Open AccessAnalysis of patient‐reported anterior knee pain scale: implications for scale development in children and adolescents
Author(s) -
Myer Gregory D.,
Barber Foss Kim D.,
Gupta Resmi,
Hewett Timothy E.,
Ittenbach Richard F.
Publication year - 2016
Publication title -
knee surgery, sports traumatology, arthroscopy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.806
H-Index - 125
eISSN - 1433-7347
pISSN - 0942-2056
DOI - 10.1007/s00167-014-3004-7
Subject(s) - physical therapy , knee pain , anterior knee pain , reliability (semiconductor) , medicine , scale (ratio) , pain scale , physical medicine and rehabilitation , patellofemoral pain syndrome , athletes , psychology , patella , surgery , osteoarthritis , pathology , alternative medicine , power (physics) , physics , quantum mechanics
Purpose The purpose of this investigation was to estimate and document the reliability and validity of the Anterior Knee Pain Scale (AKPS) and to estimate its relative prediction accuracy of anterior knee pain in young females. Methods Data from a prospective, epidemiologic study to diagnose patellofemoral knee pain among female athletes ( n = 499) using the Anterior Knee Pain Scale (AKPS). Data were treated in 4 phases (descriptive phase, reliability phase, scale refinement phase) and a final validation stage that was focused on an effort to test and document the validation of the AKPS short form and perform head‐to‐head comparisons of the 6‐item short form with the original, 13‐item form. Results The AKPS was reduced from 13 items (αCoeff = 0.77, σSEM = 0.004) to 6 items (αCoeff = 0.78, σSEM = 0.004). Point‐biserial correlations with patellofemoral pain diagnosis were comparable: r [498] = 0.70 ( R 2 = 0.49, short form) and r [498] = 0.71 ( R 2 = 0.51, long form), as was sensitivity: 84 % (short form) and 80 % (long form), and specificity: 89 % (short form) and 90 % (long form; AUC = 0.94 both). Conclusion The current analyses indicate that a subset of measures from the AKPS is responsive to patellofemoral pain symptoms and may support screening for related diagnoses. A simpler and quicker scale optimized for diagnostic accuracy could reduce the demand on patients, clinicians and research teams focused on the identification and management of patellofemoral pain. Level of evidence III.