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Return to Sports After Anterior Cruciate Ligament Reconstruction: Validity and Reliability of the SPORTS Score at 6 and 12 Months

BACKGROUND: The Subjective Patient Outcome for Return to Sports (SPORTS) score is a single-item scale that measures athletes' ability to return to their preinjury sport based on effort and performance. PURPOSE/HYPOTHESIS: The purpose of this study was to examine the psychometric properties of t...

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Autores principales: Bley, Jordan A., Master, Hiral, Huston, Laura J., Block, Shannon, Pennings, Jacquelyn S., Coronado, Rogelio A., Cox, Charles L., Sullivan, Jaron P., Dale, Kevin M., Saluan, Paul M., Spindler, Kurt P., Archer, Kristin R.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9185013/
https://www.ncbi.nlm.nih.gov/pubmed/35693459
http://dx.doi.org/10.1177/23259671221098436
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author Bley, Jordan A.
Master, Hiral
Huston, Laura J.
Block, Shannon
Pennings, Jacquelyn S.
Coronado, Rogelio A.
Cox, Charles L.
Sullivan, Jaron P.
Dale, Kevin M.
Saluan, Paul M.
Spindler, Kurt P.
Archer, Kristin R.
author_facet Bley, Jordan A.
Master, Hiral
Huston, Laura J.
Block, Shannon
Pennings, Jacquelyn S.
Coronado, Rogelio A.
Cox, Charles L.
Sullivan, Jaron P.
Dale, Kevin M.
Saluan, Paul M.
Spindler, Kurt P.
Archer, Kristin R.
author_sort Bley, Jordan A.
collection PubMed
description BACKGROUND: The Subjective Patient Outcome for Return to Sports (SPORTS) score is a single-item scale that measures athletes' ability to return to their preinjury sport based on effort and performance. PURPOSE/HYPOTHESIS: The purpose of this study was to examine the psychometric properties of the SPORTS score and a modified score within the first year after anterior cruciate ligament reconstruction (ACLR). The modified version replaced “same sport” with “any sport” in the answer choices. It was hypothesized that both versions of the SPORTS score would have acceptable floor and ceiling effects and internal responsiveness, moderate convergent validity, and excellent test-retest reliability. STUDY DESIGN: Cohort study (diagnosis); Level of evidence, 2. METHODS: Patients were recruited preoperatively from 2 academic medical centers. The authors collected responses to the 1-item SPORTS scores at 6 and 12 months after ACLR and the Tegner activity scale, Lysholm knee score, Knee injury and Osteoarthritis Outcome Score (KOOS)–sport/recreation subscale, and Marx activity rating scale preoperatively and 6 and 12 months after ACLR. Ceiling and floor effects and responsiveness were assessed using descriptive statistics and cross-tabulations, respectively, at both follow-up time points. Spearman correlations and intraclass correlation coefficients were used to examine convergent validity and test-retest reliability, respectively. RESULTS: Follow-up rates at 6 and 12 months were 100% and 99%, respectively. Test-retest follow-up was 77%. Floor effects for the SPORTS scores were not observed, while ceiling effects at 12 months ranged from 38% to 40%. Cross-tabulation of the SPORTS scores showed that 64% to 66% of patients reported a change in their score from 6 to 12 months, with significant differences noted between the proportions that improved versus worsened for return to any sport. Convergent validity was observed at 6 and 12 months via moderate correlations with the Tegner, Lysholm, KOOS–sport/recreation, and Marx scores (r = 0.31 to 0.47). Fair to good test-retest reliability (intraclass correlation coefficient, 0.58 and 0.60) was found at 12 months after ACLR. CONCLUSION: The SPORTS score appears to be a reliable, responsive, and valid 1-item scale that can be used during the first year after ACLR. No differences in psychometric properties were found between the SPORTS score and the modified version.
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spelling pubmed-91850132022-06-11 Return to Sports After Anterior Cruciate Ligament Reconstruction: Validity and Reliability of the SPORTS Score at 6 and 12 Months Bley, Jordan A. Master, Hiral Huston, Laura J. Block, Shannon Pennings, Jacquelyn S. Coronado, Rogelio A. Cox, Charles L. Sullivan, Jaron P. Dale, Kevin M. Saluan, Paul M. Spindler, Kurt P. Archer, Kristin R. Orthop J Sports Med Article BACKGROUND: The Subjective Patient Outcome for Return to Sports (SPORTS) score is a single-item scale that measures athletes' ability to return to their preinjury sport based on effort and performance. PURPOSE/HYPOTHESIS: The purpose of this study was to examine the psychometric properties of the SPORTS score and a modified score within the first year after anterior cruciate ligament reconstruction (ACLR). The modified version replaced “same sport” with “any sport” in the answer choices. It was hypothesized that both versions of the SPORTS score would have acceptable floor and ceiling effects and internal responsiveness, moderate convergent validity, and excellent test-retest reliability. STUDY DESIGN: Cohort study (diagnosis); Level of evidence, 2. METHODS: Patients were recruited preoperatively from 2 academic medical centers. The authors collected responses to the 1-item SPORTS scores at 6 and 12 months after ACLR and the Tegner activity scale, Lysholm knee score, Knee injury and Osteoarthritis Outcome Score (KOOS)–sport/recreation subscale, and Marx activity rating scale preoperatively and 6 and 12 months after ACLR. Ceiling and floor effects and responsiveness were assessed using descriptive statistics and cross-tabulations, respectively, at both follow-up time points. Spearman correlations and intraclass correlation coefficients were used to examine convergent validity and test-retest reliability, respectively. RESULTS: Follow-up rates at 6 and 12 months were 100% and 99%, respectively. Test-retest follow-up was 77%. Floor effects for the SPORTS scores were not observed, while ceiling effects at 12 months ranged from 38% to 40%. Cross-tabulation of the SPORTS scores showed that 64% to 66% of patients reported a change in their score from 6 to 12 months, with significant differences noted between the proportions that improved versus worsened for return to any sport. Convergent validity was observed at 6 and 12 months via moderate correlations with the Tegner, Lysholm, KOOS–sport/recreation, and Marx scores (r = 0.31 to 0.47). Fair to good test-retest reliability (intraclass correlation coefficient, 0.58 and 0.60) was found at 12 months after ACLR. CONCLUSION: The SPORTS score appears to be a reliable, responsive, and valid 1-item scale that can be used during the first year after ACLR. No differences in psychometric properties were found between the SPORTS score and the modified version. SAGE Publications 2022-06-08 /pmc/articles/PMC9185013/ /pubmed/35693459 http://dx.doi.org/10.1177/23259671221098436 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by-nc-nd/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 License (https://creativecommons.org/licenses/by-nc-nd/4.0/) which permits non-commercial use, reproduction and distribution of the work as published without adaptation or alteration, without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Article
Bley, Jordan A.
Master, Hiral
Huston, Laura J.
Block, Shannon
Pennings, Jacquelyn S.
Coronado, Rogelio A.
Cox, Charles L.
Sullivan, Jaron P.
Dale, Kevin M.
Saluan, Paul M.
Spindler, Kurt P.
Archer, Kristin R.
Return to Sports After Anterior Cruciate Ligament Reconstruction: Validity and Reliability of the SPORTS Score at 6 and 12 Months
title Return to Sports After Anterior Cruciate Ligament Reconstruction: Validity and Reliability of the SPORTS Score at 6 and 12 Months
title_full Return to Sports After Anterior Cruciate Ligament Reconstruction: Validity and Reliability of the SPORTS Score at 6 and 12 Months
title_fullStr Return to Sports After Anterior Cruciate Ligament Reconstruction: Validity and Reliability of the SPORTS Score at 6 and 12 Months
title_full_unstemmed Return to Sports After Anterior Cruciate Ligament Reconstruction: Validity and Reliability of the SPORTS Score at 6 and 12 Months
title_short Return to Sports After Anterior Cruciate Ligament Reconstruction: Validity and Reliability of the SPORTS Score at 6 and 12 Months
title_sort return to sports after anterior cruciate ligament reconstruction: validity and reliability of the sports score at 6 and 12 months
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9185013/
https://www.ncbi.nlm.nih.gov/pubmed/35693459
http://dx.doi.org/10.1177/23259671221098436
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