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Validation and Implementation of Proms in Orthopaedic Sports Medicine preliminary results in 100 patients
Author(s):
Rocha Piedade S. (Brazil)
,
Rocha Piedade S. (Brazil)
Affiliations:
Maffulli N.
Maffulli N.
Affiliations:
ESSKA Academy. Rocha Piedade S. May 9, 2018; 209300; P02-1248
Assoc. Prof. Sergio Rocha Piedade
Assoc. Prof. Sergio Rocha Piedade
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Abstract
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Objectives: The aim of this study was to analyze and validate a questionnaire developed to assess regular sports practitioners that had a sports injury, registering their perception of injury, their expectations of treatment; their evaluation of postoperative care and treatment received and also, the outcomes compared to their pre-injury status of physical demands in sports activity.

Methods: The data were obtained from four groups of 25 patients each (100 patients). Group 1 consisted of patients submitted to surgical procedure for pathologies of the foot and ankle; Group 2 hip pathologies; Group 3 Knee pathologies; and Group 4 shoulder and elbow. 23 females and 67 male; mean age: 35.6 years, range 15 to 73 years who regularly practised sports gave their informed consent to be enrolled in this study.

Methodologically, the development of this questionnaire was based on item generation and item scaling. The validity and reliability of this questionnaire were evaluated. Afterward, the main questionnaire developer, the team physicians, and the physiotherapists performed a careful analysis before establishing items reduction.

Descriptive statistics were calculated, with mean values, standard deviation, minimum and maximum and median values. The Fisher's exact test was used for categorical variables and questionnaire responses. For the binary variables, the Mann-Whitney and Kruskal-Wallis tests were used, in addition to the Spearman correlation coefficient.
The Conbrach's alpha was used to verify the items homogeneity, i.e. their accuracy or consistency. As a general rule, the accuracy should not be less than 0.80 if the scale is widely used, but values above 0.60 already indicate consistency.(p<0.05)

Results: The Cronbach's alpha confirmed that the questionnaire has consistency (0.630278). The final version of the questionnaire contained eight questions. They were organized in four groups of two issues each according to the clinical conditions: pre-injury; post injury; expectations to treatment; and post-operative care and end-results. Therefore, we established four pillars or domains with two questions each, while three questions were used to register the patient's reports of the level of sports, actual physical demands in their sports modality, and complaints.
In this study, the mean percentage value of the first column (pre-injury status) was calculated, and classified as high when the level was up to 70%, and moderate when above 70%, according to an analogue scale.

Conclusions: The questionnaire of Proms in Sports is an available tool to analyze the outcomes of different sports injuries in regular sports practitioners, independently of the anatomical site involved (shoulder, hip, knee, foot, and ankle). This questionnaire allows to register more accurately the patient's perception of their pre-injury status of physical demand in sports; their understanding of injury and expectations of treatment, their evaluation of postoperative care and treatment received and, the "outcomes."

Keywords:
PROMS; PROMIS; Sport Medicine; Patient Outcomes Assessment
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