PMID- 23012320
OWN - NLM
STAT- MEDLINE
DCOM- 20141020
LR  - 20191210
IS  - 1473-0480 (Electronic)
IS  - 0306-3674 (Linking)
VI  - 48
IP  - 6
DP  - 2014 Mar
TI  - Responsiveness of the VISA-P scale for patellar tendinopathy in athletes.
PG  - 453-7
LID - 10.1136/bjsports-2012-091163 [doi]
AB  - BACKGROUND: Patient-reported outcome measures are increasingly used in sports 
      medicine to assess results after treatment, but interpretability of change for 
      many instruments remains unclear. OBJECTIVE: To define the minimum clinically 
      important difference (MCID) for the Victorian Institute of Sport Assessment scale 
      (VISA-P) in athletes with patellar tendinopathy (PT) who underwent conservative 
      treatment. METHODS: Ninety-eight athletes with PT were enrolled in the study. 
      Each participant completed the VISA-P at admission, after 1 week, and at the 
      final visit. Athletes also assessed their clinical change at discharge on a 
      15-point Likert scale. We equated important change with a score of >/=3 (somewhat 
      better). Receiver-operating characteristic (ROC) curve analysis and mean change 
      score were used to determine MCID. Minimal detectable change was calculated. The 
      effect of baseline scores on MCID and different criteria used to define important 
      change were investigated. A Bayesian analysis was used to establish the posterior 
      probability of reporting clinical changes related to MCID value. RESULTS: 
      Athletes with PT who showed an absolute change greater than 13 points in the 
      VISA-P score or 15.4-27% of relative change achieved a minimal important change 
      in their clinical status. This value depended on baseline scores. The probability 
      of a clinical change in a patient was 98% when this threshold was achieved and 
      45% when MCID was not achieved. CONCLUSIONS: Definition of the MCID will enhance 
      the interpretability of changes in the VISA-P score in the athletes with PT, but 
      caution is required when these values are used.
FAU - Hernandez-Sanchez, Sergio
AU  - Hernandez-Sanchez S
AD  - Department of Pathology and Surgery, Physiotherapy Area, University Miguel 
      Hernandez, Sant Joan, Alicante, Spain.
FAU - Hidalgo, Ma Dolores
AU  - Hidalgo MD
FAU - Gomez, Antonia
AU  - Gomez A
LA  - eng
PT  - Evaluation Study
PT  - Journal Article
PT  - Multicenter Study
DEP - 20120925
PL  - England
TA  - Br J Sports Med
JT  - British journal of sports medicine
JID - 0432520
SB  - IM
MH  - Adult
MH  - Cumulative Trauma Disorders/diagnosis/therapy
MH  - Female
MH  - Humans
MH  - Male
MH  - Pain Measurement/methods
MH  - *Patellar Ligament
MH  - *Patient Outcome Assessment
MH  - ROC Curve
MH  - Retrospective Studies
MH  - Severity of Illness Index
MH  - Sports/*physiology
MH  - Surveys and Questionnaires
MH  - Tendinopathy/*diagnosis/therapy
OTO - NOTNLM
OT  - Knee injuries
OT  - Sports physiotherapy
OT  - Tendons
EDAT- 2012/09/27 06:00
MHDA- 2014/10/21 06:00
CRDT- 2012/09/27 06:00
PHST- 2012/09/27 06:00 [entrez]
PHST- 2012/09/27 06:00 [pubmed]
PHST- 2014/10/21 06:00 [medline]
AID - bjsports-2012-091163 [pii]
AID - 10.1136/bjsports-2012-091163 [doi]
PST - ppublish
SO  - Br J Sports Med. 2014 Mar;48(6):453-7. doi: 10.1136/bjsports-2012-091163. Epub 
      2012 Sep 25.