsiveness. RESULTS: The NDI-SC demonstrated excellent internal consistency (Cronbach αâ=â0.92) and good test-retest reliability (ICC2,1â=â0.85). Content validity was confirmed as no floor or ceiling effects were detected for the NDI-SC total score. Construct validity was established with factor analysis revealing two-factor subscales explaining 66% of the variance. The NDI-SC showed a strong correlation with VAS (Rpâ=â0.61, Pâ<â0.001) and a moderate correlation with GROC (Rsâ=â0.46, Pâ<â0.001). The correlation between NDI-SC change scores and VAS change scores was also moderate (Rpâ=â0.59, Pâ<â0.001). CONCLUSION: The results showed that the NDI-SC is a reliable, valid, and responsive instrument to measure functional limitations in patients with neck pain. LEVEL OF EVIDENCE: 3.