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Knee Surgery, Sports Traumatology, Arthroscopy

Published in:

01-11-2013 | Knee

Dutch translation of the Kujala Anterior Knee Pain Scale and validation in patients after knee arthroplasty

Authors: Arthur J. Kievit, Stefan J. M. Breugem, Inger N. Sierevelt, Petra J. C. Heesterbeek, Sebastiaan A. W. van de Groes, Keetie C. A. L. C. Kremers, Sander Koëter, Daniel Haverkamp

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 11/2013

Abstract

Purpose

To translate and validate the Kujala Anterior Knee Pain Scale (AKPS) in patients who have undergone total knee arthroplasty (TKA) or unicompartmental knee arthroplasty (UKA) and evaluate the internal consistency, construct validity and ceiling or floor effect.

Methods

After standard forward and backward translation was performed, 302 patients who have received a TKA or UKA filled out the AKPS together with Hospital for Special Surgery (HSS) patella score, visual analogue score (VAS) for pain, the Oxford 12-item questionnaire and the SF-36 at follow-up. The internal consistency was tested using Cronbach’s α coefficient. The construct validity was assessed using Spearman’s rank correlation (R) to test for correlations between the AKPS and VAS HSS, HSS patella score, VAS month, Oxford 12-item questionnaire and SF-36 subscales. Ceiling or floor effects are given in percentage of patients giving a maximum or minimum score.

Results

The internal reliability of the AKPS is acceptable with a Cronbach’s α of 0.81 in patients after TKA or UKA. A high correlation was found between the AKPS and the Oxford 12-item questionnaire (R = 0.81). Moderate correlations were found with the VAS month (R = 0.63), HSS patella score (R = 0.51) and SF-36 subscales physical functioning (R = 0.59), role-physical (R = 0.59), bodily pain (R = 0.57). Other correlations were poor, therefore indicating a good convergent and divergent validity. Ceiling effects were observed for the HSS patella score (31 %), VAS HSS (51 %), VAS pain (19 %), SF36-RP (46 %), SF36-RE (80 %) and SF36-BP (24 %). No ceiling or floor effect was found for the AKPS, Oxford 12-item and the other SF36 domains.

Conclusions

The AKPS appears to be reliable and valid in patients after knee arthroplasty, with no ceiling and floor effects, and can be used to assess anterior knee pain in patient who underwent joint replacement surgery.

Level of evidence

Diagnostic study, Level I.

Available only for authorised users

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Title: Dutch translation of the Kujala Anterior Knee Pain Scale and validation in patients after knee arthroplasty
Authors: Arthur J. Kievit
Stefan J. M. Breugem
Inger N. Sierevelt
Petra J. C. Heesterbeek
Sebastiaan A. W. van de Groes
Keetie C. A. L. C. Kremers
Sander Koëter
Daniel Haverkamp
Publication date: 01-11-2013
Publisher: Springer Berlin Heidelberg
Published in: Knee Surgery, Sports Traumatology, Arthroscopy / Issue 11/2013
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI: https://doi.org/10.1007/s00167-013-2635-4

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Dutch translation of the Kujala Anterior Knee Pain Scale and validation in patients after knee arthroplasty

Abstract

Purpose

Methods

Results

Conclusions

Level of evidence

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

Level of evidence

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