Comparison of performance-based and patient-reported measures of function in anterior-cruciate-ligament-deficient individuals

J Orthop Sports Phys Ther. 1998 Dec;28(6):392-9. doi: 10.2519/jospt.1998.28.6.392.

Abstract

There is a dearth of reliable and valid instrumentation that measures disability following injury and/or surgery of the knee joint that is responsive to clinically significant changes over time. The purpose of this investigation was to determine whether performance-based or patient-reported measures of function are more effective in estimating disability in individuals with an anterior-cruciate-ligament (ACL)-deficient knee. Subjective rating of knee function was used as the criterion measure for disability, and selected performance-based and patient-reported measures were used as estimation variables. Twenty-nine individuals with an ACL-deficient knee participated in this investigation. Step-wise regression analysis revealed that the Cincinnati Knee Scale, Lysholm Knee Scale, and hop index were the most effective estimates of disability. The results demonstrate that patient-reported measures are more related to the patient's level of disability in individuals with an ACL-deficient knee. More research is necessary to substantiate these findings.

Publication types

  • Clinical Trial
  • Comparative Study

MeSH terms

  • Adolescent
  • Adult
  • Anterior Cruciate Ligament / physiopathology*
  • Arthralgia / etiology
  • Arthralgia / physiopathology*
  • Disability Evaluation
  • Female
  • Humans
  • Injury Severity Score
  • Isometric Contraction
  • Joint Instability / diagnosis*
  • Joint Instability / etiology
  • Joint Instability / physiopathology*
  • Knee Injuries / complications
  • Knee Injuries / diagnosis
  • Knee Injuries / physiopathology*
  • Knee Injuries / rehabilitation
  • Male
  • Middle Aged
  • Physical Examination / instrumentation
  • Physical Examination / methods*
  • Postural Balance
  • Proprioception / physiology
  • Range of Motion, Articular
  • Regression Analysis
  • Self-Examination
  • Sensitivity and Specificity