Reliability and Validity of Core Performance Tests in Knee OA
Journal name: The Malaysian Journal of Medical Sciences
Original article title: Reliability and Validity of the Osteoarthritis Research Society International Minimal Core Set of Recommended Performance-Based Tests of Physical Function in Knee Osteoarthritis in Community-Dwelling Adults
The Malaysian Journal of Medical Sciences (MJMS) is a peer-reviewed, open-access journal published online at least six times a year. It covers all aspects of medical sciences and prioritizes high-quality research.
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Ariyachaikul Suwit, Kanthain Rungtiwa, Thonglorm Nipaporn
The Malaysian Journal of Medical Sciences:
(A peer-reviewed, open-access journal)
Full text available for: Reliability and Validity of the Osteoarthritis Research Society International Minimal Core Set of Recommended Performance-Based Tests of Physical Function in Knee Osteoarthritis in Community-Dwelling Adults
Year: 2020 | Doi: 10.21315/mjms2020.27.2.9
Copyright (license): CC BY 4.0
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Summary of article contents:
Introduction
Knee osteoarthritis (OA) is a degenerative condition that poses significant risks to mobility and can lead to increased frailty among affected individuals. Accurate and reliable measurement tools are essential for the early detection and ongoing assessment of this disease. This study evaluates the psychometric properties of the Osteoarthritis Research Society International (OARSI) minimal core set of performance-based tests for knee OA, which includes the 30-second chair stand test, the 40-meter fast-paced walk test, and the 9-step stair climb test, in community-dwelling adults. The aim is to assess the reliability and construct validity of these tests with respect to various measures of knee function.
Relative and Absolute Reliability of Performance-Based Tests
The study found that all performance-based tests demonstrated acceptable levels of relative reliability, indicated by high intra-class correlation coefficients (ICCs) and Spearman's correlation coefficients (SPC). These tests exhibited low measurement errors, as shown through acceptable standard error of measurement (SEM) percentages and minimal detectable change (MDC) values. However, the study highlighted a limitation in convergent validity, as only knee extensor strength displayed a significant correlation with the tested performance measures, while self-reported physical function assessments (KOOS-PS) yielded lower or negligible correlations with performance-based measures, raising questions about the consistency between subjective and objective assessments of knee function.
Conclusion
The research established that the OARSI-recommended performance-based tests for knee osteoarthritis possess acceptable reliability and measurement error metrics. The findings underline the importance of utilizing these tests for accurately assessing physical function in OA patients. Despite the objective strength of these assessments, the study also emphasizes the need for further exploration into the discrepancies observed between self-reported measures and performance-based outcomes to enhance the assessment tools available for knee OA, ultimately aiding in better patient management and treatment strategies.
FAQ section (important questions/answers):
What is the purpose of the study on knee osteoarthritis?
The study aimed to evaluate the reliability and construct validity of the OARSI's recommended minimal core set of performance-based tests for knee osteoarthritis in community-dwelling adults, focusing on performance-based testing.
What tests were included in the performance analysis?
The analysis included the 30-second chair stand test, 40-meter fast-paced walk test, and 9-step stair climb test. These tests assess physical function critical for the knee osteoarthritis population.
What were the findings regarding the reliability of tests?
The study found that all performance-based tests demonstrated acceptable relative and absolute reliability. The tests showed small systematic bias and a significant capacity to distinguish between groups with different capabilities.
How did the study assess construct validity?
Construct validity was evaluated through correlations with knee extensor strength, KOOS-PS, and pain scales. Acceptable convergent validity was only found with knee extensor strength. All tests showed known-groups validity with medium to large effect sizes.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Reliability and Validity of Core Performance Tests in Knee OA”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.
1) Performance:
In the context of the study, 'performance' refers to the ability of individuals with knee osteoarthritis to execute physical tasks effectively. It is a crucial measure in understanding how osteoarthritis affects daily living activities and overall quality of life, particularly through performance-based tests recommended by the Osteoarthritis Research Society International (OARSI).
2) Reliability:
'Reliability' signifies the consistency of the performance-based tests applied in the study. Essential for any scientific measurement, it indicates that repeated tests yield stable results over time. In this research, both relative and absolute reliability of tests for individuals with knee osteoarthritis were assessed to ensure their effectiveness and validity.
3) Study (Studying):
'Study' indicates a systematic investigation undertaken to evaluate the reliability and validity of specific performance-based tests for knee osteoarthritis. This particular research is critical as it helps establish trustworthy assessment tools, allowing healthcare professionals to better gauge patient abilities, track disease progress, and implement suitable interventions.
4) Table:
'Table' denotes a structured representation of data providing summary statistics of the study's participants and their performance on tests. Tables facilitate comprehension of complex data sets by organizing information clearly, thus aiding in comparisons and interpretations crucial for the convincement of results related to knee osteoarthritis assessments and outcomes.
5) Pain:
'Pain' in this study refers to the discomfort experienced by individuals with knee osteoarthritis, which was measured using numerical scales. Understanding pain levels is vital, as they correlate with functional limitations and influence treatment strategies, highlighting the need to consider pain when evaluating performance in physical function tests.
6) Measurement:
'Measurement' refers to the systematic process of quantifying physical performance in the context of osteoarthritis, focusing on the capability of performing tasks like standing up from a chair or walking. Accurate measurement is essential for evaluating treatment efficacy and understanding the progression of the disease in affected individuals.
7) Relative:
'Relative' pertains to the type of reliability that compares individual test scores against each other in the same condition over multiple sessions. In the study, assessing relative reliability helps confirm whether the changes in performance observed in tests adhere strictly to individual variations, not external factors.
8) Transformation (Transform, Transforming):
'Transform' indicates the process of modifying data types. In research, transforming pupil performances may enhance analytical capacity and result in clearer data presentations. Understanding how data transforms impacts the capabilities of scientists to accurately assess reliability in measures for conditions like knee osteoarthritis.
9) Ter:
'Ther' seems to be a truncation and does not represent a standalone concept in this context. It's likely part of a word like 'therapy' or 'therapeutic.' In therapeutic contexts, understanding intervention effectiveness, approaches, or methodologies can significantly influence treatment outcomes in knee osteoarthritis management and patient rehabilitation.
10) Tai:
'Thai' indicates the cultural and geographical context of the study, held in Thailand. Understanding local health practices, demographic factors, and osteoarthritis prevalence among Thai populations is crucial for tailoring effective interventions, ensuring the results are relevant, and improving healthcare delivery for knee osteoarthritis patients in Southeast Asian communities.
11) Medicine:
'Medicine' signifies the field concerned with health, illness, and medical care, including the diagnosis and management of conditions like knee osteoarthritis. This study contributes to the medical literature, providing insights into psychometric properties of performance-based tests in medicine, ultimately enhancing clinical practices for managing osteoarthritis-related impairments.
12) Science (Scientific):
'Science' represents the systematic study of the natural world that informs evidence-based practices. In this research, scientific methodologies are employed to validate performance-based tests for knee osteoarthritis, ensuring that health professionals can reliably measure functional abilities and outcomes through scientifically rigorous processes and findings.
13) Medium:
'Medium' may refer to an intermediate form of measurement or analysis. In psychometric terms, it could relate to effect sizes indicated by the study results, informing researchers of the setting between small and large effects, which guides expectations regarding the effectiveness of interventions for knee osteoarthritis.
14) Activity:
'Activity' signifies the engagement in tasks or movements assessed in the study, correlating with physical function and mobility in individuals with knee osteoarthritis. Understanding levels of activity is essential for tailoring rehabilitation programs and improving quality of life by enhancing the ability to perform daily tasks.
15) Disease:
'Disease' refers to knee osteoarthritis, a degenerative joint condition characterized by pain, stiffness, and impaired function. The study focuses on measuring the impact of this disease on physical performance through reliable tests, aiming to improve understanding and treatment of the condition to enhance patient outcomes.
16) Rules:
'Rules' likely pertains to the established protocols and guidelines guiding the performance-based tests utilized in the study. Adhering to these rules ensures consistency and reliability in assessing patient performance, which is key for producing meaningful and valid data that informs osteoarthritis management strategies.
17) Hand:
'Hand' may relate to the use of handheld measurement devices employed in the study to assess knee extensor strength. The application of such instruments is vital for obtaining precise data, ensuring that subsequent analyses accurately reflect the functional capabilities of participants with knee osteoarthritis.
18) Quality:
'Quality' refers to the standard of the tests and measures employed in the study. High quality in measurement tools is essential for ensuring that the findings are valid and reliable, contributing credibly to the understanding of knee osteoarthritis and supporting effective clinical decisions regarding treatment approaches.
19) Observation:
'Observation' signifies the act of monitoring or assessing participants during the performance-based tests. Crucial in clinical studies, careful observation ensures data accuracy and enables healthcare providers to note important behavioral and functional patterns in patients dealing with knee osteoarthritis, impacting treatment outcomes.
20) Goldsmith:
'Goldsmith' could refer to a researcher or contributor relevant to the study context. Including recognized authors in the research lends credibility, as their expertise can influence findings and interpretations about knee osteoarthritis, its assessments, and broader medical implications, potentially guiding future healthcare practices.
21) Village:
'Village' indicates the community setting in which the research was conducted. Studying knee osteoarthritis in a village context helps understand the local impact of the condition, cultural perceptions of health, and accessibility to healthcare, enhancing the relevance and applicability of the research findings to everyday life.
22) Reason:
'Reason' in the context of the study might refer to the underlying factors or justifications for participant exclusion or inclusion. Clarifying these reasons aids in maintaining rigorous research standards and ensures that the data collected reflect appropriate and relevant samples for studying knee osteoarthritis.
23) Mishra (Misra):
'Misra' likely refers to a researcher contributing to this field of study. Acknowledging key contributors enhances the credibility of research findings, as it reflects collaboration in knowledge generation, impacting understanding and treatment pathways for knee osteoarthritis within clinical and academic settings.
24) Japa:
'Japa' does not correspond directly to established terminology in this context and may result from truncation or a typographical error. If it references a location or subject pertinent to the study, clarifying its definition is essential for drawing accurate connections to the research topic or outcome.
25) Hada:
'Hada' could denote a researcher or participant directly involved in the study related to knee osteoarthritis. Recognizing contributors is important, as their work and insights can substantively shape research outcomes and influence clinical approaches to managing conditions like osteoarthritis.
26) Sign:
'Sign' may pertain to statistical significance within the study results, indicating findings that offer evidence of reliability and validity in performance-based testing for knee osteoarthritis. Understanding 'sign' in this context is critical for justifying the conclusions drawn from the data analyzed.
27) Pur:
'Poor' often describes suboptimal conditions or outcomes, such as low physical performance in patients with knee osteoarthritis assessed in the study. Reporting on poor performance outcomes is vital for the identification of patient needs and the development of effective strategies to improve health and mobility.
28) Rheumatoid arthritis:
'Rheumatoid arthritis' refers to a chronic inflammatory condition potentially overlapping with osteoarthritis. Understanding the distinctions between these two types of arthritis is significant for the study since misdiagnosis can influence treatment paths and outcomes for patients experiencing joint pain and functional limitations.
29) Calculation:
'Calculation' pertains to the processes used to determine various metrics within the study, such as reliability coefficients and effect sizes. Precise calculations underpin the research's analytical strength, ensuring valid conclusions can be drawn regarding the effectiveness of performance-based tests for knee osteoarthritis assessments.
30) Accumulation (Accumulating, Accumulate):
'Accumulated' can refer to the buildup of data or information relevant to knee osteoarthritis. Understanding accumulated findings over time enhances insights into disease progression and treatment effectiveness, allowing researchers and clinicians to tailor care and interventions based on longitudinal data assessments.
31) Discussion:
'Discussion' represents the section within the research article where results are interpreted, contextualized, and examined in relation to existing literature. Thorough discussions provide insights into the implications of the findings and suggest pathways for future research and clinical practice regarding knee osteoarthritis treatment.
32) Knowledge:
'Knowledge' signifies the understanding gained through the research into knee osteoarthritis and its impacts. Broadening the medical community's knowledge around such conditions is key for developing effective interventions and enhancing the quality of care provided to affected individuals within diverse populations.
33) Education:
'Education' can denote the importance of informing both healthcare providers and patients about osteoarthritis and available assessment tools. Educating stakeholders around performance-based testing results fosters better understanding, management strategies, and outcomes for those living with knee osteoarthritis within clinical settings.
34) Training:
'Training' emphasizes the importance of preparing assessors (e.g., physical therapists) on test protocols to ensure consistency in performance measures. Effective training enhances the validity of results within the study, directly impacting the accuracy of performance assessment and treatment evaluations in knee osteoarthritis management.
35) Blood:
'Blood' might refer to physiological parameters that could correlate with the severity of knee osteoarthritis. Although not central to the study's focus, understanding blood-related measures could provide insights into systemic factors influencing joint health, patient distress, and treatment efficacy in osteoarthritis.
36) Tree:
'Tree' does not directly appear to relate to any primary focus of the study. If relevant, it may concern diagnostic algorithms or methodologies applied to categorize osteoarthritis severity or determining treatment pathways, linking to more structured methodologies in clinical assessments and decision-making.
37) Post:
'Post' seems to imply the evaluation following interventions or tests conducted in the research. Understanding post-test evaluations helps ascertain the effectiveness of respective performance-based tests and their applicability in assessing changes in knee osteoarthritis functional capacity post-treatment.
38) Male:
'Male' indicates one demographic characteristic of the study participants, providing data on gender distribution among individuals with knee osteoarthritis. Analyzing gender-specific differences in performance outcomes may inform targeted interventions and enhance overall medical understanding of osteoarthritis across diverse populations.
39) Life:
'Life' encompasses the everyday aspects affected by knee osteoarthritis, emphasizing the importance of evaluating how physical performance impacts quality of life. Understanding these connections informs healthcare practices and intervention strategies aimed at improving the life quality of individuals living with osteoarthritis.
Other Health Sciences Concepts:
Discover the significance of concepts within the article: ‘Reliability and Validity of Core Performance Tests in Knee OA’. Further sources in the context of Health Sciences might help you critically compare this page with similair documents:
Statistical analysis, Daily living, Real change, Longitudinal study, Sample size, Ethical Clearance, Osteoarthritis, Muscle Strength, Test-retest reliability, Visual analog scale, Cross-sectional study, Knee osteoarthritis, Sports medicine, Systematic Review, Body size, Knee OA, Psychometric properties, American College of Rheumatology, Construct validity, Activities of Daily Living, Six minute walk test, Confidence interval, Physical performance, Regression analysis, Joint replacement, Patient characteristics, Coefficient of Variation, Lysholm Knee Scoring Scale, Mean Difference, Convergent validity, Western Ontario and McMaster Universities Osteoarthritis Index, Statistical method, Sarcopenia, Physical Rehabilitation, Osteoarthritis of the Knee, Numerical rating scale, Physical functioning, Clinical decision-making, Internal Consistency, Outcome Measures, Baseline characteristics, Clinical measurement, Numeric rating scale, Homogeneity of variance, Statistical package for social science, Physical function, Functional mobility, Joint replacement surgery, Muscle mass, Coefficient of Variance, Standard error, Short Form McGill Pain Questionnaire, Lower body, American College of Rheumatology criteria, Pearson's correlation coefficient, Muscle mass and strength, McGill Pain Questionnaire, Oxford Knee Score, Ordinal Scale, Hip and knee, Effect Size, Intraclass correlation coefficient, Intra-class correlation coefficient, Spearman's correlation coefficient, Effect size estimation, Functional decline, Walking speed, Reliability analysis, Osteoarthritis Research Society International, Minimal detectable change, Hand-held dynamometer, Skeletal muscle mass, Geometric Mean, Physical performance test, Random error, Acceptable levels, Log transformation, Psychometric theory, Measurement error, Systematic bias, Knee osteoarthritis patients, Measurement properties, Root-mean square, Analysis of Covariance, Arthritis Care Res, Multivariate statistics, Health status questionnaire, Knee arthroplasty, Quadriceps strength, Community-dwelling adults, Knee extensor strength, Randomised, Acceptable level, Lower extremity function, Hip or knee, Adult pain, Knee function, Total hip, Get up and go, Quadriceps weakness, Sports science, Knee injury, Outcome measure, Hip arthroplasty, Osteoarthritis Research Society, Kinematic analysis, Physical function in, Assessment of physical, Assessment of disability.