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Quality of Life Research
Erschienen in: Quality of Life Research 12/2015

01.12.2015

Dynamic weight-bearing assessment of pain in knee osteoarthritis: a reliability and agreement study

verfasst von: Louise Klokker, Robin Christensen, Richard Osborne, Elisabeth Ginnerup, Eva E. Waehrens, Henning Bliddal, Marius Henriksen

Erschienen in: Quality of Life Research | Ausgabe 12/2015

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Abstract

Purpose

To evaluate the reliability, agreement and smallest detectable change in a measurement instrument for pain and function in knee osteoarthritis; the Dynamic weight-bearing Assessment of Pain (DAP).

Methods

The sample size was set to 20 persons, recruited from the outpatient osteoarthritis clinic at Frederiksberg Hospital, Copenhagen. Two physiotherapists tested all participants during two visits; at the first visit, one single DAP (including four scores) was conducted by rater one; at the second visit, DAP was conducted by both raters one and two in randomized order with concealed allocation. The time interval was approximately 1.5 h. Measurement error was estimated by standard error of measurement (SEM). The intra- and inter-rater reliability was estimated by Intra-class Correlation Coefficients for agreement based on a two-way ANOVA with random effects (single measures ICC 2.1). Smallest detectable change (SDC) and limits of agreement were calculated.

Results

The pain score showed excellent reliability in terms of ICC (intra-rater 0.93, CI 0.83–0.97, inter-rater 0.91, CI 0.78–0.96), low SEM (intra-rater 0.70, inter-rater 0.86, on a scale from 0 to 10), and acceptable SDC for intra-rater test (1.95). The three knee bend scores all had ICC above 0.50, showing fair-to-good reliability. None of the knee bend scores showed acceptable SEM and SDC.

Conclusions

The reproducibility of the DAP pain score meets the demands for use in clinical practice and research. The total knee bend could be useful for motivational purpose in clinical use. Testing of other psychometric properties of the DAP is pending.
Vorheriger Artikel Assessing the impact of non-severe hypoglycemic events and treatment in adults: development of the Treatment-Related Impact Measure—Non-severe Hypoglycemic Events (TRIM-HYPO)
Nächster Artikel Examining differential responses of youth with and without autism on a measure of everyday activity performance

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Metadaten
Titel
Dynamic weight-bearing assessment of pain in knee osteoarthritis: a reliability and agreement study
verfasst von
Louise Klokker
Robin Christensen
Richard Osborne
Elisabeth Ginnerup
Eva E. Waehrens
Henning Bliddal
Marius Henriksen
Publikationsdatum
01.12.2015
Verlag
Springer International Publishing
Erschienen in
Quality of Life Research / Ausgabe 12/2015
Print ISSN: 0962-9343
Elektronische ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-015-1025-4

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