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Drużbicki M, Kitrys Ł, Jabłoński J, Filip D, Perenc L, Guzik A. Return to Work after Primary Total Knee Arthroplasty: The First Polish Pilot Retrospective Study. J Clin Med 2024; 13:1902. [PMID: 38610666 PMCID: PMC11012819 DOI: 10.3390/jcm13071902] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2024] [Revised: 03/02/2024] [Accepted: 03/22/2024] [Indexed: 04/14/2024] Open
Abstract
(1) Background: Total knee arthroplasty (TKA) performed on working-age patients significantly affects the participation of such patients in social life. A retrospective study was conducted to determine the return to work (RTW) rate after TKA. The goal of this study was to provide reference data for the Polish population and identify the factors impacting patients' decisions to return to or resign from work, relative to their functional performance. (2) Methods: This retrospective study involved 48 patients. An interview related to RTW was carried out to identify the factors impacting a patient's decision to return to or resign from work. Functional performance was assessed using the Knee Outcome Survey-Activities of Daily Living (KOS-ADL) scale. (3) Results: Before TKA, 15 individuals (31.25%) qualified for the study did not work and were receiving welfare benefits. After the surgery, 23 individuals (47.9% of those working prior to TKA) did not return to work. The number of those who did not work after TKA increased to 38 (79.17%), which was a significant change. The mean level of functional performance after TKA assessed using KOS-ADL was 75.89. (4) Conclusions: The findings show that the rate of RTW after TKA in Poland is significantly lower than that in other countries. The reasons for this situation, as shown in the study, may be related to the lack of an occupational rehabilitation system, resulting in a paucity of information about the possibility to return to work and about opportunities for retraining.
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Affiliation(s)
| | | | | | | | | | - Agnieszka Guzik
- Medical College, University of Rzeszów, 35-959 Rzeszów, Poland; (M.D.); (Ł.K.); (J.J.); (L.P.)
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Minoonejad H, Henteh MA, Keshavarz R, Safarzadeh M, Montazeri A. Translation and psychometric evaluation of the Persian version of Knee Outcome Survey-Activities of Daily Living Scale (KOS-ADLS). BMC Musculoskelet Disord 2023; 24:687. [PMID: 37644479 PMCID: PMC10464003 DOI: 10.1186/s12891-023-06823-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/05/2023] [Accepted: 08/23/2023] [Indexed: 08/31/2023] Open
Abstract
BACKGROUND The present study aimed to translate and validate the Knee Outcome Survey-Activities of Daily Living Scale (KOS-ADLS) in Iran. METHODS Following standard forward and backward translation procedure, content and face validity were tested by specialists and a sample of 32 patients. Then, in a cross sectional study, a sample of patients with knee disorders, recruited through simple sampling, completed the KOS-ADLS and the Short-Form Health Survey (SF-36) in their first visit to physiotherapy clinics in Tehran. Regarding construct validity, the Spearman's correlation (rs) and one-way ANOVA were employed to evaluate the correlations between the Persian KOS-ADLS and SF-36 subscales (convergent validity) and known groups comparison, respectively. Test-retest reliability and internal consistency were evaluated by intraclass correlation coefficient (ICC) and the Cronbach's α coefficient. RESULTS In total 101 patients were included in the study. The mean age of patients was 42.39 (SD = 9.2). The finding indicated that the KOS-ADLS had strong correlations with SF-36 physical functioning, bodily pain subscales, and also physical component summary while it had lower correlations with other subscales of the SF-36 as expected. The KOS-ADLS was able to differentiate between the subgroups of patients who differed in BMI. The acceptable level of intraclass correlation coefficient (ICC = 0.91) and Cronbach's α coefficient (α = 0.91) was obtained for the Persian KOS-ADLS. Also no floor and ceiling effects were observed for the questionnaire. CONCLUSIONS The Persian version of KOS-ADLS was found to be a reliable and valid outcome measure for assessing daily living activities in patients who suffer from knee pathological conditions.
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Affiliation(s)
- Hooman Minoonejad
- Department of Sports Injury and Biomechanics, Faculty of Sport Sciences and Health, University of Tehran, Tehran, Iran
| | - Mohammad Amin Henteh
- Department of Sports Injury and Biomechanics, Faculty of Sport Sciences and Health, University of Tehran, Tehran, Iran.
| | - Roshanak Keshavarz
- Department of Physiotherapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran
| | - Mehdi Safarzadeh
- Department of Sports Injury and Biomechanics, Faculty of Sport Sciences and Health, University of Tehran, Tehran, Iran
| | - Ali Montazeri
- Population Health Research Group, Health Metrics Research Center, Iranian Institute for Health Sciences Research, Tehran, Iran.
- Faculty of Humanity Sciences, University of Science and Culture, Tehran, Iran.
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Szczepanik M, Jabłoński J, Bejer A, Bazarnik-Mucha K, Majewska J, Snela S, Szymczyk D. Validation of the Polish Version of Knee Outcome Survey Activities of the Daily Living Scale in a Group of Patients after Arthroscopic Anterior Cruciate Ligament Reconstruction. J Clin Med 2023; 12:4317. [PMID: 37445350 DOI: 10.3390/jcm12134317] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2023] [Revised: 06/21/2023] [Accepted: 06/23/2023] [Indexed: 07/15/2023] Open
Abstract
BACKGROUND The study aimed to assess the reliability, validity, and responsiveness of the Polish version of Knee Outcome Survey Activities of the Daily Living Scale (KOS-ADLS) in a group of patients after arthroscopic reconstruction of the anterior cruciate ligament (ACL). METHODS The study was a longitudinal study with repeated measures. One hundred and twelve subjects who qualified for arthroscopic ACL reconstruction (mean age = 31.8 years) were initially enrolled in this study. The Polish version of KOS-ADLS and Short Form-36 v. 2.0 (SF-36) were used. RESULTS The Polish version of KOS-ADLS in subjects after ACL rupture demonstrated excellent internal consistency (Cronbach's alpha for KOS-ADLS- total = 0.91), and test-retest reliability using the intraclass correlation coefficient (ICC-total = 0.98). The standard error of measurement (SEM) value was 0.81 and the minimal detectable change (MDC) was 2.23 for KOS-ADLS-total. The validity analysis showed a moderate and low correlation between KOS-ADLS and different domains of SF-36 from r = 0.354 between KOS-ADLS activity and the physical component scale (PCS) of SF-36: to r = 0.206 between KOS-ADLS activity and the mental component scale (MCS) of SF-36. CONCLUSIONS The Polish version of KOS-ADLS turned out to be a reliable, valid and responsive self-reported outcome measure, allowing for the self-assessment of symptoms and function related to the knee joint impairment after ACL reconstruction. Therefore, the scale can be applied in clinical practice and research.
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Affiliation(s)
- Magdalena Szczepanik
- Institute of Health Sciences, College of Medical Sciences, University of Rzeszow, Rejtana 16C, 35-959 Rzeszow, Poland
| | - Jarosław Jabłoński
- Institute of Medical Sciences, College of Medical Sciences, University of Rzeszow, Rejtana 16C, 35-959 Rzeszow, Poland
- Orthopaedics and Traumatology Clinic for Adults, Clinical Hospital No. 2, 35-301 Rzeszow, Poland
| | - Agnieszka Bejer
- Institute of Health Sciences, College of Medical Sciences, University of Rzeszow, Rejtana 16C, 35-959 Rzeszow, Poland
| | - Katarzyna Bazarnik-Mucha
- Institute of Health Sciences, College of Medical Sciences, University of Rzeszow, Rejtana 16C, 35-959 Rzeszow, Poland
| | - Joanna Majewska
- Institute of Health Sciences, College of Medical Sciences, University of Rzeszow, Rejtana 16C, 35-959 Rzeszow, Poland
| | - Sławomir Snela
- Institute of Medical Sciences, College of Medical Sciences, University of Rzeszow, Rejtana 16C, 35-959 Rzeszow, Poland
- Orthopaedics and Traumatology Clinic for Adults, Clinical Hospital No. 2, 35-301 Rzeszow, Poland
| | - Daniel Szymczyk
- Institute of Health Sciences, College of Medical Sciences, University of Rzeszow, Rejtana 16C, 35-959 Rzeszow, Poland
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Zhang Y, Ren J, Zang Y, Guo W, Disantis A, Martin RL. Cross-Culturally Adapted Versions of Patient Reported Outcome Measures for the Lower Extremity. Int J Sports Phys Ther 2023; V18:653-686. [PMID: 37425110 PMCID: PMC10324371 DOI: 10.26603/001c.74528] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2022] [Accepted: 03/08/2023] [Indexed: 07/11/2023] Open
Abstract
Background A large number of patient reported outcome measures (PROMs) have been developed in the English language for various lower extremity orthopaedic pathologies. Twenty different PROMs were recommended for 15 specific musculoskeletal lower extremity pathologies or surgeries. However, the availability of cross-culturally adapted versions of these recommended PROMs is unknown. Purpose The purpose of this study was to identify the cross-culturally adapted versions of recommended PROMs for individuals experiencing orthopedic lower extremity pathologies or undergoing surgeries, and to identify the psychometric evidence that supports their utilization. Study design Literature Review. Methods PubMed, Embase, Medline, Cochrane, CINAHL, SPORTDisucs and Scopus were searched for cross-culturally adapted translated studies through May 2022. The search strategy included the names of the 20 recommended PROMs from previous umbrella review along with the following terms: reliability, validity, responsiveness, psychometric properties and cross-cultural adaptation. Studies that presented a non-English language version of the PROM with evidence in at least one psychometric property to support its use were included. Two authors independently evaluated the studies for inclusion and independently extracted data. Results Nineteen PROMS had cross-culturally adapted and translated language versions. The KOOS, WOMAC, ACL-RSL, FAAM, ATRS, HOOS, OHS, MOXFQ and OKS were available in over 10 different language versions. Turkish, Dutch, German, Chinese and French were the most common languages, with each language having more than 10 PROMs with psychometric properties supporting their use. The WOMAC and KOOS were both available in 10 languages and had all three psychometric properties of reliability, validity, and responsiveness supporting their use. Conclusion Nineteen of the 20 recommended instruments were available in multiple languages. The PROM most frequently cross-culturally adapted and translated were the KOOS and WOMAC. PROMs were most frequently cross-culturally adapted and translated into Turkish. International researchers and clinicians may use this information to more consistently implement PROMs with the most appropriate psychometric evidence available to support their use. Level of evidence 3a.
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Affiliation(s)
- Yongni Zhang
- Rangos School of Health Sciences Duquesne- China Health Institute
| | - Jiayi Ren
- Shuguang Hospital of Shanghai University of Traditional Chinese Medicine
| | - Yaning Zang
- Department of Kinesiology Shanghai University of Sport
| | - Wenhao Guo
- Rangos School of Health Sciences Duquesne- China Health Institute
| | - Ashley Disantis
- Department of Physical Therapy Duquesne University
- UPMC Children's Hospital of Pittsburgh
| | - Robroy L Martin
- Department of Physical Therapy Duquesne University
- UPMC Center for Sports Medicine
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Binyamin SS, Ben Slama S. Multi-Agent Systems for Resource Allocation and Scheduling in a Smart Grid. SENSORS (BASEL, SWITZERLAND) 2022; 22:8099. [PMID: 36365795 PMCID: PMC9656614 DOI: 10.3390/s22218099] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 09/14/2022] [Revised: 10/10/2022] [Accepted: 10/14/2022] [Indexed: 06/16/2023]
Abstract
Multi-Agent Systems (MAS) have been seen as an attractive area of research for civil engineering professionals to subdivide complex issues. Based on the assignment's history, nearby agents, and objective, the agent intended to take the appropriate action to complete the task. MAS models complex systems, smart grids, and computer networks. MAS has problems with agent coordination, security, and work distribution despite its use. This paper reviews MAS definitions, attributes, applications, issues, and communications. For this reason, MASs have drawn interest from computer science and civil engineering experts to solve complex difficulties by subdividing them into smaller assignments. Agents have individual responsibilities. Each agent selects the best action based on its activity history, interactions with neighbors, and purpose. MAS uses the modeling of complex systems, smart grids, and computer networks. Despite their extensive use, MAS still confronts agent coordination, security, and work distribution challenges. This study examines MAS's definitions, characteristics, applications, issues, communications, and evaluation, as well as the classification of MAS applications and difficulties, plus research references. This paper should be a helpful resource for MAS researchers and practitioners. MAS in controlling smart grids, including energy management, energy marketing, pricing, energy scheduling, reliability, network security, fault handling capability, agent-to-agent communication, SG-electrical cars, SG-building energy systems, and soft grids, have been examined. More than 100 MAS-based smart grid control publications have been reviewed, categorized, and compiled.
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Affiliation(s)
| | - Sami Ben Slama
- The Applied College, King Abdelaziz University, Jeddah 21589, Saudi Arabia
- Analysis and Processing of Electrical and Energy Systems Unit, Faculty of Sciences of Tunis El Manar, Tunis 2092, Tunisia
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Bejer A, Bieś A, Kyc S, Lorenc M, Mataczyński P, Domka-Jopek E, Melloh M, Gabel CP. Polish Cross-Cultural Adaptation of the Lower Limb Functional Index (LLFI) Demonstrates a Valid Outcome Measure for the Lower Limb Region and Joints. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:9894. [PMID: 34574817 PMCID: PMC8468158 DOI: 10.3390/ijerph18189894] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/26/2021] [Revised: 09/02/2021] [Accepted: 09/06/2021] [Indexed: 11/17/2022]
Abstract
This study aimed to perform linguistic and cross-cultural adaptation to establish a Polish version of the Lower Limb Functional Index (LLFI) as well as an evaluation of the psychometric properties. This was a two-stage, cross-sectional study. The first stage-linguistic and cultural adaptation, complied with the International Society for Pharmacoeconomics and Outcomes Research guidelines to produce the Lower Limb Functional Index, Polish version (LLFI-PL). The subjects were recruited to the second stage of the study from a sample of convenience (n = 125, age x- = 52.86 ± 19.53 years, 56% female, symptoms duration x- = 17.69 ± 18.39 weeks). Baseline reliability was performed on the LLFI-PL with retest period at 3-7 days. The Western Ontario and McMaster University Osteoarthritis Index (WOMAC), EuroQol Health Questionnaire 5-Dimensions 5-Level (EQ-5D-5L), and an 11-point Pain Numerical Rating Scale (P-NRS) were completed to assess the validity of the LLFI-PL. Statistical analysis showed high internal consistency (α = 0.94), and excellent test-retest reliability (ICC2.1 = 0.96). The measurement error was SEM = 1.69% with MDC90 = 3.93%. Construct validity demonstrated strong correlations between the LLFI-PL and WOMAC (r = 0.81) and moderate correlations with the EQ-5D-5L (r = -0.63) and P-NRS (r = -0.39). Exploratory factor analysis confirmed a single-factor structure. The LLFI-PL is a psychometrically sound questionnaire for Polish-speaking patients with lower limb musculoskeletal conditions. The results support findings from the previous original English, Spanish, and Turkish versions.
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Affiliation(s)
- Agnieszka Bejer
- Institute of Health Sciences, Medical College of Rzeszow University, 35-959 Rzeszów, Poland; (A.B.); (S.K.); (M.L.); (P.M.); (E.D.-J.)
- The Holy Family Specialist Hospital, Rudna Mała, 36-060 Głogów Małopolski, Poland
| | - Agnieszka Bieś
- Institute of Health Sciences, Medical College of Rzeszow University, 35-959 Rzeszów, Poland; (A.B.); (S.K.); (M.L.); (P.M.); (E.D.-J.)
| | - Sylwia Kyc
- Institute of Health Sciences, Medical College of Rzeszow University, 35-959 Rzeszów, Poland; (A.B.); (S.K.); (M.L.); (P.M.); (E.D.-J.)
| | - Magdalena Lorenc
- Institute of Health Sciences, Medical College of Rzeszow University, 35-959 Rzeszów, Poland; (A.B.); (S.K.); (M.L.); (P.M.); (E.D.-J.)
| | - Piotr Mataczyński
- Institute of Health Sciences, Medical College of Rzeszow University, 35-959 Rzeszów, Poland; (A.B.); (S.K.); (M.L.); (P.M.); (E.D.-J.)
| | - Elżbieta Domka-Jopek
- Institute of Health Sciences, Medical College of Rzeszow University, 35-959 Rzeszów, Poland; (A.B.); (S.K.); (M.L.); (P.M.); (E.D.-J.)
| | - Markus Melloh
- Faculty of Health, Victoria University of Wellington, Wellington 6140, New Zealand;
- School of Health Professions, Zurich University of Applied Sciences, 8401 Winterthur, Switzerland
- Curtin Medical School, Curtin University, Bentley, WA 6102, Australia
- UWA Medical School, University of Western Australia, Nedlands, WA 6009, Australia
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Psychometric properties of the Polish version of the 36-item WHODAS 2.0 in patients with hip and knee osteoarthritis. Qual Life Res 2021; 30:2415-2427. [PMID: 33719013 PMCID: PMC8298349 DOI: 10.1007/s11136-021-02806-4] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/19/2021] [Indexed: 01/25/2023]
Abstract
Purpose To examine psychometric properties of the Polish version of the 36-item WHO Disability Assessment Schedule 2.0 (WHODAS 2.0) in the population with hip and knee osteoarthritis (OA). Methods This was a longitudinal study with repeated measures during retest examinations. Subjects from a Polish Specialist Hospital (age = 68.3 ± 9.2years, 71% female, 44.2% knee OA, 55.8% hip OA) were tested three times. They completed the Polish version of the 36-item WHODAS 2.0, the SF-36 Health Survey 2.0, the Western Ontario and Macmaster Universities Osteoarthritis Index 3.1, the Hospital Anxiety and Depression Scale, and the Numerical Rating Scale. Results The 36-item WHODAS 2.0—Polish version demonstrated high internal consistency (Cronbach’s alpha for total = 0.94), and test–retest reliability (Total ICC2,1 = 0.98). High construct validity was found as 12 out of 15 a priori hypotheses (80%) were confirmed. Most domains and Total Scores in the 36-item WHODAS 2.0 (Total ES = − 0.62, SMR = − 1.09) showed a moderate degree of responsiveness. Minimal clinically important difference (MCID) for the Total WHODAS 2.0 was 3.29 in patients undergoing rehabilitation for knee or hip OA. Conclusions The Polish version of the 36-item WHODAS 2.0 assesses disability according to ICF in a reliable, valid and responsive way. Therefore, it provides considerable support in clinical practice and national and international scientific research of patients with hip or knee OA.
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McHugh M, Droy E, Muscatelli S, Gagnier JJ. Measures of Adult Knee Function. Arthritis Care Res (Hoboken) 2020; 72 Suppl 10:219-249. [DOI: 10.1002/acr.24235] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2020] [Accepted: 04/21/2020] [Indexed: 12/23/2022]
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