Validation and reliability of the Simple Achille Value (SAV) in Achilles tendon disorders.

IF 1.9 3区医学 Q2 ORTHOPEDICS Foot and Ankle Surgery Pub Date : 2024-08-02 DOI:10.1016/j.fas.2024.08.001

Lambrey Pierre-Jean, Thiounn Alexis, Lopes Ronny

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Abstract

Background: Achilles tendon (AT) disorders significantly impact patient life, necessitating accurate assessment tools. Current methods are often complex and time-consuming. This study aims to validate the Simple Ankle Value (SAV) for AT disorders.

Methods: A multicenter study was conducted involving 101 participants, including a surgical, a conservative, and a control group. Participants completed the SAV, VISA-A, and EFAS scores. The study assessed correlations among scores, reliability, responsiveness to change, threshold and ceiling effect and discriminative ability of the SAV.

Results: There was a significant strong correlation with the EFAS and a significant moderate to strong correlation with the VISA-A. The score showed excellent reliability (ρ = 0.95, 95 %CI: [0.913; 0.976], p < 0.001). Responsiveness to change was significant between preoperative and postoperative SAV (37.99 ± 25.73 vs 70.86 ± 21.26). The SAV discriminated between patient and controls with no threshold or ceiling effect.

Conclusion: The SAV provides a valid, reliable, and responsive method for assessing AT disorders. It offers a simplified and effective alternative to more complex scores.

Study design: Cohort study (Diagnosis); Level of evidence, 2.

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跟腱疾病中简单阿希尔值（SAV）的验证和可靠性。

背景：跟腱（AT）疾病严重影响患者的生活，因此需要精确的评估工具。目前的评估方法通常既复杂又耗时。本研究旨在验证针对跟腱疾病的简单踝关节值（SAV）：这项多中心研究涉及 101 名参与者，包括手术组、保守组和对照组。参与者完成了 SAV、VISA-A 和 EFAS 评分。研究评估了 SAV 各项评分之间的相关性、可靠性、对变化的反应性、阈值和上限效应以及判别能力：结果：SAV 与 EFAS 有明显的强相关性，与 VISA-A 有明显的中强相关性。该评分显示出极佳的可靠性（ρ = 0.95，95 %CI：[0.913; 0.976]，p 结论：SAV 提供了有效、可靠的心理评估方法：SAV 提供了一种有效、可靠且反应迅速的方法来评估 AT 疾病。研究设计：研究设计：队列研究（诊断）；证据等级，2。

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来源期刊

Foot and Ankle Surgery ORTHOPEDICS-

CiteScore

4.60

自引率

16.00%

发文量

202

期刊介绍： Foot and Ankle Surgery is essential reading for everyone interested in the foot and ankle and its disorders. The approach is broad and includes all aspects of the subject from basic science to clinical management. Problems of both children and adults are included, as is trauma and chronic disease. Foot and Ankle Surgery is the official journal of European Foot and Ankle Society. The aims of this journal are to promote the art and science of ankle and foot surgery, to publish peer-reviewed research articles, to provide regular reviews by acknowledged experts on common problems, and to provide a forum for discussion with letters to the Editors. Reviews of books are also published. Papers are invited for possible publication in Foot and Ankle Surgery on the understanding that the material has not been published elsewhere or accepted for publication in another journal and does not infringe prior copyright.