Measurement properties of a test battery to assess postural orientation during functional tasks in patients undergoing anterior cruciate ligament injury rehabilitation

Journal article

Nae, Jenny, Creaby, Mark, Nilsson, Gustav, Crossley, Kay and Ageberg, Eva. (2017). Measurement properties of a test battery to assess postural orientation during functional tasks in patients undergoing anterior cruciate ligament injury rehabilitation. Journal of Orthopaedic and Sports Physical Therapy. 47(11), pp. 863 - 873. https://doi.org/10.2519/jospt.2017.7270
AuthorsNae, Jenny, Creaby, Mark, Nilsson, Gustav, Crossley, Kay and Ageberg, Eva
Abstract

Study Design Cross-sectional study. Background Visual rating of postural orientation during functional tasks may be a valuable tool to track rehabilitation progress following anterior cruciate ligament (ACL) injury. A valid test battery assessing postural orientation as a separate construct is lacking. Objectives To evaluate measurement properties of a test battery to assess postural orientation in patients with ACL injury. Methods The content validity of functional tasks was assessed by expert focus group discussions. Fifty-one patients (45% women) with ACL injury performed 9 functional tasks of varying difficulty. Interpretability, internal consistency, interrater reliability, and measurement error were assessed for segment-specific postural orientation errors (POEs), within-task POEs, and total POE score. Postural orientation errors were scored on video on an ordinal scale from 0 (no POEs) to 3 (major POEs). Results Stair ascent, deep squat, and crossover hop for distance were excluded in focus group discussions. Postural orientation errors in some tasks were excluded due to floor effects. The mini-squat and drop jump were excluded due to poor internal consistency (α≤.184). Interrater reliability values for segment-specific POEs and within-task POEs yielded fair to almost perfect agreement (κ = 0.429–0.875) and almost perfect agreement for total POE score (intraclass correlation coefficient = 0.842), without systematic differences between raters. The smallest detectable changes were 0.7 and 5 points for groups and individuals, respectively. Conclusion The final test battery (single-leg mini-squat, stair descent, forward lunge, single-leg hop for distance) of 4 POEs (foot pronation, medial knee-to-foot position, hip joint POEs, and trunk segment POEs) demonstrated good measurement properties in people with ACL injury. J Orthop Sports Phys Ther 2017;47(11):863–873. doi:10.2519/jospt.2017.7270

Year2017
JournalJournal of Orthopaedic and Sports Physical Therapy
Journal citation47 (11), pp. 863 - 873
PublisherJournal of Orthopaedic & Sports Physical Therapy, Inc.
ISSN0190-6011
Digital Object Identifier (DOI)https://doi.org/10.2519/jospt.2017.7270
Scopus EID2-s2.0-85026490640
Page range863 - 873
Research GroupSports Performance, Recovery, Injury and New Technologies (SPRINT) Research Centre
Publisher's version
File Access Level
Controlled
Place of publicationUnited States
EditorsG. Simoneau
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