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首页> 外文期刊>Orthopaedic Journal of Sports Medicine >The Functional Arm Scale for Throwers (FAST)—Part I: The Design and Development of an Upper Extremity Region-Specific and Population-Specific Patient-Reported Outcome Scale for Throwing Athletes
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The Functional Arm Scale for Throwers (FAST)—Part I: The Design and Development of an Upper Extremity Region-Specific and Population-Specific Patient-Reported Outcome Scale for Throwing Athletes

机译：投掷者的功能臂规模（快） - 第一次：上肢区域特异性和人口特异性患者报告的结果的设计和开发用于投掷运动员

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Background:Upper extremity (UE) region-specific, patient-reported outcome (PRO) scales assess injuries to the UE but do not account for the demands of overhead throwing athletes or measure patient-oriented domains of health-related quality of life (HRQOL).Purpose:To develop the Functional Arm Scale for Throwers (FAST), a UE region-specific and population-specific PRO scale that assesses multiple domains of disablement in throwing athletes with UE injuries. In stage I, a beta version of the scale was developed for subsequent factor identification, final item reduction, and construct validity analysis during stage II.Study Design:Descriptive laboratory study.Methods:Three-stage scale development was utilized: Stage I (item generation and initial item reduction) and stage II (factor analysis, final item reduction, and construct validity) are reported herein, and stage III (establishment of measurement properties [reliability and validity]) will be reported in a companion paper. In stage I, a beta version was developed, incorporating National Center for Medical Rehabilitation Research disablement domains and ensuring a blend of sport-related and non–sport-related items. An expert panel and focus group assessed importance and interpretability of each item. During stage II, the FAST was reduced, preserving variance characteristics and factor structure of the beta version and construct validity of the final FAST scale.Results:During stage I, a 54-item beta version and a separate 9-item pitcher module were developed. During stage II, a 22-item FAST and 9-item pitcher module were finalized. The factor solution for FAST scale items included pain (n = 6), throwing (n = 10), activities of daily living (n = 5), psychological impact (n = 4), and advancement (n = 3). The 6-item pain subscale crossed factors. The remaining subscales and pitcher module are distinctive, correlated, and internally consistent and may be interpreted individually or combined.Conclusion:This article describes the development of the FAST, which assesses clinical outcomes and HRQOL of throwing athletes after UE injury. The FAST encompasses multiple domains of disability and demonstrates excellent construct validity.Clinical Relevance:The FAST provides a single UE region-specific and population-specific PRO scale for high-demand throwers to facilitate measurement of impact of UE injuries on HRQOL and clinical outcomes while quantifying recovery for comparative effectiveness studies.
机译：背景：上肢（UE）特异性地区，患者报告的结果（Pro）尺度评估UE的伤害，但不考虑对比投掷运动员的需求或衡量与患者相关的健康生活质量域（HRQOL ）.Purpose：为投掷者（快速）的功能ARM规模，UE区域特定的和特定人口特定的专业规模评估与UE伤害的投掷运动员的多个障碍域。在阶段I中，为后续因子识别，最终物品减少和构建有效性分析而制定了刻度的Beta版本，并在第II阶段构建有效性分析：描述性实验室研究。方法：使用三阶段规模的发展：阶段I（项目本文报告了一代和初始项目减少）和阶段II（因子分析，最终物品还原和构建有效性），并在伴随文件中报告阶段III（建立测量性能[可靠性和有效性]）。在I阶段，开发了一个Beta版，并入国家医疗康复研究中心中心，并确保了与运动相关和非运动相关的物品的混合。专家小组和焦点组评估了每个项目的重要性和可解释性。在阶段II期间，减少了快速，保留了β版本的方差特征和因子结构，并构建最终快速刻度的有效性。结果：在阶段I期间，开发了54项测试版和一个单独的9项投球机模块。在阶段II期间，最终确定了22件快速和9件投球机模块。快速尺度物品的因子解决方案包括疼痛（n = 6），投掷（n = 10），日常生活活动（n = 5），心理冲击（n = 4）和进步（n = 3）。 6件痛痛亚克交叉因子。剩余的分量器和投手模块是独特的，相关的，并且内部一致，可以单独或组合解释。结论：本文介绍了快速的发展，从而评估UE损伤后投掷运动员的临床结果和HRQOL。快速包含多个残疾域，并展示出色的构建有效性。临床相关性：快速为高需求投掷者提供单一UE区域特定的和特定人口特定的专业规模，以便测量UE损伤对HRQOL和临床结果的影响。量化比较效果研究的恢复。

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