Citation

Kroman SL, Roos EM, Bennell KL, Hinman RS, Dobson F. Osteoarthritis Cartilage 2014; 22(1): 26-39.

Affiliation

Institute of Sports Science and Clinical Biomechanics, The University of Southern Denmark, Denmark. Electronic address: Sarah_kroman@hotmail.com.

Copyright

(Copyright © 2014, Osteoarthritis Research Society International, Publisher Elsevier Publishing)

DOI

10.1016/j.joca.2013.10.021

PMID

24216060

Abstract

OBJECTIVES: To systematically appraise the evidence on measurement properties of performance-based outcome measures to assess physical function in young and middle-aged people known to be at high risk of hip and/or knee OA. METHODS: Electronic searches were performed in MEDLINE, CINAHL, Scopus and SPORTDiscus in May 2013. Two reviewers independently rated the measurement properties using the 4-point COSMIN checklist. Best evidence synthesis was made using COSMIN quality, consistency and direction of findings and sample size. RESULTS: Twenty of 2736 papers were eligible for inclusion and 24 different performance-based outcome measures knee or obese populations were evaluated. No tests related to hip populations were included. Twenty-five measurement properties including reliability (9 studies), construct validity (hypothesis testing) (9 studies), measurement error (3 studies), structural validity (2 studies), interpretability (1 study) and responsiveness (1 study) were evaluated. A positive rating was given to 12,5% (30/240) of all possible measurement ratings. Tests were grouped into two categories based on the population characteristics. The one-legged hop for distance, followed by the 6-meter timed hop and cross over hop for distance were the best-rated tests for the knee-injured population. Whereas the six-minute walk test was the only included test for the obese population. CONCLUSION: This review highlights the many gaps in knowledge about the measurement properties of performance-based outcome measures for young and middle-aged people known to be at high risk of hip and/or knee OA. There is a need for consensus on which outcome measures should be used and/or combined when assessing physical function in this population. Further good quality research is required.

Language: en