Validation of the Brazilian version of the Hip Sports Activity Scale (HSAS) for patients with femoroacetabular impingement: a cross-sectional study

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ABSTRACT

BACKGROUND:

The Hip Sports Activity Scale (HSAS) is a hip-specific instrument for assessing the present levels of physical activity among patients with femoroacetabular impingement (FAI) syndrome. When evaluating treatment outcomes in patients with FAI syndrome, it is necessary to use joint-specific instruments and ones that can evaluate the levels of physical activity in these patients, such as the HSAS-Brazil.

OBJECTIVE:

To validate the HSAS-Brazil among a group of physically active patients after arthroscopic treatment of FAI syndrome.

DESIGN AND SETTING:

Cross-sectional research of quantitative and qualitative types using data obtained from July 2018 to October 2019.

METHODS:

A total of 58 patients of both genders diagnosed with FAI syndrome and who had undergone hip arthroscopy participated in this research. To establish reliability and validity, patients first answered the Brazilian versions of the 12-Item Short-Form Health Survey (SF-12), Nonarthritic Hip Score (NAHS), and HSAS; after a 48-hour interval, they answered the HSAS-Brazil again.

RESULTS:

For test-retest reliability, the interclass correlation was 0.908 (P < 0.001). The HSAS-Brazil correlated to the NAHS-Brazil (r = 0.63, P < 0.001), as well as the SF-12 (Physical Health) (r = 0.42, P = 0.001).

CONCLUSION:

The HSAS-Brazil was validated and proved to be a reliable and valid scale to assess sports activity levels in physically active patients with FAI syndrome after arthroscopic treatment.

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Most cited references 24

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The COSMIN study reached international consensus on taxonomy, terminology, and definitions of measurement properties for health-related patient-reported outcomes.

Lidwine B Mokkink, Caroline B Terwee, Donald L Patrick … (2010)

Lack of consensus on taxonomy, terminology, and definitions has led to confusion about which measurement properties are relevant and which concepts they represent. The aim was to clarify and standardize terminology and definitions of measurement properties by reaching consensus among a group of experts and to develop a taxonomy of measurement properties relevant for evaluating health instruments. An international Delphi study with four written rounds was performed. Participating experts had a background in epidemiology, statistics, psychology, and clinical medicine. The panel was asked to rate their (dis)agreement about proposals on a five-point scale. Consensus was considered to be reached when at least 67% of the panel agreed. Of 91 invited experts, 57 agreed to participate and 43 actually participated. Consensus was reached on positions of measurement properties in the taxonomy (68-84%), terminology (74-88%, except for structural validity [56%]), and definitions of measurement properties (68-88%). The panel extensively discussed the positions of internal consistency and responsiveness in the taxonomy, the terms "reliability" and "structural validity," and the definitions of internal consistency and reliability. Consensus on taxonomy, terminology, and definitions of measurement properties was reached. Hopefully, this will lead to a more uniform use of terms and definitions in the literature on measurement properties. Copyright 2010 Elsevier Inc. All rights reserved.

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The COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) and how to select an outcome measurement instrument

Lidwine Mokkink, Cecilia Prinsen, Lex Bouter … (2016)

Background: COSMIN (COnsensus-based Standards for the selection of health Measurement INstruments) is an initiative of an international multidisciplinary team of researchers who aim to improve the selection of outcome measurement instruments both in research and in clinical practice by developing tools for selecting the most appropriate available instrument. Method: In this paper these tools are described, i.e. the COSMIN taxonomy and definition of measurement properties; the COSMIN checklist to evaluate the methodological quality of studies on measurement properties; a search filter for finding studies on measurement properties; a protocol for systematic reviews of outcome measurement instruments; a database of systematic reviews of outcome measurement instruments; and a guideline for selecting outcome measurement instruments for Core Outcome Sets in clinical trials. Currently, we are updating the COSMIN checklist, particularly the standards for content validity studies. Also new standards for studies using Item Response Theory methods will be developed. Additionally, in the future we want to develop standards for studies on the quality of non-patient reported outcome measures, such as clinician-reported outcomes and performance-based outcomes. Conclusions: In summary, we plea for more standardization in the use of outcome measurement instruments, for conducting high quality systematic reviews on measurement instruments in which the best available outcome measurement instrument is recommended, and for stopping the use of poor outcome measurement instruments.

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The etiology of osteoarthritis of the hip: an integrated mechanical concept.

Reinhold Ganz, Michael Leunig, Katharina Leunig-Ganz … (2008)

The etiology of osteoarthritis of the hip has long been considered secondary (eg, to congenital or developmental deformities) or primary (presuming some underlying abnormality of articular cartilage). Recent information supports a hypothesis that so-called primary osteoarthritis is also secondary to subtle developmental abnormalities and the mechanism in these cases is femoroacetabular impingement rather than excessive contact stress. The most frequent location for femoroacetabular impingement is the anterosuperior rim area and the most critical motion is internal rotation of the hip in 90 degrees flexion. Two types of femoroacetabular impingement have been identified. Cam-type femoroacetabular impingement, more prevalent in young male patients, is caused by an offset pathomorphology between head and neck and produces an outside-in delamination of the acetabulum. Pincer-type femoroacetabular impingement, more prevalent in middle-aged women, is produced by a more linear impact between a local (retroversion of the acetabulum) or general overcoverage (coxa profunda/protrusio) of the acetabulum. The damage pattern is more restricted to the rim and the process of joint degeneration is slower. Most hips, however, show a mixed femoroacetabular impingement pattern with cam predominance. Surgical attempts to restore normal anatomy to avoid femoroacetabular impingement should be performed in the early stage before major cartilage damage is present. Level V, therapeutic study. See the Guidelines for Authors for a complete description of levels of evidence.

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Author and article information

Journal

Journal ID (nlm-ta): Sao Paulo Med J

Journal ID (iso-abbrev): Sao Paulo Med J

Journal ID (publisher-id): spmj

Title: São Paulo Medical Journal

Publisher: Associação Paulista de Medicina - APM

ISSN (Print): 1516-3180

ISSN (Electronic): 1806-9460

Publication date (Electronic, pub): 29 August 2022

Publication date (Electronic, collection): 2023

Volume: 141

Issue: 2

Pages: 114-119

Affiliations

[I ]MSc. Physiotherapist and Doctoral Student, Department of Medical Specialties, Postgraduate Programa in Medical Sciences, Universidade do Estado do Rio de Janeiro (UERJ), Rio de Janeiro (RJ), Brazil.

[II ]PhD. Physical Educator and Professor, Department of Pharmaceutical Sciences, Instituto de Ciências Biológicas e da Saúde (ICBS), Universidade Federal Rural do Rio de Janeiro (UFRRJ), Seropédica (RJ), Brazil.

[III ]PhD. Physiotherapist and Researcher, Department of Biophysics and Biometrics, Laboratório de Vibrações Mecânicas e Práticas Integrativas (LAVIMPI), Instituto de Biologia Roberto Alcântara Gomes, Policlínica Piquet Carneiro (PPC), Universidade do Estado do Rio de Janeiro (UERJ), Rio de Janeiro (RJ), Brazil.

[IV ]BSc. Physiotherapist and Master's Student, Department of Biophysics and Biometrics, Laboratório de Vibrações Mecânicas e Práticas Integrativas (LAVIMPI), Instituto de Biologia Roberto Alcântara Gomes, Policlínica Piquet Carneiro (PPC), Universidade do Estado do Rio de Janeiro (UERJ), Rio de Janeiro (RJ), Brazil.

[V ]PhD. Physiotherapist and Professor, Department of Biophysics and Biometrics, Laboratório de Vibrações Mecânicas e Práticas Integrativas (LAVIMPI), Instituto de Biologia Roberto Alcântara Gomes, Policlínica Piquet Carneiro (PPC), Universidade do Estado do Rio de Janeiro (UERJ), Rio de Janeiro (RJ), Brazil.

[VI ]MSc. Physiotherapist, Department of Medical Specialties, Postgraduate Programa in Medical Sciences, Universidade do Estado do Rio de Janeiro (UERJ), Rio de Janeiro (RJ), Brazil.

[VII ]MD. Orthopedist, Department of Medical Specialties, Faculdade de Ciências Médicas (FCM), Universidade do Estado do Rio de Janeiro (UERJ), Rio de Janeiro (RJ), Brazil.

[VIII ]MD, PhD. Orthopedist and Professor, Department of Medical Specialties, Postgraduate Program in Medical Sciences, Universidade do Estado do Rio de Janeiro (UERJ), Rio de Janeiro (RJ), Brazil.

Author notes

Address for correspondence: Letícia Nunes Carreras Del Castillo Mathias Departamento de Ortopedia e Traumatologia, Hospital Universitário Pedro Ernesto (HUPE), Universidade do Estado do Rio de Janeiro (UERJ) Av. 28 de Setembro, 77 Vila Isabel — Rio de Janeiro (RJ) — Brasil CEP 20.551-030 Tel. (+55 21) 2868-8054 E-mail: leticia.castillo@ 123456terra.com.br

Authors’ contributions: Mathias LNCDC: conceptualization (equal), data curation (equal), formal analysis (equal), investigation (equal), methodology (equal), project administration (equal), resources (equal), and writing-original draft (equal); Cardinot TM: formal analysis (equal), investigation (equal), methodology (equal), supervision (equal), validation (equal), writing-original draft (equal), and writing-review and editing (equal); Sá-Caputo DC: data curation (equal), formal analysis (equal), investigation (equal), methodology (equal), and writing-original draft (equal); Freitas JP: data curation (equal), formal analysis (equal), methodology (equal), and writing-original draft (equal); Bernardo-Filho M: conceptualization (equal), methodology (equal), project administration (equal), resources (equal), and writing-review and editing (equal); Costa RMP: data curation (equal), formal analysis (equal), methodology (equal), and writing-original draft (equal); Oliveira NSP: data curation (equal), formal analysis (equal), methodology (equal), and writing-original draft (equal); Oliveira LP: conceptualization (equal), methodology (equal), project administration (equal), validation (equal), visualization (equal), resources (equal), and writing-review and editing (equal). All authors actively contributed to the manuscript, and all reviewed and approved the final version for publication

Conflict of interest: The authors declare that they have no conflicts of interest.

Author information

Letícia Nunes Carreras Del Castillo Mathias http://orcid.org/0000-0003-2938-2551

Themis Moura Cardinot http://orcid.org/0000-0003-4191-0468

Danúbia da Cunha de Sá-Caputo http://orcid.org/0000-0002-9263-1576

Juliana Pessanha de Freitas http://orcid.org/0000-0002-6059-0810

Mário Bernardo Filho http://orcid.org/0000-0002-4718-448X

Rafaela Maria de Paula Costa http://orcid.org/0000-0001-5326-2387

Nathalia Sundin Palmeira de Oliveira http://orcid.org/0000-0002-5804-7448

Liszt Palmeira de Oliveira http://orcid.org/0000-0002-9051-937X

Article

Publisher ID: 1516-3180.2021.0832.R1.11052022

DOI: 10.1590/1516-3180.2021.0832.R1.11052022

PMC ID: 10005471

PubMed ID: 36043672

SO-VID: 6dc64dee-b66f-4c0d-8000-5845b924776a

License:

This is an open-access article distributed under the terms of the Creative Commons Attribution License

History

Date received : 19 October 2021

Date revision received : 21 February 2022

Date accepted : 13 May 2022

Page count

Figures: 0, Tables: 3, Equations: 0, References: 20

Validation of the Brazilian version of the Hip Sports Activity Scale (HSAS) for patients with femoroacetabular impingement: a cross-sectional study

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ABSTRACT

BACKGROUND:

OBJECTIVE:

DESIGN AND SETTING:

METHODS:

RESULTS:

CONCLUSION:

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Most cited references 24

The COSMIN study reached international consensus on taxonomy, terminology, and definitions of measurement properties for health-related patient-reported outcomes.

The COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) and how to select an outcome measurement instrument

The etiology of osteoarthritis of the hip: an integrated mechanical concept.

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