Responsiveness of a Persian version of the international knee documentation committee and the anterior cruciate ligament-quality of life questionnaires in athletes with anterior cruciate ligament reconstruction following physiotherapy intervention.

IF 1.6 4区医学 Q2 REHABILITATION Physiotherapy Theory and Practice Pub Date : 2024-08-04 DOI:10.1080/09593985.2024.2388111

Nahid Pirayeh, Fatemeh Shahoori, Shahin Goharpey, Neda Mostafaee

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Abstract

Introduction: The International Knee Documentation Committee (IKDC) and Anterior Cruciate Ligament - Quality of Life Questionnaire (ACL-QOL) are frequently used patient-reported instruments designed for individuals with anterior cruciate ligament reconstruction (ACL-R).

Purpose: To evaluate responsiveness and determine minimal important change (MIC) for the Persian-version of IKDC and ACL-QOL in athletes with ACL-R following physiotherapy intervention.

Method: One hundred athletes with ACL-R, undergoing 16-week physiotherapy completed IKDC and ACL-QOL at weeks 4 and 20 post ACL-R. Participants also rated their overall changes on a 7-point global rating of change at follow-up. Responsiveness was evaluated using the receiver operating characteristics (ROC) curve and correlation analysis. In addition, the minimal important change (MIC) was determined on the ROC curve.

Results: Acceptable responsiveness was reached by the IKDC and most of the subscales of ACL-QOL (area under the ROC curve (AUC) of 0.72-0.79). Also, the subscale of Lifestyle issues of ACL-QOL (AUC of 0.81 (95% CI = 0.72-0.89) and the overall of ACL-QOL (AUC of 0.87 (95% CI = 0.80-0.93) showed the good level of responsiveness. The MIC scores of IKDC and the Overall ACL-QOL were determined 25 and 26 points, respectively.

Conclusion: The IKDC and ACL-QOL questionnaires have adequate responsiveness and are able to measure the change in athletes with ACL-R following a 16-week physiotherapy intervention.

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国际膝关节文献委员会和前交叉韧带-生活质量调查问卷波斯语版在物理治疗干预后对前交叉韧带重建运动员的响应性。

导言：国际膝关节文献委员会（IKDC）和前交叉韧带-生活质量问卷（ACL-QOL）是经常使用的患者报告工具，专为前交叉韧带重建（ACL-R）患者设计：方法： 100 名接受 16 周物理治疗的前交叉韧带损伤运动员在前交叉韧带损伤后第 4 周和第 20 周完成 IKDC 和 ACL-QOL。参与者还在随访时对自己的整体变化进行了 7 点全面评分。采用接收者操作特征曲线（ROC）和相关性分析对反应性进行了评估。此外，还根据 ROC 曲线确定了最小重要变化 (MIC)：结果：IKDC和ACL-QOL的大部分分量表都达到了可接受的响应度（ROC曲线下面积（AUC）为0.72-0.79）。此外，ACL-QOL 的生活方式问题分量表（AUC 为 0.81（95% CI = 0.72-0.89））和 ACL-QOL 整体（AUC 为 0.87（95% CI = 0.80-0.93））也显示出良好的反应性。IKDC和ACL-QOL总分的MIC评分分别为25分和26分：IKDC和ACL-QOL问卷具有足够的响应性，能够测量前交叉韧带损伤运动员在接受16周物理治疗干预后的变化。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Physiotherapy Theory and Practice REHABILITATION-

CiteScore

3.40

自引率

10.00%

发文量

300

期刊介绍： The aim of Physiotherapy Theory and Practice is to provide an international, peer-reviewed forum for the publication, dissemination, and discussion of recent developments and current research in physiotherapy/physical therapy. The journal accepts original quantitative and qualitative research reports, theoretical papers, systematic literature reviews, clinical case reports, and technical clinical notes. Physiotherapy Theory and Practice; promotes post-basic education through reports, reviews, and updates on all aspects of physiotherapy and specialties relating to clinical physiotherapy.