RELIABILITY AND VALIDITY OF A CHINESE VERSION OF THE LYSHOLM SCORE AND TEGNER ACTIVITY SCALE FOR KNEE ARTHROPLASTY
Hongshi HUANG, MD,1,# Si ZHANG, BS,1,# Yi WANG, BS,1 Yelverton TEGNER, MD, PHD,2 Yongjian WANG, MD,1 Yanfang JIANG, MS,corresponding author1,* and Yingfang AO, MScorresponding author1,*Knee
Objective
To verify the reliability and validity of Chinese versions of the Lysholm score and the Tegner activity scale for knee arthroplasty.
Methods
Sixty-four patients undergoing total knee arthroplasty and 28 healthy volunteers were included in this study. Participants were divided into 4 groups: a pre-operation group; a 3 months post-operation group; a 1-year post-operation group; and a control group of healthy volunteers. Participants completed the Lysholm score and Tegner activity scale twice over a period of 3–7 days.
Results
The intraclass correlation coefficients of the Lysholm score and Tegner scale were both relatively high, at 0.99 and 0.97, respectively. Moreover, the Cronbach’s alpha of the Lysholm score was 0.71. The items “locking” and “instability” differed slightly between groups (Kruskal–Wallis: for locking, χ2 (p) = 13.48, p = 0.0037; for instability, χ2 (p) = 4.32, p = 0.2292).
Conclusion
The simplified-Chinese versions of the Lysholm score and the Tegner scale are applicable for use with patients undergoing total knee arthroplasty, and have relatively high validity and reliability. The items “locking” and “instability” should be combined with clinical data to make the Lysholm score more suitable for assessment of total knee arthroplasty.
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