Normative PROMIS Scores in Healthy Collegiate Athletes: Establishing a Target for Return to Function in the Young Adult Athlete.

Background: The Patient-Reported Outcomes Measurement Information System (PROMIS) computer-adaptive testing (CAT) has been shown to be a valid and reliable means of assessing patient-reported outcomes. However, normal scores and distributions for a subset of a healthy young athletic population have...

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Publicado en:Orthopaedic Journal of Sports Medicine Vol. 9; no. 8; pp. 1 - 8
Autores principales: Minaie, Arya, Bernholt, David L., Block, Andrew M., Patel, Ronak M., Wright, Rick W., Matava, Matthew J., Nepple, Jeffrey J.
Formato: research tables/charts Journal Article
Publicado: Sage Publications Inc. Aug2021
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Aug2021
      vid: 9
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      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        atl: Normative PROMIS Scores in Healthy Collegiate Athletes: Establishing a Target for Return to Function in the Young Adult Athlete.
      aug:
        au:
          Minaie, Arya
          Bernholt, David L.
          Block, Andrew M.
          Patel, Ronak M.
          Wright, Rick W.
          Matava, Matthew J.
          Nepple, Jeffrey J.
        affil: Department of Orthopaedic Surgery, Miller School of Medicine, Miami, Florida, USA.
      sug:
        subj:
          Patient-Reported Outcomes
          Functional Status
          Athletes, College
          Human
          Adolescence
          Young Adult
          Cross Sectional Studies
          Prospective Studies
          Male
          Female
          Upper Extremity Physiology
          Pain
          Movement
          Physical Fitness
          Descriptive Statistics
          Data Analysis Software
          Wilcoxon Signed Rank Test
          Mann-Whitney U Test
          Soccer
          Football
          Track and Field
          Baseball
          Swimming
          Diving
          Softball
          Volleyball
          Scales
          Adolescent: 13-18 years
          Male
          Female
      ab: Background: The Patient-Reported Outcomes Measurement Information System (PROMIS) computer-adaptive testing (CAT) has been shown to be a valid and reliable means of assessing patient-reported outcomes. However, normal scores and distributions for a subset of a healthy young athletic population have not been established. Purpose: To establish normative PROMIS scores for the domains of Physical Function (PF-CAT), Mobility (M-CAT), Upper Extremity Function (UE-CAT), and Pain Interference (PI-CAT) and determine the frequency of floor and ceiling effects in a population of healthy collegiate athletes. Study Design: Cross-sectional study; Level of evidence, 3. Methods: Healthy collegiate athletes (18-23 years of age) were prospectively enrolled to complete the 4 PROMIS CAT domains. Additionally, the athletes provided information regarding their age, sex, and sport(s). Mean scores (±SD) and identification of ceiling or floor effects were calculated. Ceiling and floor effects were considered significant if >15% of the participants obtained the highest or lowest possible score on a domain. Results: A total of 194 healthy athletes (mean age, 19.1 years) were included in the study: 118 (60.8%) men and 76 (39.2%) women. Mean scores were 62.9 ± 6.7 for PF-CAT, 58.2 ± 4.1 for M-CAT, 57.4 ± 5.8 for UE-CAT, and 43.2 ± 6.2 for PI-CAT. Distributions of scores for M-CAT and UE-CAT indicated strong ceiling effects by 77.3% and 66.0% of the participants, respectively. In healthy athletes, the PF-CAT differed most from the expected population-based mean score (50), with the mean being >1 SD above (62.9), without a ceiling effect observed. There were no significant sex- or age-based differences on any of the PROMIS domain scores. Conclusion: Healthy collegiate athletes scored nearly 1 SD from population-based means for all of the domains tested. M-CAT and UE-CAT demonstrated ceiling effects in more than two-thirds of healthy athletes, which may limit their utility in this population. The PF-CAT did not demonstrate floor or ceiling effects and demonstrated differences in a young adult athletic population from the population mean. The mean PF-CAT score of 62.9 can represent a target for return of function in injured athletes.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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