OARSI recommended performance-based tests to assess physical function in people diagnosed with hip or knee osteoarthritis

被引：650

作者：

Dobson, F. ^{[1
]}

Hinman, R. S. ^{[1
]}

Roos, E. M. ^{[1
,2
]}

Abbott, J. H. ^{[3
]}

Stratford, P. ^{[4
]}

Davis, A. M. ^{[5
,6
,7
,8
]}

Buchbinder, R. ^{[9
]}

Snyder-Mackler, L. ^{[10
,11
]}

Henrotin, Y. ^{[12
]}

Thumboo, J. ^{[13
,14
]}

Hansen, P. ^{[15
]}

Bennell, K. L. ^{[1
]}

机构：

[1] Univ Melbourne, Sch Hlth Sci, Dept Physiotherapy, Ctr Hlth Exercise & Sports Med, Melbourne, Vic 3010, Australia

[2] Univ Southern Denmark, Inst Sports Sci & Clin Biomech, Odense, Denmark

[3] Univ Otago, Dunedin Sch Med, Dept Surg Sci, Ctr Musculoskeletal Outcomes Res, Dunedin, New Zealand

[4] McMaster Univ, Sch Rehabil Sci, Hamilton, ON L8S 4L8, Canada

[5] Univ Hlth Network, Toronto Western Res Inst, Div Hlth Care & Outcomes Res, Toronto, ON, Canada

[6] Univ Toronto, Dept Phys Therapy, Toronto, ON M5S 1A1, Canada

[7] Univ Toronto, Dept Rehabil Sci, Toronto, ON M5S 1A1, Canada

[8] Univ Toronto, Inst Hlth Policy Management & Evaluat, Toronto, ON M5S 1A1, Canada

[9] Monash Univ, Dept Epidemiol & Prevent Med, Clayton, Vic 3800, Australia

[10] Univ Delaware, Dept Phys Therapy, Newark, DE 19716 USA

[11] Univ Delaware, Delaware Rehabil Inst, Newark, DE 19716 USA

[12] Univ Liege, Inst Pathol, Bone & Cartilage Res Unit, B-4000 Liege, Belgium

[13] Singapore Gen Hosp, Singapore, Singapore

[14] Duke NUS Grad Med Sch, Singapore, Singapore

[15] Univ Otago, Dept Econ, Dunedin, New Zealand

来源：

OSTEOARTHRITIS AND CARTILAGE | 2013年 / 21卷 / 08期

基金：

澳大利亚国家健康与医学研究理事会; 澳大利亚研究理事会; 英国医学研究理事会;

关键词：

Performance-based outcome measures; Physical function; Measurement properties; Expert opinion; Decision analysis; Consensus; Hip or knee osteoarthritis; CLINICAL-TRIALS; EARLY RECOVERY; SELF-REPORT; ARTHROPLASTY; RESPONSIVENESS; VALIDITY; IMPROVEMENT; 6-MINUTE; CRITERIA; OUTCOMES;

D O I：

10.1016/j.joca.2013.05.002

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

100224 [整形外科学];

摘要：

Objectives: To recommend a consensus-derived set of performance-based tests of physical function for use in people diagnosed with hip or knee osteoarthritis (OA) or following joint replacement. Methods: An international, multidisciplinary expert advisory group was established to guide the study. Potential tests for consideration in the recommended set were identified via a survey of selected experts and through a systematic review of the measurement properties for performance-based tests. A multi-phase, consensus-based approach was used to prioritize and select performance-based tests by applying decision analysis methodology (1000Minds software) via online decision surveys. The recommended tests were chosen based on available measurement-property evidence, feasibility of the tests, scoring methods and expert consensus. Results: Consensus incorporated the opinions of 138 experienced clinicians and researchers from 16 countries. The five tests recommended by the advisory group and endorsed by Osteoarthritis Research Society International (OARSI) were the 30-s chair-stand test, 40 m fast-paced walk test, a stair-climb test, timed up-and-go test and 6-min walk test. The first three were recommended as the minimal core set of performance-based tests for hip or knee OA. Conclusion: The OARSI recommended set of performance-based tests of physical function represents the tests of typical activities relevant to individuals diagnosed with hip or knee OA and following joint replacements. These tests are complementary to patient-reported measures and are recommended as prospective outcome measures in future OA research and to assist decision-making in clinical practice. Further research should be directed to expanding the measurement-property evidence of the recommended tests. Crown Copyright (C) 2013 Published by Elsevier Ltd on behalf of Osteoarthritis Research Society International. All rights reserved.

引用

页码：1042 / 1052

页数：11

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