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首页> 外文期刊>Health and Quality of Life Outcomes >The Achilles tendon total rupture score: a study of responsiveness, internal consistency and convergent validity on patients with acute Achilles tendon ruptures
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The Achilles tendon total rupture score: a study of responsiveness, internal consistency and convergent validity on patients with acute Achilles tendon ruptures

机译：跟腱断裂总评分：急性跟腱断裂患者反应性，内部一致性和收敛效度的研究

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Background The Achilles tendon Total Rupture Score was developed by a research group in 2007 in response to the need for a patient reported outcome measure for this patient population. Beyond this original development paper, no further validation studies have been published. Consequently the purpose of this study was to evaluate internal consistency, convergent validity and responsiveness of this newly developed patient reported outcome measure within patients who have sustained an isolated acute Achilles tendon rupture. Methods Sixty-four eligible patients with an acute rupture of their Achilles tendon completed the Achilles tendon Total Rupture Score alongside two further patient reported outcome measures (Disability Rating Index and EQ 5D). These were completed at baseline, six weeks, three months, six months and nine months post injury. The Achilles tendon Total Rupture Score was evaluated for internal consistency, using Cronbach's alpha, convergent validity, through correlation analysis and responsiveness, by analysing floor and ceiling effects and calculating its relative efficiency in comparison to the Disability Rating Index and EQ 5D scores. Results The Achilles tendon Total Rupture Score demonstrated high internal consistency (Cronbachs alpha > 0.8) and correlated significantly (p Conclusions A universally accepted outcome measure is imperative to allow comparisons to be made across practice. This is the first study to evaluate aspects of validity of this newly developed outcome measure, outside of the developing centre. The ATRS demonstrated high internal consistency and responsiveness, with limited convergent validity. This research provides further support for the use of this outcome measure, however further research is required to advocate its universal use in patients with acute Achilles tendon ruptures. Such areas include inter-rater reliability and research to determine the minimally clinically important difference between scores. All authors have read and concur with the content of this manuscript. The material presented has not been and will not be submitted for publication elsewhere, except as an abstract. All authors have made substantial contributions to all of the following: (1) the conception and design of the study, or acquisition of data, or analysis and interpretation of data, (2) drafting the article or revising it critically for important intellectual content and (3) final approval of the submitted version. This research has been funded by Arthritis Research UK, no conflicts of interests have been declared by the authors. Kind Regards Rebecca Kearney (corresponding author) Research Physiotherapist
机译：背景技术跟腱腱断裂总评分是由一个研究小组于2007年制定的，旨在满足该患者群体对患者报告的结局指标的需求。除了原始的开发论文之外，没有进一步的验证研究发表。因此，本研究的目的是评估内部持续一致性，收敛有效性和反应性，该新近报道的患者报告了持续的孤立的跟腱急性破裂患者的结果。方法64例合格的跟腱急性断裂的合格患者完成了跟腱总断裂评分，并另外报告了两项患者的结局指标（残疾评定指数和EQ 5D）。这些是在受伤后的基线，六个星期，三个月，六个月和九个月完成的。通过Cronbach's alpha，收敛性有效性，相关性分析和响应能力，通过分析地板和天花板效应并计算其相对效率（与残疾评级指数和EQ 5D得分相比），评估了跟腱总断裂评分的内部一致性。结果跟腱总断裂评分显示出较高的内部一致性（Cronbachs alpha> 0.8）并具有显着相关性（p结论）必须采用一种普遍接受的预后评估方法，以便能够在整个实践中进行比较，这是第一项评估该方法有效性的研究。 ATRS表现出较高的内部一致性和响应性，并且收敛效度有限，这项研究为该结果度量的使用提供了进一步的支持，但仍需要进一步的研究以倡导在成果中心中普遍使用急性跟腱断裂的患者，包括评分者间的信度和确定评分之间最小的临床重要差异的研究，所有作者均已阅读并同意本手稿的内容，所提供的材料尚未并且不会提交除其他摘要外，供其他地方出版。我们为以下所有方面做出了实质性贡献：（1）研究的概念和设计，或数据的获取，或数据的分析和解释，（2）为重要的智力内容起草文章或对其进行严格修改和（（ 3）最终批准提交的版本。该研究由英国关节炎研究基金会资助，作者没有宣称存在利益冲突。亲切的问候丽贝卡·卡尼（通讯作者）研究物理治疗师

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