PMID- 35695001 OWN - NLM STAT- MEDLINE DCOM- 20230615 LR - 20230617 IS - 1464-5165 (Electronic) IS - 0963-8288 (Linking) VI - 45 IP - 13 DP - 2023 Jun TI - The Western Ontario and McMaster Universities Osteoarthritis, Lequesne Algofunctional index, Arthritis Impact Measurement Scale-short form, and Visual Analogue Scale in patients with knee osteoarthritis: responsiveness and minimal clinically important differences. PG - 2185-2191 LID - 10.1080/09638288.2022.2084776 [doi] AB - PURPOSE: The goal of this study was to see whether the Western Ontario and McMaster Universities Osteoarthritis index (WOMAC), Lequesne Algofunctional index and the Arthritis Impact Measurement Scale-short form (AIMS2-SF) could changes after physiotherapy interventions (i.e., responsiveness) and to determine Minimal Clinically Important Difference (MCID) in the performance of the people with knee osteoarthritis. MATERIALS AND METHODS: A convenient sample of 116 people with knee osteoarthritis completed the tools at baseline and then again after 10 sessions physiotherapy intervention. Two techniques were used to determine responsiveness: The receiver operating characteristics (ROC) method and the correlation analysis. RESULT: All of the tools showed the AUC of greater than 0.70 (AUC ranges = 0.72 - 0.83). For the WOMAC, Lequesne Algofunctional index, AIMS2-SF and VAS-pain, optimal cutoff points were 12.5, 2.75, 4.5 and 2.5 points, respectively. The gamma correlation between WOMAC, Lequesne Algofunctional index, AIMS2-SF, VAS-pain, and Global Rating Change (GRC) scores was 0.55, 0.52, 0.40, and 0.46, respectively. CONCLUSION: In people with knee osteoarthritis, the WOMAC has the maximum responsiveness to clinical changes. The MCID values identify in this study will aid in determining whether or not an individual with knee osteoarthritis has undergone a true improvement since receiving physiotherapy. IMPLICATIONS FOR REHABILITATIONThe results of this study provide valuable information regarding to the ability of outcome measures to detect treatment effects in patients with knee osteoarthritis.The WOMAC questionnaire is a responsive tool to measure the changes in functional activity due to physiotherapy intervention in patients with knee osteoarthritis.A patient with knee osteoarthritis had to change at least 12.5 scores on the WOMAC to be judged as having clinically changed. FAU - Salehi, Reza AU - Salehi R AUID- ORCID: 0000-0001-6793-7293 AD - Rehabilitation Research Center, Department of Rehabilitation Management, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran. FAU - Valizadeh, Leila AU - Valizadeh L AD - Musculoskeletal Rehabilitation Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran. FAU - Negahban, Hossein AU - Negahban H AUID- ORCID: 0000-0001-8387-1781 AD - Department of Physical Therapy, School of Paramedical Sciences, Mashhad University of Medical Sciences, Mashhad, Iran. AD - Orthopedic Research Center, Mashhad University of Medical Sciences, Mashhad, Iran. FAU - Karimi, Mehrnoosh AU - Karimi M AD - Musculoskeletal Rehabilitation Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran. FAU - Goharpey, Shahin AU - Goharpey S AUID- ORCID: 0000-0002-9006-4782 AD - Musculoskeletal Rehabilitation Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran. FAU - Shahali, Shadab AU - Shahali S AUID- ORCID: 0000-0003-0421-9504 AD - Department of Reproductive Health and Midwifery, Faculty of medical sciences, Tarbiat Modares University, Tehran, Iran. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20220611 PL - England TA - Disabil Rehabil JT - Disability and rehabilitation JID - 9207179 SB - IM MH - Humans MH - *Osteoarthritis, Knee MH - Minimal Clinically Important Difference MH - Ontario MH - Universities MH - Visual Analog Scale MH - *Osteoarthritis, Hip MH - Pain OTO - NOTNLM OT - AIMS2-SF OT - Responsiveness OT - WOMAC OT - knee osteoarthritis OT - lequesne algofunctional EDAT- 2022/06/14 06:00 MHDA- 2023/06/15 06:42 CRDT- 2022/06/13 05:03 PHST- 2023/06/15 06:42 [medline] PHST- 2022/06/14 06:00 [pubmed] PHST- 2022/06/13 05:03 [entrez] AID - 10.1080/09638288.2022.2084776 [doi] PST - ppublish SO - Disabil Rehabil. 2023 Jun;45(13):2185-2191. doi: 10.1080/09638288.2022.2084776. Epub 2022 Jun 11.