Validation of the Brazilian version of the Hip Sports Activity Scale (HSAS) for patients with femoroacetabular impingement
a cross-sectional study
Keywords:
Hip, Hip injuries, Surveys and questionnaires, Reproducibility of results, Sports, Exercise, Quality of lifeAbstract
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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References
Ganz R, Leunig M, Leunig-Ganz K, Harris WH. The etiology of osteoarthritis of the hip: an integrated mechanical concept. Clin Orthop Relat Res. 2008;466(2):264-72. PMID: 18196405; https://doi.org/10.1007/s11999-007-0060-z.
Menge TJ, Truex NW. Femoroacetabular impingement: a common cause of hip pain. Phys Sportsmed. 2018;46(2):139-44. PMID: 29406812; https://doi.org/10.1080/00913847.2018.1436844.
Matar HE, Rajpura A, Board TN. Femoroacetabular impingement in young adults: assessment and management. Br J Hosp Med (Lond). 2019;80(10):584-8. PMID: 31589500; https://doi.org/10.12968/hmed.2019.80.10.584.
Trigg SD, Schroeder JD, Hulsopple C. Femoroacetabular Impingement Syndrome. Curr Sports Med Rep. 2020;19(9):360-6. PMID: 32925375; https://doi.org/10.1249/JSR.0000000000000748.
Wylie JD, Kim YJ. The Natural History of Femoroacetabular Impingement. J Pediatr Orthop. 2019;39(Issue 6, Supplement 1 Suppl 1):S28-S32. PMID: 31169644; https://doi.org/10.1097/BPO.0000000000001385.
Leibold CS, Schmaranzer F, Tannast M, Siebenrock KA, Steppacher S. Femoroazetabuläres Impingement – aktuelles Verständnis [Femoroacetabular Impingement - Current Understanding]. Z Orthop Unfall. 2019;157(3):317-36. German. PMID: 31189215; https://doi.org/10.1055/a-0659-2989.
Ghaffari A, Davis I, Storey T, Moser M. Current Concepts of Femoroacetabular Impingement. Radiol Clin North Am. 2018;56(6):965-82. PMID: 30322493; https://doi.org/10.1016/j.rcl.2018.06.009.
Jones DM, Crossley KM, Ackerman IN, et al. Physical Activity Following Hip Arthroscopy in Young and Middle-Aged Adults: A Systematic Review. Sports Med Open. 2020;6(1):7. PMID: 31993831; https://doi.org/10.1186/s40798-020-0234-8.
Redmond JM, Gupta A, Dunne K, et al. What Factors Predict Conversion to THA After Arthroscopy? Clin Orthop Relat Res. 2017;475(10):2538-45. PMID: 28688017; https://doi.org/10.1007/s11999-017-5437-z.
Naal FD, Miozzari HH, Kelly BT, et al. The Hip Sports Activity Scale (HSAS) for patients with femoroacetabular impingement. Hip Int. 2013;23(2):204-11. PMID: 23543465; https://doi.org/10.5301/hipint.5000006.
Mathias LNCDC, Cardinot TM, Sá-Caputo DDC, et al. The Brazilian version of the Hip Sports Activity Scale: translation and cross-cultural adaptation. Sao Paulo Med J. 2022;140(2):261-7. PMID: 35195236; https://doi.org/10.1590/1516-3180.2021.0157.R1.23072021.
Silveira MF, Almeida JC, Freire RS, Haikal DS, Martins AE. Propriedades psicométricas do instrumento de avaliação da qualidade de vida: 12-item health survey (SF-12) [Psychometric properties of the quality of life assessment instrument: 12-item health survey (SF-12)]. Cien Saude Colet. 2013;18(7):1923-31. PMID: 23827896; https://doi.org/10.1590/s1413-81232013000700007.
Del Castillo LN, Leporace G, Cardinot TM, Levy RA, Oliveira LP. Translation, cross-cultural adaptation and validation of the Brazilian version of the Nonarthritic Hip Score. Sao Paulo Med J. 2013;131(4):244-51. PMID: 24141295; https://doi.org/10.1590/1516-3180.2013.1314487.
Mokkink LB, Terwee CB, Patrick DL, et al. The COSMIN study reached international consensus on taxonomy, terminology, and definitions of measurement properties for health-related patient-reported outcomes. J Clin Epidemiol. 2010;63:737-45. PMID: 20494804; https://doi.org/10.1016/j.jclinepi.2010.02.006.
Scholtes VA, Terwee CB, Poolman RW. What makes a measurement instrument valid and reliable? Injury. 2011;42(3):236-40. PMID: 21145544; https://doi.org/10.1016/j.injury.2010.11.042.
Mokkink LB, Prinsen CA, Bouter LM, Vet HC, Terwee CB. The Consensus-based Standards for the selection of health Measurement Instruments (COSMIN) and how to select an outcome measurement instrument. Braz J Phys Ther. 2016;20(2):105-13. PMID: 26786084; https://doi.org/10.1590/bjpt-rbf.2014.0143.
Ohlin A, Jonasson P, Ahldén M, et al. The Hip Sports Activity Scale for patients with femoroacetabular impingement syndrome - Validation in Swedish. Transl Sports Med. 2019; 2(4):209-13. https://doi.org/10.1002/tsm2.76.
Costa RMP, Cardinot TM, Mathias LNCDC, Leporace G, de Oliveira LP. Validation of the Brazilian version of the Hip Outcome Score (HOS) questionnaire. Adv Rheumatol. 2018;58(1):4. PMID: 30657066; https://doi.org/10.1186/s42358-018-0007-y.
Lozano F, Lobos JM, March JR, et al. Self-administered versus interview-based questionnaires among patients with intermittent claudication: Do they give different results? A cross-sectional study. Sao Paulo Med J. 2016;134(1):63-9. PMID: 26786606; https://doi.org/10.1590/1516-3180.2015.01733009.
Puhan MA, Ahuja A, Van Natta ML, Ackatz LE, Meinert C; Studies of Ocular Complications of AIDS Research Group. Interviewer versus self-administered health-related quality of life questionnaires - does it matter? Health Qual Life Outcomes. 2011;9:30. PMID: 21554737; https://doi.org/10.1186/1477-7525-9-30.