Article

OBJECTIVE: To compare the contents of patient-reported instruments used in hip
and knee arthroplasty rehabilitation with the International Classification of
Functioning, Disability and Health (ICF). METHODS: A search of PubMed, CINAHL,
Cochrane Central Registry, SCOPUS and PEDro identified patient-reported outcome
instruments. The meaningful concepts extracted from the instruments were linked
to the ICF based on established linking rules and compared with the
osteoarthritis core set. The number of concepts per item,
the breadth, and the
depth of coverage of instruments in relation to the ICF were determined through
calculation of content density, bandwidth per ICF component, and content
diversity, respectively. RESULTS: Eight instruments were reviewed and 375
meaningful concepts were linked to the ICF. Activity and participation had the
most representation (61%). The Hip Disability and Osteoarthritis Outcome Score
and Knee Injury and Osteo-arthritis Outcome Score had the widest coverage
(bandwidth) for body functions (1.62%, 1.22%, respectively). The Arthritis Impact
Measurement Scales had the broadest bandwidth (8.4%) for activity and
participation. All tools addressed general mobility but lacked coverage in
"driving", "assisting others", "interpersonal relationships" and "community
life". The majority of tools did not address environmental factors. CONCLUSION:
Patient-reported outcome measures in arthroplasty rehabilitation do not fully
address relevant areas of activity, participation and environment, suggesting
limited clinical applicability.

Langue : ANGLAIS