Reliability and Validity of a Chinese Version of the Lysholm Score and Tegner Activity Scale for Knee Arthroplasty

Overview

Journal J Rehabil Med

Specialty Rehabilitation Medicine

Date 2022 May 18

PMID 35583050

Authors

Hongshi Huang

Si Zhang

Yi Wang

Yelverton Tegner

Yongjian Wang

Yanfang Jiang

Yingfang Ao

Affiliations

Soon will be listed here.

Abstract

Objective: To verify the reliability and validity of Chinese versions of the Lysholm score and the Tegner activity scale for knee arthroplasty.

Methods: Sixty-four patients undergoing total knee arthroplasty and 28 healthy volunteers were included in this study. Participants were divided into 4 groups: a pre-operation group; a 3 months post-operation group; a 1-year post-operation group; and a control group of healthy volunteers. Participants completed the Lysholm score and Tegner activity scale twice over a period of 3-7 days.

Results: The intraclass correlation coefficients of the Lysholm score and Tegner scale were both relatively high, at 0.99 and 0.97, respectively. Moreover, the Cronbach's alpha of the Lysholm score was 0.71. The items "locking" and "instability" differed slightly between groups (Kruskal-Wallis: for locking, χ2 (p) = 13.48, p = 0.0037; for instability, χ2 (p) = 4.32, p = 0.2292).

Conclusion: The simplified-Chinese versions of the Lysholm score and the Tegner scale are applicable for use with patients undergoing total knee arthroplasty, and have relatively high validity and reliability. The items "locking" and "instability" should be combined with clinical data to make the Lysholm score more suitable for assessment of total knee arthroplasty.

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