Isfahan University of Medical Sciences

Science Communicator Platform

Stay connected! Follow us on X network (Twitter):
Share this content! On (X network) By
Responsiveness and the Minimal Important Change of Knee Injury and Osteoarthritis Outcome Score in Persian Patients With Knee Osteoarthritis Following Physiotherapy Intervention Publisher Pubmed



Mostafaee N1 ; Nourollahi F2 ; Mostamand J2 ; Negahban H1, 3
Authors
Show Affiliations
Authors Affiliations
  1. 1. Department of Physical Therapy, School of Paramedical Sciences, Mashhad University of Medical Sciences, Mashhad, Iran
  2. 2. Musculoskeletal Research Center, Faculty of Rehabilitation Sciences, Isfahan University of Medical Sciences, Isfahan, Iran
  3. 3. Orthopedic Research Center, Mashhad University of Medical Sciences, Mashhad, Iran

Source: Physiotherapy theory and practice Published:2022


Abstract

INTRODUCTION: Knee injury and Osteoarthritis Outcome Score (KOOS) is a widely used patient-reported outcome measure designed for patients with knee osteoarthritis. PURPOSE: To evaluate responsiveness and determine minimal important change (MIC) for Persian-version of KOOS in patients with knee osteoarthritis following physiotherapy intervention. METHOD: One hundred and forty-six consecutive patients with knee osteoarthritis, undergoing 4-week physiotherapy completed KOOS alongside Oxford Knee Score at baseline and at 4-week follow-up. Patients also rated their overall changes on an external anchor at follow-up. Responsiveness was examined in two ways: by testing four hypotheses regarding pre-defined correlations between change scores of KOOS subscales and Oxford Knee Score and external anchor, and by calculating receiver operating characteristic (ROC) curve. MIC was determined by identifying an optimal cutoff on ROC curve. RESULTS: KOOS appeared to be responsive, as all expected hypotheses were accepted. Also, all subscales showed area under the curve (AUC) > 0.70. The MIC values reflecting improvement for Pain, Symptoms, Activities of Daily Living (ADL), Sports and Recreation (Sport/Rec), and Quality of Life (QoL) subscales were 15, 12.5, 15.5, 17.5, 12.5 points, respectively. CONCLUSIONS: All subscales of KOOS have adequate responsiveness and are able to measure the change in patients with knee osteoarthritis following a 4-week physiotherapy intervention.
Related Docs
View other Related Docs
1. Validation of a Persian-Version of Knee Injury and Osteoarthritis Outcome Score (Koos) in Iranians With Knee Injuries, Osteoarthritis and Cartilage (2008)
2. Development of the Persian Version of Knee Outcome Survey Activities for Daily Living Scale, Iranian Journal of Medical Sciences (2020)
3. Knee Injury and Osteoarthritis Outcome Score (Koos); Reliability and Validity in Competitive Athletes After Anterior Cruciate Ligament Reconstruction, Osteoarthritis and Cartilage (2011)
4. Cross-Cultural Adaptation and Validation of the Persian Version of the Intermittent and Constant Osteoarthritis Pain Measure for the Knee, Iranian Journal of Nursing and Midwifery Research (2016)
5. Evaluation of the Effects of Ankle Foot Orthosis on the Performance of the Subjects With Knee Joint Osteoarthritis, Physical and Occupational Therapy in Geriatrics (2024)
6. Comparison of Postoperative Pain and Clinical Outcomes of Total Knee Arthroplasty Among Patients With Rheumatoid Arthritis and Osteoarthritis Referred to Clinic or Emergency Department, Advanced Biomedical Research (2023)
7. Effects of Dry Needling on Pain in Patients With Knee Osteoarthritis: A Preliminary Study, Advanced Biomedical Research (2022)
8. Effects of Total Knee Replacement on Quality of Life in 60-70 Year-Old Patients With Advanced Knee Osteoarthritis, Journal of Isfahan Medical School (2012)
Experts (# of related papers)
View all Related Experts
Javid Mostamand (10)
Mehdi Motififard (9)
Other Related Docs
9. The Effect of Proximal Tibial Osteotomy in Correction of Lower Limb Alignment in Patients With Medial Compartment Knee Osteoarthritis, Journal of Isfahan Medical School (2012)
10. Does Knee Malalignment Predict the Efficacy of Realignment Therapy for Patients With Knee Osteoarthritis?, International Journal of Rheumatic Diseases (2017)
11. Short-Time Influence of Totah Hip Arthroplasty on Patients With Sever Hip Ostheoarthritis, Journal of Isfahan Medical School (2013)
12. Evaluation of the Effectiveness of Topical Oily Solution Containing Frankincense Extract in the Treatment of Knee Osteoarthritis: A Randomized, Double-Blind, Placebo-Controlled Clinical Trial, BMC Research Notes (2023)
13. No Difference Between Wound Closure in Extension or Flexion for Range of Motion Following Total Knee Arthroplasty: A Randomized Clinical Trial, Knee Surgery, Sports Traumatology, Arthroscopy (2016)
14. Investigating the Effects of Knee Valgus Orthosis on Knee Joint Contact Forces Among Subjects With Knee Osteoarthritis: A Case Series Study, Journal of Health and Social Sciences (2024)
15. Translation and Cultural Adaptation of the Oxford Hip Score for Iranian Population, International Journal of Preventive Medicine (2013)
16. Does Leg Predomination Affect the Measurement of Vasti Muscle Activity During Single Leg Squatting? a Reliability Study, Journal of Bodywork and Movement Therapies (2016)
17. Sound Side Joint Contact Forces in Below Knee Amputee Gait With an Esar Prosthetic Foot, Gait and Posture (2017)
18. Evaluation of Joint Contact Forces in Subjects With Knee Osteoarthritis, Muscles, Ligaments and Tendons Journal (2022)
19. The Knowledge of People Referred to Al-Zahra Hospital Orthopedic Clinic (Isfahan, Iran) About Risk Factors of Knee Osteoarthritis, Journal of Isfahan Medical School (2013)
20. Comparing the Effectiveness of Kinesio Taping and Hand Exercise on Pain, Range of Motion and Grip Strength in Patients With Hand Osteoarthritis, Journal of Mazandaran University of Medical Sciences (2018)
21. Persian Translation and Validation of the Kujala Patellofemoral Scale in Patients With Patellofemoral Pain Syndrome, Disability and Rehabilitation (2012)
22. Efficacy of Foot Orthoses With Sensorimotor Bars on Gait, Postural Control, and Muscle Activity in Healthy Individuals and Those With Musculoskeletal Disorders: A Systematic Review, Iranian Rehabilitation Journal (2024)
23. Reliability Testing of the Patellofemoral Joint Reaction Force (Pfjrf) Measurement During Double-Legged Squatting in Healthy Subjects: A Pilot Study, Journal of Bodywork and Movement Therapies (2012)
24. Fixed Versus Mobile Weight-Bearing Prosthesis in Total Knee Arthroplasty, Knee Surgery, Sports Traumatology, Arthroscopy (2012)
25. Cross-Cultural Adaptation and Validation of the Persian Version of the Harris Hip Score, Arthroplasty Today (2023)
26. Intraoperative Repair for Iatrogenic Mcl Tear Due to Medial Pie-Crusting in Tka Yields Satisfactory Mid-Term Outcomes, Knee Surgery, Sports Traumatology, Arthroscopy (2021)
27. Comparison of the Effects of 3-Point Valgus Knee Support and Lateral Wedge Insoles in Medial Compartment Knee Osteoarthritis, Iranian Red Crescent Medical Journal (2011)
28. Reliability, Validity, and Responsiveness of the Persian Version of the Rheumatoid and Arthritis Outcome Score (Raos) in Patients With Rheumatoid Arthritis, Clinical Rheumatology (2015)
29. The Effect of Patellofemoral Bracing on Walking in Individuals With Patellofemoral Pain Syndrome, Prosthetics and Orthotics International (2013)
30. Knee Fusion Versus Above Knee Amputation As Two Options to Deal With Knee Periprosthetic Joint Infection, Archives of Orthopaedic and Trauma Surgery (2024)
31. Reliability Testing of the Patellofemoral Joint Reaction Force (Pfjrf) Measurement in Taped and Untaped Patellofemoral Conditions During Single Leg Squatting: A Pilot Study, Journal of Bodywork and Movement Therapies (2011)
32. Reliability Testing of Vasti Activity Measurements in Taped and Untaped Patellofemoral Conditions During Single Leg Squatting in Healthy Subjects: A Pilot Study, Journal of Bodywork and Movement Therapies (2013)
33. Validation of the Persian Version of Functional Index Questionnaire (Fiq) and Modified Fiq in Patients With Patellofemoral Pain Syndrome, Physiotherapy Theory and Practice (2013)
34. Efficacy of Tibial Proximal Osteotomy in Correction of Lower Limb Alignment Indexes in Patients With Osteoarthritis in Medial Compartment of Knee., Medicinski arhiv (2012)
35. Neuromuscular Alterations in Subjects With Knee Osteoarthritis During Most Common Activities of Daily Living: A Literature Review, Sport Sciences for Health (2025)
36. Comparison of the Effects of Acupuncture and Physical Modality on Symptoms of Knee Osteoarthritis, Journal of Isfahan Medical School (2012)
37. Diagnostic Accuracy of Ottawa Knee Rule for Diagnosis of Fracture in Patients With Knee Trauma; a Systematic Review and Meta-Analysis, Archives of Academic Emergency Medicine (2023)
38. Comparison of the Knee Joint Reaction Force Between Individuals With and Without Acute Anterior Cruciate Ligament Rupture During Walking, Journal of Orthopaedic Surgery and Research (2022)
39. Pelvic and Lower Limb Kinematics in Individuals With Chronic Low Back Pain During Sit-To-Stand Function: A Cross-Sectional Study, Journal of Manipulative and Physiological Therapeutics (2024)
40. Evaluation of Ground Reaction Forces in Patients With Various Severities of Knee Osteoarthritis, Journal of Mechanics in Medicine and Biology (2016)
41. Effectiveness of High-Intensity Laser Therapy for Pain and Function in Knee Osteoarthritis: A Randomized Controlled Trial, Middle East Journal of Rehabilitation and Health Studies (2024)
42. Lower Extremity Joint Kinematics in Individuals With and Without Bilateral Knee Osteoarthritis During Normal and Narrow-Base Walking: A Cross-Sectional Study, Knee (2025)
43. The Effect of Lateral Trunk Motion on the Severity of Knee Osteoarthritis, Biomedical and Pharmacology Journal (2015)
44. Is Life Easier and More Pleasurable After Total Hip Arthroplasty?, Shiraz E Medical Journal (2010)
45. The Effect of Mulligan Mobilization Technique on Static and Dynamic Balance in Patients With Moderate to Severe Knee Osteoarthritis: A Randomized Controlled Clinical Trial, Journal of Rehabilitation Sciences and Research (2023)
46. Does Leg Predomination Affect the Measurement of Patellofemoral Joint Reaction Force (Pfjrf) During Single Leg Squatting?: A Reliability Study, Journal of Bodywork and Movement Therapies (2012)
47. Study of Knee Range of Motion After Soft Tissue Repair in Both Flexion and Extension During Total Knee Arthroplasty :A Randomized Clinical Trial, Tehran University Medical Journal (2022)
48. The Effect of Gluteus Medius Dry Needling on Pain and Physical Function of Non-Athlete Women With Unilateral Patellofemoral Pain Syndrome: A Double-Blind Randomized Clinical Trial, Journal of Bodywork and Movement Therapies (2022)
49. The Effect of Patellar Taping on Emg Activity of Vasti Muscles During Squatting in Individuals With Patellofemoral Pain Syndrome, Journal of Sports Sciences (2011)
50. The Comparison Between 3.5‑ and 4.5‑Mm T‑Plates for Management of the Patients With Schatzker Type Ii Tibial Plateau Fractures That Referred to Our Emergency Department: A Clinical Trial, Advanced Biomedical Research (2023)