Measurement of function in hip osteoarthritis: Developing a standardized approach for physical performance measures

Assessment of physical function is regarded as an essential component to determining outcome in patients with hip osteoarthritis (OA). The Western Ontario and McMaster Universities Osteoarthritis Index physical function subscale (WOMAC-PF) has been recommended as the leading self-report measure to assess function in OA trials. However, recent evidence has questioned the construct validity and longitudinal validity of the WOMAC-PF for assessing physical function. In this perspective, we recommend that both self-report measures and physical performance measures of physical function are needed for a more comprehensive assessment of function in patients with hip OA. We propose the development of a standardized battery of physical performance outcome measures to complement self-report measures when capturing the construct of function in patients with hip OA.

[1]  K. Bennell,et al.  Discriminant validity of the Western Ontario and McMaster Universities Osteoarthritis index physical functioning subscale in community samples with hip osteoarthritis. , 2009, Archives of physical medicine and rehabilitation.

[2]  Yong-Hao Pua,et al.  The Lower Extremity Functional Scale could be an alternative to the Western Ontario and McMaster Universities Osteoarthritis Index physical function scale. , 2009, Journal of clinical epidemiology.

[3]  K. Jordan,et al.  Measurement of change in function and disability in osteoarthritis: current approaches and future challenges , 2009, Current opinion in rheumatology.

[4]  C. Maher,et al.  Global Rating of Change Scales: A Review of Strengths and Weaknesses and Considerations for Design , 2009, The Journal of manual & manipulative therapy.

[5]  M. Bhandari,et al.  The final straw: a qualitative study to explore patient decisions to undergo total hip arthroplasty , 2009, Archives of Orthopaedic and Trauma Surgery.

[6]  Marcie Harris-Hayes,et al.  Hip pain and mobility deficits--hip osteoarthritis: clinical practice guidelines linked to the international classification of functioning, disability, and health from the orthopaedic section of the American Physical Therapy Association. , 2009, The Journal of orthopaedic and sports physical therapy.

[7]  P. Stratford,et al.  New study design evaluated the validity of measures to assess change after hip or knee arthroplasty. , 2009, Journal of clinical epidemiology.

[8]  N. Mahomed,et al.  Relationship between self-reported and performance-based tests in a hip and knee joint replacement population , 2009, Clinical Rheumatology.

[9]  D. Rowley,et al.  Variations in the pre-operative status of patients coming to primary hip replacement for osteoarthritis in European orthopaedic centres , 2009, BMC musculoskeletal disorders.

[10]  David T Felson,et al.  Developments in the clinical understanding of osteoarthritis , 2009, Arthritis research & therapy.

[11]  M. Hellio le Graverand,et al.  Changes in outcome measures for impairment, activity limitation, and participation restriction over two years in osteoarthritis of the lower extremities. , 2008, Arthritis and rheumatism.

[12]  H. Mcburney,et al.  Reliability of performance-based measures in people awaiting joint replacement surgery of the hip or knee. , 2008, Physiotherapy research international : the journal for researchers and clinicians in physical therapy.

[13]  J. Arokoski,et al.  Factors affecting self-reported pain and physical function in patients with hip osteoarthritis. , 2008, Archives of physical medicine and rehabilitation.

[14]  W. Zijlstra,et al.  Physical Functioning Before and After Total Hip Arthroplasty: Perception and Performance , 2008, Physical Therapy.

[15]  R. Faulkner,et al.  The history of falls and the association of the timed up and go test to falls and near-falls in older adults with hip osteoarthritis , 2007, BMC geriatrics.

[16]  P. Stratford,et al.  Performance Measures Provide Assessments of Pain and Function in People With Advanced Osteoarthritis of the Hip or Knee , 2006, Physical Therapy.

[17]  L B Mokkink,et al.  Performance-based methods for measuring the physical function of patients with osteoarthritis of the hip or knee: a systematic review of measurement properties. , 2006, Rheumatology.

[18]  C. Terwee,et al.  Self-reported physical functioning was more influenced by pain than performance-based physical functioning in knee-osteoarthritis patients. , 2006, Journal of clinical epidemiology.

[19]  P. Stratford,et al.  Performance measures were necessary to obtain a complete picture of osteoarthritic patients. , 2006, Journal of clinical epidemiology.

[20]  K. Meade,et al.  Orthotic Treatment of Degenerative Disk Disease with Degenerative Spondylolisthesis: A Case Study , 2006 .

[21]  Patrick A Costigan,et al.  Contribution of psychosocial and mechanical variables to physical performance measures in knee osteoarthritis. , 2005, Physical therapy.

[22]  P. Stratford,et al.  Assessing stability and change of four performance measures: a longitudinal study evaluating outcome following total hip and knee arthroplasty , 2005, BMC musculoskeletal disorders.

[23]  P. Stratford,et al.  Condition-specific Western Ontario McMaster Osteoarthritis Index was not superior to region-specific Lower Extremity Functional Scale at detecting change. , 2004, Journal of clinical epidemiology.

[24]  Mau-Roung Lin,et al.  Psychometric Comparisons of the Timed Up and Go, One‐Leg Stand, Functional Reach, and Tinetti Balance Measures in Community‐Dwelling Older People , 2004, Journal of the American Geriatrics Society.

[25]  P. Stratford,et al.  Does parallel item content on WOMAC's Pain and Function Subscales limit its ability to detect change in functional status? , 2004, BMC musculoskeletal disorders.

[26]  M. Dougados,et al.  OMERACT-OARSI initiative: Osteoarthritis Research Society International set of responder criteria for osteoarthritis clinical trials revisited. , 2004, Osteoarthritis and cartilage.

[27]  Olivier Ethgen,et al.  Health-related quality of life in total hip and total knee arthroplasty. A qualitative and systematic review of the literature. , 2004, The Journal of bone and joint surgery. American volume.

[28]  P. Stratford,et al.  The relationship between self-report and performance-related measures: questioning the content validity of timed tests. , 2003, Arthritis and rheumatism.

[29]  D. Feeny,et al.  Health-related quality of life and mobility of patients awaiting elective total hip arthroplasty: a prospective study. , 2002, CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne.

[30]  M. Revel,et al.  Algo-functional assessment of knee osteoarthritis: comparison of the test-retest reliability and construct validity of the WOMAC and Lequesne indexes. , 2002, Osteoarthritis and cartilage.

[31]  R. Davey,et al.  Tests for physical function of the elderly with knee and hip osteoarthritis , 2001, Scandinavian journal of medicine & science in sports.

[32]  Orit Shechtman,et al.  Foundations of Clinical Research: Applications to Practice, 2nd Edition, Leslie Gross Portney, Mary P. Watkins. Prentice Hall, Upper Saddle River, NJ (2000), 752 pages. $60 , 2001 .

[33]  J. Thumboo,et al.  Validation of the Western Ontario and Mcmaster University osteoarthritis index in Asians with osteoarthritis in Singapore. , 2001, Osteoarthritis and cartilage.

[34]  E. Roos,et al.  Comparative responsiveness of measures of pain and function after total hip replacement. , 2001, Arthritis and rheumatism.

[35]  G. Stucki,et al.  A new look at the Western Ontario and McMaster Universities Osteoarthritis Index using Rasch analysis. , 1999, Arthritis care and research : the official journal of the Arthritis Health Professions Association.

[36]  W. Beam,et al.  A 30-s chair-stand test as a measure of lower body strength in community-residing older adults. , 1999, Research quarterly for exercise and sport.

[37]  F. Wolfe,et al.  Determinants of WOMAC function, pain and stiffness scores: evidence for the role of low back pain, symptom counts, fatigue and depression in osteoarthritis, rheumatoid arthritis and fibromyalgia. , 1999, Rheumatology.

[38]  L. Strand,et al.  The Sock Test for evaluating activity limitation in patients with musculoskeletal pain. , 1999, Physical therapy.

[39]  D. Butler,et al.  The integration of pain sciences into clinical practice. , 1997, Journal of hand therapy : official journal of the American Society of Hand Therapists.

[40]  A. L. Evans,et al.  Gait speed and activities of daily living function in geriatric patients. , 1995, Archives of physical medicine and rehabilitation.

[41]  R. Marks,et al.  Reliability and validity of self-paced walking time measures for knee osteoarthritis. , 1994, Arthritis care and research : the official journal of the Arthritis Health Professions Association.

[42]  M. Hyland.  The validity of health assessments: resolving some recent differences. , 1993, Journal of clinical epidemiology.

[43]  L. Lipsitz,et al.  Causes and correlates of recurrent falls in ambulatory frail elderly. , 1991, Journal of gerontology.

[44]  Diane Podsiadlo,et al.  The Timed “Up & Go”: A Test of Basic Functional Mobility for Frail Elderly Persons , 1991, Journal of the American Geriatrics Society.

[45]  C. Goldsmith,et al.  Validation study of WOMAC: a health status instrument for measuring clinically important patient relevant outcomes to antirheumatic drug therapy in patients with osteoarthritis of the hip or knee. , 1988, The Journal of rheumatology.

[46]  D. Kay,et al.  Five-minute walking test of aerobic fitness for people with arthritis , 1988 .

[47]  J. Reveille,et al.  Radiographic assessment and psychologic variables as predictors of pain and functional impairment in osteoarthritis of the knee or hip. , 1988, Arthritis and rheumatism.

[48]  A R Feinstein,et al.  Scientific and clinical problems in indexes of functional disability. , 1986, Annals of internal medicine.

[49]  B. V. Lunen.  Orthopedic Manual Therapy : An Evidence-Based Approach , 2010 .

[50]  Patrick A Costigan,et al.  Determinants of self-report outcome measures in people with knee osteoarthritis. , 2006, Archives of physical medicine and rehabilitation.

[51]  K. Roach,et al.  Measurement of Health Outcomes: Reliability, Validity and Responsiveness , 2006 .

[52]  P. Stratford,et al.  Comparison of gender and group differences in self-report and physical performance measures in total hip and knee arthroplasty candidates. , 2002, The Journal of arthroplasty.

[53]  R. Doughty,et al.  Measuring health-related quality of life. , 1999, The New Zealand medical journal.

[54]  Elizabeth Domholdt,et al.  Physical Therapy Research: Principles and Applications , 1993 .

[55]  Stephen Begg,et al.  Burden of disease and injury , , 2022 .