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Evaluation of Instruments for Measuring the Burden of Sport and Active Recreation Injury

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Abstract

Sport and active recreation injuries are common. Participants are generally young, healthy and physically active individuals and as a result their injuries can have long-ranging effects for both the individuals and society. Accurate and appropriate measurement of the outcomes of sport and active recreation injuries is essential for understanding the time frame and quality of recovery, and quantifying the burden of these injuries. The WHO has developed a framework that can be used for studying health-related outcomes called the International Classification of Function (ICF). As such, the ICF is a useful tool for assessing the suitability of outcome measures for general sport and active recreation populations. This article provides a review of outcome measures that are potentially suitable for use in a general sport and active recreation injury population, assessed within the framework of the ICF.

An extensive literature search was performed to identify instruments used in sport and active recreation (and general) injury populations that would be suitable for measuring the outcomes and burden of sport and recreation injuries and return to physical activity. The search identified six health status and health-related quality-of-life (HR-QOL) measures and five functional outcome measures.

Of the outcome measures reviewed, the Short Form-36 was the most commonly used and covered many of the areas relevant to a sport and active recreation population. The comprehensiveness of the Sickness Impact Profile- 36 meant that it contained many relevant items; however, its usefulness is limited by its high level of responder burden. The Musculoskeletal Functional Assessment provided a detailed measure of function, appropriate to a sport and active recreation population, and the Glasgow Outcome Scale-Extended can provide a suitable global measure of function. The Short International Physical Activity Questionnaire is a potential means of measuring return to physical activity for this group.

There are no outcome measures specifically designed to measure outcomes in a general sport and active recreation population. There are, however, existing measures that when used in combination have the potential to provide a comprehensive assessment of injury outcomes in this group. Future research should focus on validating existing measures suitable for a sport and active recreation population as well as developing an ICF sport and active recreation core set of items. An ICF core set would assist researchers and clinicians in selecting the combination of outcome measures most appropriate to their needs as well forming the basis for the development of a specific sport and active recreation outcome measure.

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References

  1. Dekker R, van der Sluis C, Groothoff J, et al. Long-term outcome of sports injuries: results after inpatient treatment. Clin Rehabil 2003; 17 (5): 480–7

    Article  PubMed  CAS  Google Scholar 

  2. Dekker R, Groothoff JW, van der Sluis C, et al. Longterm disabilities and handicaps following sports injuries: outcome after outpatient treatment. Disabil Rehabil 2003; 25 (20): 1153–7

    Article  PubMed  CAS  Google Scholar 

  3. World Health Organisation. Disabilities, 2008 [online]. Available from URL: http://www.who.int/topics/disabilities/en/ [Accessed 2008 Feb 12]

    Google Scholar 

  4. World Health Organisation. International classification of functioning, disability and health. Geneva: World Health Organisation, 2001

    Google Scholar 

  5. Finch C, Little C, Garnham A. Quality of life improvements after sports injury. Int J Inj Contr Saf Promot 2001; 8 (2): 113–5

    Article  Google Scholar 

  6. McAllister DR, Motamedi AR, Hame SL, et al. Quality of life assessment in elite collegiate athletes. Am J Sports Med 2001; 29 (6): 806–10

    PubMed  CAS  Google Scholar 

  7. Wang JC, Shapiro MS, Hatch JD, et al. The outcome of lumbar discectomy in elite athletes. Spine 1999; 24 (6): 570–3

    Article  PubMed  CAS  Google Scholar 

  8. Malmberg J, Miilunpalo S, Pasanen M, et al. Characteristics of leisure time physical activity associated with risk of decline in perceived health-a 10-year follow-up of middle aged and elderly men and women. Prev Med 2005; 41 (1): 141–50

    Article  PubMed  Google Scholar 

  9. Tanasescu M, Leitzmann M, Rimm E, et al. Exercise type and intensity in relation to coronary heart disease in men. JAMA 2002; 288 (16): 1994–2000

    Article  PubMed  Google Scholar 

  10. Yu S, Yarnell J, Sweetnam P, et al. What level of physical activity protects against premature cardiovascular death? The Caerphilly study. Heart 2003; 89 (5): 502–6

    Article  PubMed  CAS  Google Scholar 

  11. Sigal R, Wasserman D, Kenny G, et al. Physical activity/ exercise and type 2 diabetes. Diabetes Care 2004; 27 (10): 2518–39

    Article  PubMed  Google Scholar 

  12. Emmons K, McBride C, Puleo E, et al. Prevalence and predictors of multiple behavioural risk factors for colon cancer. Prev Med 2005; 40 (5): 527–34

    Article  PubMed  Google Scholar 

  13. Guyatt GH, Feeny DH, Patrick DL. Measuring healthrelated quality of life. Ann Intern Med 1993; 118 (8): 622–9

    PubMed  CAS  Google Scholar 

  14. Wright JG. Outcomes research: what to measure. World J Surg 1999; 23 (12): 1224–6

    Article  PubMed  CAS  Google Scholar 

  15. Aaronson NK. Quantitative issues in health related quality of life assessment. Health Policy 1998; 10: 217–30

    Article  Google Scholar 

  16. Bergner M, Rothman M. Health status measures: an overview and guide for selection. Annu Rev Public Health 1987; 8: 191–210

    Article  PubMed  CAS  Google Scholar 

  17. Evans T. Outcome measurement in athletic therapy: selecting the appropriate outcomes tool. Athl Ther Today 2004; 16 (6): 15–8

    Google Scholar 

  18. Pynsent PB. Choosing an outcome measure. In: Pynsent PB, Fairbank J, Carr A, editors. Outcome measures in orthopaedics and orthopaedic trauma. London: Arnold, 2004: 3–5

    Google Scholar 

  19. Cohen J. Statistical power analysis for the behavioural sciences. New York: Academic Press, 1977

    Google Scholar 

  20. Martin DP, Engelberg R, Agel J, et al. Comparison of the Musculoskeletal Function Assessment Questionnaire with the Short Form-36, the Western Ontario and McMasters Universities Osteoarthritis Index, and the Sickness Impact Profile Health-Status Measures. J Bone Joint Surg Am 1997; 79A: 1323–35

    Google Scholar 

  21. MacKenzie EJ, Sacco WJ, Luchter S, et al. Validating the Functional Capacity Index as a measure of outcome following blunt trauma. Qual Life Res 2002; 11: 797–808

    Article  PubMed  CAS  Google Scholar 

  22. Fitzpatrick R. Measures of health status, health-related quality of life and patient satisfaction. In: Pynsent PB, Fairbank J, Carr A, editors. Outcome measures in orthopaedics and orthopaedic trauma. London: Arnold, 2004: 56

    Google Scholar 

  23. Taylor D, Tenuta J, Uhorchak J, et al. Aggressive surgical treatment and early return to sports in athletes with grade III syndesmosis sprains. Am J Sports Med 2007; 35 (11): 1833–8

    Article  PubMed  Google Scholar 

  24. Saxena A, Eakin C. Articular talar injuries in athletes: results of microfracture and autogenous bone graft. Am J Sports Med 2007; 35 (10): 1680–7

    Article  PubMed  Google Scholar 

  25. Seroyer S, Tejwani S, Bradley J. Arthroscopic capsulolabral reconstruction of the type VIII superior labrum anterior posterior lesion: mean 2-year follow-up on 13 shoulders. Am J Sports Med 2007; 35 (9): 1477–83

    Article  PubMed  Google Scholar 

  26. Frohm A, Saartok T, Halvorsen K, et al. Eccentric treatment for patellar tendinopathy: a prospective randomised short-term pilot study of two rehabilitation protocols. Br J Sports Med 2007; 41 (7): e7

    Article  Google Scholar 

  27. von Porat A, Henriksson M, Holmstrom E, et al. Knee kinematics and kinetics in former soccer players with a 16-year-old ACL injury: the effects of twelve weeks of knee-specific training. BMC Musculoskelet Disord 2007; 8: 35

    Article  Google Scholar 

  28. Larrain M, Montenegro H, Mauas D, et al. Arthroscopic management of traumatic anterior shoulder instability in collision athletes: analysis of 204 cases with a 4- to 9-year follow-up and results with the suture anchor technique. Arthroscopy 2006; 22 (12): 1283–9

    Article  PubMed  Google Scholar 

  29. Bradley J, Baker Cr, Kline A, et al. Arthroscopic capsulolabral reconstruction for posterior instability of the shoulder: a prospective study of 100 shoulders. Am J Sports Med 2006; 34 (7): 1061–71

    Article  PubMed  Google Scholar 

  30. Baums M, Kahl E, Schultz W, et al. Clinical outcome of the arthroscopic management of sports-related “anterior ankle pain”: a prospective study. Knee Surg Sports Traumatol Arthrosc 2006; 14 (5): 482–6

    Article  PubMed  CAS  Google Scholar 

  31. Ogon P, Maier D, Jaeger A, et al. Arthroscopic patellar release for the treatment of chronic patellar tendinopathy. Arthroscopy 2006; 22 (4): 462

    PubMed  Google Scholar 

  32. Tambe A, Godsiff S, Mulay S, et al. Anterior cruciate ligament insufficiency: does delay in index surgery affect outcome in recreational athletes. Int Ortho 2006; 30 (2): 104–9

    Article  CAS  Google Scholar 

  33. Gudas R, Kalesinskas R, Kimtys V, et al. A prospective randomized clinical study of mosaic osteochondral autologous transplantation versus microfracture for the treatment of osteochondral defects in the knee joint in young athletes. Arthroscopy 2005; 21 (9): 1066–75

    Article  PubMed  Google Scholar 

  34. Visnes H, Hoksrud A, Cook J, et al. No effect of eccentric training on jumper’s knee in volleyball players during the competitive season: a randomized clinical trial. Clin J Sport Med 2005; 15 (4): 227–34

    Article  PubMed  Google Scholar 

  35. Gobbi A, Nunag P, Malinowski K. Treatment of full thickness chondral lesions of the knee with microfracture in a group of athletes. Knee Surg Sports Traumatol Arthrosc 2005; 13 (3): 213–21

    Article  PubMed  Google Scholar 

  36. Ide J, Maeda S, Takagi K. Sports activity after arthroscopic superior labral repair using suture anchors in overhead-throwing athletes. Am J Sports Med 2005; 33 (4): 507–14

    Article  PubMed  Google Scholar 

  37. Young M, Cook J, Purdam C, et al. Eccentric decline squat protocol offers superior results at 12 months compared with traditional eccentric protocol for patellar tendinopathy in volleyball players. Br J Sports Med 2005; 39 (2): 102–5

    Article  PubMed  CAS  Google Scholar 

  38. Gobbi Aai, Domzalski M, Pascual J. Comparison of anterior cruciate ligament reconstruction in male and female athletes using the patellar tendon and hamstring autografts. Knee Surg Sports Traumatol Arthrosc 2004; 12 (6): 534–9

    Article  PubMed  Google Scholar 

  39. Enad J, El Attrache N, Tibone J, et al. Isolated electrothermal capsulorrhaphy in overhand athletes. J Shoulder Elb Surg 2004; 13 (2): 133–7

    Article  Google Scholar 

  40. Reinold M, Wilk K, Hooks T, et al. Thermal-assisted capsular shrinkage of the glenohumeral joint in overhead athletes: a 15- to 47-month follow-up. J Orthop Sport Phys 2003; 33 (8): 455–67

    Google Scholar 

  41. Gobbi A, Tuy B, Mahajan S, et al. Quadrupled bonesemitendinosus anterior cruciate ligament reconstruction: a clinical investigation in a group of athletes. Arthroscopy 2003; 19 (7): 691–9

    Article  PubMed  Google Scholar 

  42. Kim S, Ha K, Park J, et al. Arthroscopic posterior labral repair and capsular shift for traumatic unidirectional recurrent posterior subluxation of the shoulder. J Bone Joint Surg 2003; 85-A (8): 1479–87

    PubMed  Google Scholar 

  43. Gobbi A, Mahajan S, Zanazzo M, et al. Patellar tendon versus quadrupled bone-semitendinosus anterior cruciate ligament reconstruction: a prospective clinical investigation in athletes. Arthroscopy 2003; 19 (6): 592–601

    Article  PubMed  Google Scholar 

  44. Meighan A, Keating J, Will E. Outcome after reconstruction of the anterior cruciate ligament in athletic patients: a comparison of early versus delayed surgery. J Bone Joint Surg 2003; 85 (4): 521–4

    Article  CAS  Google Scholar 

  45. Marcacci M, Zaffagnini S, Iacono F, et al. Intra- and extraarticular anterior cruciate ligament reconstruction utilizing autogeneous semitendinosus and gracilis tendons: 5-year clinical results. Knee Surg Sports Traumatol Arthrosc 2003; 11 (1): 2–8

    PubMed  Google Scholar 

  46. Bonneux I, Vandekerckhove B. Arthroscopic partial lateral meniscectomy long-term results in athletes. Acta Orthop Belg 2002; 68 (4): 356–61

    PubMed  CAS  Google Scholar 

  47. Krips R, van Dijk C, Lehtonen H, et al. Sports activity level after surgical treatment for chronic anterolateral ankle instability: a multicenter study. Am J Sports Med 2002; 30 (1): 13–9

    PubMed  Google Scholar 

  48. Jerre R, Ejerhed L, Wallmon A, et al. Functional outcome of anterior cruciate ligament reconstruction in recreational and competitive athletes. Scand J Med Sci Sports 2001; 11 (6): 342–6

    Article  PubMed  CAS  Google Scholar 

  49. Mishra D, Fanton G. Two-year outcome of arthroscopic bankart repair and electrothermal-assisted capsulorrhaphy for recurrent traumatic anterior shoulder instability. Arthroscopy 2001; 17 (8): 844–9

    PubMed  CAS  Google Scholar 

  50. Larrain M, Botto G, Montenegro H, et al. Arthroscopic repair of acute traumatic anterior shoulder dislocation in young athletes. Arthroscopy 2001; 17 (4): 373–7

    Article  PubMed  CAS  Google Scholar 

  51. Echemendia R, Putukian M, Mackin R, et al. Neuropsychological test performance prior to and following sports-related mild traumatic brain injury. Clin J Sport Med 2001; 11 (1): 23–31

    Article  PubMed  CAS  Google Scholar 

  52. Uhorchak J, Arciero R, Huggard D, et al. Recurrent shoulder instability after open reconstruction in athletes involved in collision and contact sports. Am J Sports Med 2000; 28 (6): 794–9

    PubMed  CAS  Google Scholar 

  53. Nakayama Y, Shirai Y, Narita T, et al. Knee functions and a return to sports activity in competitive athletes following anterior cruciate ligament reconstruction. J Nippon Med Sch 2000; 67 (3): 172–6

    Article  PubMed  CAS  Google Scholar 

  54. Wiger P, Brandsson S, Kartus J, et al. A comparison of results after arthroscopic anterior cruciate ligament reconstruction in female and male competitive athletes: a two- to five-year follow-up of 429 patients. Scand J Med Sci Sports 1999; 9 (5): 290–5

    Article  PubMed  CAS  Google Scholar 

  55. Yoneda M, Hayashida K, Wakitani S, et al. Bankart procedure augmented by coracoid transfer for contact athletes with traumatic anterior shoulder instability. Am J Sports Med 1999; 27 (1): 21–6

    PubMed  CAS  Google Scholar 

  56. Testa V, Capasso G, Maffulli N, et al. Ultrasound-guided percutaneous longitudinal tenotomy for the management of patellar tendinopathy. Med Sci Sports Exerc 1999; 31 (11): 1509–15

    Article  PubMed  CAS  Google Scholar 

  57. O’Neill D. Arthroscopic Bankart repair of anterior detachments of the glenoid labrum: a prospective study. J Bone Joint Surg 1999; 81 (10): 1357–66

    PubMed  Google Scholar 

  58. Takeda H, Watarai K, Ganev G, et al. Modified Bankart procedure for recurrent anterior dislocation and subluxation of the shoulder in athletes. Int Ortho 1998; 22 (6): 361–5

    Article  CAS  Google Scholar 

  59. DeBerardino T, Arciero R, Taylor D. Arthroscopic treatment of soft-tissue impingement of the ankle in athletes. Arthroscopy 1997; 13 (4): 492–8

    Article  Google Scholar 

  60. Novak P, Bach BJ, Hager C. Clinical and functional outcome of anterior cruciate ligament reconstruction in the recreational athlete over the age of 35. Am J Knee Surg 1996; 9 (3): 111–6

    PubMed  CAS  Google Scholar 

  61. Marcacci M, Zaffagnini S, Visani A, et al. Arthroscopic reconstruction of the anterior cruciate ligament with Leeds-Keio ligament in non-professional athletes: results after a minimum 5 years’ follow-up. Knee Surg Sports Traumatol Arthrosc 1996; 4 (1): 9–13

    Article  PubMed  CAS  Google Scholar 

  62. Montgomery Wr, Jobe F. Functional outcomes in athletes after modified anterior capsulolabral reconstruction. Am J Sports Med 1994; 22 (3): 352–8

    Article  PubMed  Google Scholar 

  63. Verhaven E, DeBoeck H, Haentjens P, et al. Surgical treatment of acute type-V acromioclavicular injuries in athletes. Am J Sports Med 1993; 20 (4): 702–6

    Google Scholar 

  64. Aiello L, Iwamoto M, Guyer D. Penetrating ocular fishhook injuries: surgical management and long-term visual outcome. Opthamology 1992; 99 (6): 862–6

    CAS  Google Scholar 

  65. Argo D, Trenhaile SW, Savoie 3rd FH, et al. Operative treatment of ulnar collateral ligament insufficiency of the elbow in female athletes. Am J Sports Med 2006; 34 (3): 431–7

    Article  PubMed  Google Scholar 

  66. Mithoefer K, Peterson L, Mandelbaum BR, et al. Articular cartilage repair in soccer players with autologous chondrocyte transplantation: functional outcome and return to competition. Am J Sports Med 2005; 33 (11): 1639–46

    Article  Google Scholar 

  67. Charron KM, Schepsis AA, Voloshin I. Arthroscopic distal clavicle resection in athletes: a prospective comparison of the direct and indirect approach. Am J Sports Med 2007; 35 (1): 53–8

    Article  PubMed  Google Scholar 

  68. Miller SF, Congeni J, Swanson K. Long-term functional and anatomical follow-up of early detected spondylolysis in young athletes. Am J Sports Med 2004; 32 (4): 928–33

    Article  PubMed  Google Scholar 

  69. Myklebust G, Holm I, Maehlum S, et al. Clinical, functional, and radiologic outcome in team handball players 6 to 11 years after anterior cruciate ligament injury: a follow-up study. Am J Sports Med 2003; 31 (6): 981–9

    PubMed  Google Scholar 

  70. Coleman BD, Khan KM, Kiss ZS, et al. Open and arthroscopic patellar tenotomy for chronic patellar tendinopathy: a retrospective outcome study. Victorian Institute of Sport Tendon Study Group AmJ Sports Med 2000; 28 (2): 183–90

    CAS  Google Scholar 

  71. Peers KHE, Lysens RJJ, Brys P, et al. Cross-sectional outcome analysis of athletes with chronic patellar tendinopathy treated surgically and by extracorporeal shock wave therapy. Clin J Sport Med 2003; 13 (2): 79–83

    Article  PubMed  Google Scholar 

  72. Khan W, Fahmy N. The S-Quattro in the management of sports injuries of the fingers. Injury 2006; 37: 860–8

    Article  PubMed  CAS  Google Scholar 

  73. Mithoefer K, Williams R, Warren R, et al. High-impact athletics after knee articular cartilage repair: a prospective evaluation of the microfracture technique. Am J Sports Med 2006; 34 (11): 1413–8

    Article  PubMed  Google Scholar 

  74. Peterson W, Welp R, Rosenbaum D. Chronic achilles tendinopathy: a prospective randomised study comparing the therapeutic effect of eccentric training, the airheel brace and a combination of both. Am J Sports Med 2007; 35 (10): 1659–67

    Article  Google Scholar 

  75. Guskiewicz KM, Marshall SW, Bailes J, et al. Recurrent concussion and risk of depression in retired professional football players. Med Sci Sport Exer 2007: 39 (6): 903–9

    Article  Google Scholar 

  76. Naal FD, Fischer M, Preuss A, et al. Return to sport and recreational activity after unicompartmental knee arthroplasty. Am J Sports Med 2007; 35: 1688–95

    Article  PubMed  Google Scholar 

  77. Anandacoomarasamy L, Barnsley L. Long term outcomes of inversion ankle injuries. Br J Sports Med 2005; 39: e14

    Article  Google Scholar 

  78. Mazzocca AD, Brown Jr FM, Carreira DS, et al. Arthroscopic anterior shoulder stabilization of collision and contact athletes. Am J Sports Med 2005; 33 (1): 52–60

    Article  PubMed  Google Scholar 

  79. Debnath UK, Freeman BJC, Gregory P, et al. Clinical outcomes and return to sport after the surgical treatment of spondylolysis in young athletes. J Bone Joint Surg 2003; 85-B (2): 244–9

    Article  Google Scholar 

  80. Williams R, Strickland S, Cohen M, et al. Arthroscopic repair for traumatic posterior shoulder instability. Am J Sports Med 2003; 31: 203–9

    PubMed  Google Scholar 

  81. von Porat A, Roos E, Roos H. High prevalence of osteoarthritis 14 years after an anterior cruciate ligament tear in male soccer players: a study of radiographic and patient relevant outcomes. Ann Rheum Dis 2004; 63: 269–73

    Article  Google Scholar 

  82. Nicholas SJ, Nicholas JA, Nicholas C, et al. The health status of retired American football players: Super Bowl III revisited. Am J Sports Med 2007; 35 (10): 1674–9

    Article  PubMed  Google Scholar 

  83. Meller R, Krettek C, Gosling T, et al. Recurrent shoulder instability among athletes: changes in quality of life, sports activity, and muscle function following open repair. Knee Surg Sports Traumatol Arthrosc 2007; 15: 295–304

    Article  PubMed  Google Scholar 

  84. Turner A, Barlow J, Heathcote-Elliot C. Long term health impact of playing professional football in the United Kingdom. Br J Sports Med 2000; 34 (5): 332–6

    Article  PubMed  CAS  Google Scholar 

  85. Lindsay KW, McLatchie G, Jennett B. Serious head injury in sport. BMJ 1980; 281 (6243): 789–91

    Article  PubMed  CAS  Google Scholar 

  86. Giza E, Mithofer K, Matthews H, et al. Hip fracturedislocation in football: a report of two cases and review of the literature. Br J Sports Med 2004; 38 (e17): 1–2

    Google Scholar 

  87. Lee AJ, Garraway WM, Hepburn W, et al. Influence of rugby injuries on players’ subsequent health and lifestyle: beginning a long term follow up. Br J Sports Med 2001; 35 (1): 38–42

    Article  PubMed  CAS  Google Scholar 

  88. Gobbi A, Francisco R. Factors affecting return to sport after anterior cruciate ligament reconstruction with patellar tendon and hamstring graft: a prospective clinical investigation. Knee Surg Sports Traumatol Arthrosc 2006; 14 (10): 1021–8

    Article  PubMed  Google Scholar 

  89. Valderrabano V, Perren T, Ryf C, et al. Snowboarder’s Talus fracture: treatment outcome of 20 cases after 3.5 years Am J Sports Med 2005; 33 (6): 871–80

    Article  PubMed  Google Scholar 

  90. Holtslag HR, van Beek EF, Lindeman E, et al. Determinents of long-term functional consequences after major trauma. J Trauma 2007; 62 (4): 919–27

    Article  PubMed  Google Scholar 

  91. Jurkovich G, Mock C, MacKenzie E, et al. The Sickness Imact Profile as a tool to evaluate outcome in trauma patients. J Trauma 1995; 39 (4): 625–31

    Article  PubMed  CAS  Google Scholar 

  92. DePalma JA, Fedorka P, Simko LC. Quality of life experienced by severely injured trauma survivors. AACN Clin Issues 2003; 14 (1): 54–63

    Article  Google Scholar 

  93. Harris IA, Young JM, Rae H, et al. Predictors of general health after major trauma. J Trauma 2008; 64 (4): 969–74

    Article  PubMed  Google Scholar 

  94. Ponsford J, Hill B, Karamitsios M, et al. Factors influencing outcome after orthopedic trauma. J Trauma 2008; 64 (4): 1001–9

    Article  PubMed  Google Scholar 

  95. Post RB, van der Sluis CK, Ten Duis HJ. Return to work and quality of life in severely injured patients. Disabil Rehabil 2006; 28 (22): 1399–404

    Article  PubMed  CAS  Google Scholar 

  96. Sampalis JS, Liberman M, Davis L, et al. Functional status and quality of life in survivors of injury treated at tertiary trauma centers: what are we neglecting? J Trauma 2006; 60 (4): 806–13

    Article  PubMed  Google Scholar 

  97. Morris S, Lenihan B, Duddy L, et al. Outcome after musculoskeletal trauma treated in a regional hospital. J Trauma 2000; 49 (3): 461–9

    Article  PubMed  CAS  Google Scholar 

  98. Holbrook TL, Hoyt DB, Anderson JP. The impact of major in-hospital complications on functional outcomes and quality of life after trauma. J Trauma 2001; 1 (50): 91–5

    Article  Google Scholar 

  99. Holbrook T, Hoyt D, Anderson J. The importance of gender on outcome after major trauma: functional and psychologic outcomes in women versus men. J Trauma 2001; 50 (2): 270–3

    Article  PubMed  CAS  Google Scholar 

  100. Urquhart D, Williamson O, Gabbe B, et al. Outcomes of patients with orthopaedic trauma admitted to Level 1 Trauma Centres. ANZ J Surg 2006; 76 (7): 600–6

    Article  PubMed  Google Scholar 

  101. Watson WL, Ozanne-Smith J, Richardsons J. An evaluation of the assessment of quality of life utility instrument as a measure of the impact of injury on health-related quality of life. Int J Inj Contr Saf Promot 2005; 12 (4): 227–39

    Article  PubMed  Google Scholar 

  102. Paxton EW, Fithian DC, Stone ML, et al. The reliability and validity of knee-specific and general health instruments in assessing acute patellar dislocation outcomes. Am J Sports Med 2003; 31 (4): 487–92

    PubMed  Google Scholar 

  103. Marx RG, Jones EC, Answorth A, et al. Reliability, validity and responsiveness of four knee outcome scales for athletic patients. J Bone Joint Surg 2001; 83-A: 1459–69

    PubMed  CAS  Google Scholar 

  104. Findler M, Cantor J, Haddad L, et al. The reliability and validity of the SF-36 health survey questionnaire for use with individuals with traumatic brain injury. Brain Inj 2001; 15 (8): 715–23

    Article  PubMed  CAS  Google Scholar 

  105. van Baalen B, Odding E, van Woensel MPC, et al. Reliability and sensitivity to change of measurement instruments used in a traumatic brain injury population. Clin Rehabil 2006; 20 (8): 686–700

    Article  PubMed  Google Scholar 

  106. MacKenzie EJ, McCarthy ML, Ditunno JF, et al. Using the SF-36 for characterising outcome after multiple trauma involving head injury. J Trauma 2002; 52 (3): 527–34

    Article  PubMed  Google Scholar 

  107. Michaels AJ, Madey SM, Krieg JC, et al. Traditional injury scoring underestimates the relative consequences of orthopaedic injury. J Trauma 2001; 50 (3): 389–96

    Article  PubMed  CAS  Google Scholar 

  108. MacDermid JC, Richards RS, Donner A, et al. Responsiveness of the short form-36, disability of the arm, shoulder, and hand questionnaire, patient-rated wrist evaluation, and physical impairment measurements in evaluating recovery after a distal radius fracture. J Hand Surg 2000; 25 (2): 330–40

    Article  CAS  Google Scholar 

  109. Kiely JM, Brasel K, Weidner K, et al. Predicting quality of life six months after traumatic injury. J Trauma 2006; 61: 791–8

    Article  PubMed  Google Scholar 

  110. Bergner M, Bobbit RA, Pollard WE, et al. The Sickness Impact Profile: validation of a health status measure. Med Care 1976; 14 (1): 57–67

    Article  PubMed  CAS  Google Scholar 

  111. Butcher JL, MacKenzie EJ, Cushing B, et al. Long-term outcomes after lower extremity trauma. J Trauma 1996; 41 (1): 4–9

    Article  PubMed  CAS  Google Scholar 

  112. Baldry Currens JA. Evaluation of disability and handicap following injury. Injury 2000; 31 (2): 99–106

    Article  PubMed  CAS  Google Scholar 

  113. Hall K, Mann N, High W, et al. Functional measures after traumatic brain injury: ceiling effects of FIM, FIM+FAM, DRS and CIQ. J Head Trauma Rehabil 1996; 11: 27–39

    Article  Google Scholar 

  114. Gurka J, Flemingham K, Baguley I, et al. Utility of the Functional Assessment Measure after discharge from inpatient rehabilitation. J Head Trauma Rehabil 1999; 14 (3): 247–56

    Article  PubMed  CAS  Google Scholar 

  115. McCarthy ML, MacKenzie EJ. Predicting ambulatory function following lower extremity trauma using the functional capacity index. Accident Anal Prev 2001; 33 (6): 821–31

    Article  CAS  Google Scholar 

  116. Wilson JTL, Pettigrew LEL, Teasdale GM. Emotional and cognitive consequences of head injury in relation to the Glasgow Outcome Scale. J Neurol Neurosurg Psychiatry 2000; 69 (2): 204–9

    Article  PubMed  CAS  Google Scholar 

  117. Whitnall L, McMillan T, Murray GD, et al. Disability in young people and adults after head injury: 5-7 year follow up of a prospective cohort study. J Neurol Neurosurg Psychiatr 2006; 77: 640–5

    Article  PubMed  CAS  Google Scholar 

  118. Engelberg R, Martin D, Agel J, et al. Musculoskeletal Function Assessment Instrument: criterion and construct validity. J Orthop Res 1996; 14 (2): 182–92

    Article  PubMed  CAS  Google Scholar 

  119. Swiontkowski M, Engelberg R, Martin D, et al. Short Musculoskeletal Function Assessment questionnaire: validity, reliability, and responsiveness. J Bone Joint Surg Am 1999; 81 (9): 1245–60

    PubMed  CAS  Google Scholar 

  120. Rosemann T, Kuehlein T, Laux G, et al. Osteoarthritis of the knee and hip: a comparison of factors associated with physical activity. Clin Rheumatol 2007; 26 (11): 1811–7

    Article  PubMed  Google Scholar 

  121. Kaplan R, Giants T, Sieber W, et al. The Quality of Well Being Scale: critical similarities and differences with SF-36. Int J Qual Health Care 1998; 10 (6): 509–20

    Article  PubMed  CAS  Google Scholar 

  122. Anderson JP, Holbrook TL. Quality of well-being profiles followed paths of health status change at micro- and meso-levels in trauma patients. J Clin Epidemiol 2007; 60 (3): 300–8

    Article  PubMed  Google Scholar 

  123. Sieber W, Groessl EJ, David KM, et al. Quality of Well- Being self-administered (QWB-SA) Scale. San Diego (CA): University of California, 2004

    Google Scholar 

  124. Nemeth G. Health related quality of life outcome instruments. Eur Spine J 2006; 15 Suppl. 1: S44–51

    Article  Google Scholar 

  125. Brazier J, Jones N, Kind P. Testing the validity of the Euroqol and comparing it with the SF-36 Health Survey Questionnaire. Qual Life Res 1993; 2 (3): 169–80

    Article  PubMed  CAS  Google Scholar 

  126. Hawthorne G, Richardson J, Day NA. A comparison of the Assessment of Quality of Life (AQoL) with four other generic utility instruments. Ann Med 2001 Jul; 33 (5): 358–70

    Article  PubMed  CAS  Google Scholar 

  127. Hawthorne G, Osborne R. Population norms and meaningful differences for the Assessment of Quality of Life (AQoL) measure. Aust N Z J Public Health 2005 Apr; 29 (2): 136–42

    Article  PubMed  Google Scholar 

  128. Kopjar B. The SF-36 health survey: a valid measure of changes in health status after injury. Inj Prev 1996; 2 (2): 135–9

    Article  PubMed  CAS  Google Scholar 

  129. Dowrick A, Gabbe B, Williamson O, et al. Outcome instruments for the assessment of the upper extremity following trauma: a review. Injury 2005; 36: 468–76

    Article  PubMed  Google Scholar 

  130. Ware JE, Kosinski M, Keller S. A 12-item short-form health survey: construction of scales and preliminary tests of reliability and validity. Med Care 1996; 34 (3): 220–33

    Article  PubMed  Google Scholar 

  131. Leanderson J, Wredmark T. Teatment of acute ankle sprains: comparison of a semi-rigid ankle brace and compression bandage in 73 patients. Acta Orthop 1995; 66 (6): 529–31

    Article  CAS  Google Scholar 

  132. Schenck RC, Blaschak MJ, Lance ED, et al. A prospective outcome study of rehabilitation programs and anterior cruciate ligament reconstruction. Arthroscopy 1997; 13 (3): 285–90

    Article  PubMed  Google Scholar 

  133. Ware Jr JE, Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I Conceptual framework and item selection. Med Care 1992; 30 (6): 473–83

    Article  PubMed  Google Scholar 

  134. Cieza A, Brokow T, Ewert T, et al. Linking health-status measurements to the international classification of function, disability and health. J Rehabil Med 2002; 34 (5): 205–10

    Article  PubMed  Google Scholar 

  135. Gilson BS, Gilson JS, Bergner M, et al. The Sickness Impact Profile: the development of an outcome measure of health care. Am J Public Health 1975; 65 (12): 1304–10

    Article  PubMed  CAS  Google Scholar 

  136. Bergner M, Bobbit RA, Gilson BS. The Sickness Impact Profile: development and final revision of a health status measure. Med Care 1981; 19 (8): 787–805

    Article  PubMed  CAS  Google Scholar 

  137. De Bruin AF, Diederiks JPM, de Witte LP, et al. Assessing the responsiveness of a functional status measure: the Sickness Impact Profile versus the SIP68. J Clin Epidemiol 1997; 50 (5): 529–40

    Article  PubMed  Google Scholar 

  138. De Bruin AF, Diederiks JPM, De Witte LP, et al. The development of a short generic version of the sickness impact profile. J Clin Epidemiol 1994; 47 (8): 407–18

    Article  PubMed  Google Scholar 

  139. De Bruin AF, Buys M, De Witte LP, et al. The sickness impact profile: SIP68, a short generic version. First evaluation of the reliability and reproducibility J Clin Epidemiol 1994; 47 (8): 863–71

    Google Scholar 

  140. Gabbe B, Sutherland A, Williamson O, et al. Use of health care services 6 months following major trauma. Aus Health Rev 2007; 31 (4): 628–32

    Article  Google Scholar 

  141. Stalp M, Koch C, Ruchholtz S, et al. Standardized outcome evaluation after blunt multiple injuries by scoring systems: a clinical follow-up investigation 2 years after injury. J Trauma 2002 Jun; 52 (6): 1160–8

    Article  PubMed  Google Scholar 

  142. Sutherland AG, Alexander DA, Hutchison JD. Recovery after musculoskeletal trauma in men and women. J Trauma 2005; 59 (1): 213–6

    Article  PubMed  Google Scholar 

  143. Sutherland AG, Alexander DA, Hutchison JD. The mind does matter: psychological and physical recovery after musculoskeletal trauma. J Trauma 2006; 61 (6): 1408–14

    Article  PubMed  Google Scholar 

  144. McKevitt E, Calvert E, Ng A, et al. Geriatric trauma: resource use and patient outcomes. Can J Surg 2003; 46 (3): 211–5

    PubMed  Google Scholar 

  145. Schluter PJ, Cameron CM, Purdie DM, et al. How well do anatomical-based injury severity scores predict health service use in the 12 months after injury? Int J Inj Contr Saf Promot 2005; 12 (4): 241–6

    Article  PubMed  CAS  Google Scholar 

  146. Gotschall CS. The Functional Capacity Index, second revision: morbidity in the first year post injury. Int J Inj Contr Saf Promot 2005; 12 (4): 254–6

    Article  PubMed  Google Scholar 

  147. MacKenzie E, Damiano A, Miller T, et al. The development of the Functional Capacity Index. J Trauma 1996; 41 (5): 799–807

    Article  PubMed  CAS  Google Scholar 

  148. Gabbe B, Williamson O, Cameron P, et al. Choosing outcome assessment instruments for trauma registries. Acad Emerg Med 2005; 12 (8): 751–7

    Article  PubMed  Google Scholar 

  149. Neugebauer E, Bouillon B, Bullinger M, et al. Quality of life after multiple trauma: summary and recommendations of the consensus conference. Restor Neurol Neurosci 2002; 20 (3-4): 161–7

    PubMed  CAS  Google Scholar 

  150. Wilson JTL, Pettigrew LEL, Teasdale GM. Structured interviews for the Glasgow Outcome Scale and the Extended Glasgow Outcome Scale: guidelines for their use. J Neurotrauma 1998; 15 (8): 573–82

    Article  PubMed  CAS  Google Scholar 

  151. Levin HS, Boake C, Song J, et al. Validity and sensitivity to change of the extended Glasgow Outcome Scale in mild to moderate traumatic brain injury. J Neurotrauma 2001; 18 (6): 575–84

    Article  PubMed  CAS  Google Scholar 

  152. Hudak AM, Caesar RR, Frol AB, et al. Functional outcome scales in traumatic brain injury: a comparison of the Glasgow Outcome Scale (Extended) and the Functional Status Examination. J Neurotrauma 2005; 22 (11): 1319–26

    Article  PubMed  Google Scholar 

  153. Clifton GL, Kruetzer JS, Choi SC, et al. Relationship between Glascow Outcome Scale and neuropsychological measures after brain injury. Neurosurg 1993; 33 (1): 34–9

    Article  CAS  Google Scholar 

  154. Pettigrew LEL, Wilson JTL, Teasdale GM. Reliability of ratings on the Glasgow Outcome Scales from in-person and telephone structured interviews. J Head Trauma Rehabil 2003; 20 (2): 252–8

    Article  Google Scholar 

  155. Wilson JTL, Edwards P, Fiddes H, et al. Reliability of postal questionnaires for the Glasgow Outcome Scale. J Neurotrauma 2002; 19 (9): 999–1006

    Article  PubMed  CAS  Google Scholar 

  156. Gabbe B, Finch C, Cameron P, et al. The incidence of serious injury and death during sport and recreation activities in Victoria, Australia. Br J Sports Med 2005; 39 (8): 573–7

    Article  PubMed  CAS  Google Scholar 

  157. Martin DP, Engelberg R, Agel J, et al. Development of a musculoskeletal extremity health status instrument: the Musculoskeletal Function Assessment Instrument. J Bone Joint Surg 1996; 14: 173–81

    CAS  Google Scholar 

  158. Craig C, Marshall A, Sjostrom M, et al. International Physical Activity Questionnaire: 12-country reliability and validity. Med Sci Sports Exerc 2003; 35 (8): 1381–95

    Article  PubMed  Google Scholar 

  159. Ekelund U, Sepp H, Brage S, et al. Criterion-related validity of the last 7-day, short form of the International Physical Activity Questionnaire in Swedish adults. Public Health Nutr 2006; 9 (2): 258–65

    Article  PubMed  Google Scholar 

  160. Mader U, Martin B, Schutz Y, et al. Validity of four short physical activity questionnaires in middle-aged persons. Med Sci Sports Exerc 2006; 38 (7): 1255–66

    Article  PubMed  Google Scholar 

  161. Pols MA, Peeters PHM, Kemper HCG, et al. Methodological aspects of physical activity assessment in epidemiological studies. Eur J Epidemiol 1998; 14: 63–70

    Article  PubMed  CAS  Google Scholar 

  162. Tehard B, Saris WHM, Astrup A, et al. Comparison of two physical activity questionnaires in obese subjects: The NUGENOB study. Med Sci Sports Exerc 2005; 37 (9): 1535–41

    Article  PubMed  Google Scholar 

  163. Macfarlane D, Lee C, Ho EY, et al. Convergent validity of six methods to assess physical activity in daily life. J Appl Physiol 2006; 101: 1328–34

    Article  PubMed  Google Scholar 

  164. Brown W, Trost S, Bauman A, et al. Test-retest reliability of four physical activity measures used in population surveys. J Sci Med Sport 2004; 7 (2): 205–15

    Article  PubMed  CAS  Google Scholar 

  165. Rutten A, Vuillemin A, Ooijendijk WTM, et al. Physical activity monitoring in Europe: the European Physical Activity Surveillance System (EUPASS) approach and indicator testing. Public Health Nutr 2003; 6 (4): 377–84

    PubMed  CAS  Google Scholar 

  166. International physical activity questionnaire website. Guidelines for data processing and analysis of the International Physical Activity Questionnaire (IPAQ) [online]. Available from URL: http://www.ipaq.ki.se/scoring.pdf [Accessed 2008 Aug 6]

  167. Paffenbarger R, Hyde R, Wing A, et al. Physical activity, all-cause mortality, and longevity of college alumni. New Engl J Med 1986; 314 (10): 605–13

    Article  PubMed  Google Scholar 

  168. Jacobs D, Ainsworth B, Hartman T, et al. A simultaneous evaluation of 10 commonly used physical activity questionnaires. Med Sci Sports Exerc 1993; 25 (1): 81–91

    Article  PubMed  Google Scholar 

  169. Ainsworth B, Leon A, Leon A, et al. Accuracy of the College Alumnus Physical Activity Questionnaire. J Clin Epidemiol 1993; 46 (12): 1403–11

    Article  PubMed  CAS  Google Scholar 

  170. Albanes D, Conway J, Taylor P, et al. Validation and comparison of eight physical activity questionnaires. Epidemiology 1990; 1 (1): 65–71

    Article  PubMed  CAS  Google Scholar 

  171. Washburn R, Smith K, Goldfield S, et al. Reliability and physiologic correlates of the Harvard Alumni Activity Survey in a general population. J Clin Epidemiol 1991; 44 (12): 1319–26

    Article  PubMed  CAS  Google Scholar 

  172. Godin G, Shephard R, et al. A simple method to assess exercise behaviour in the community. Can J Appl Sports Sci 1985; 10 (3): 141–6

    CAS  Google Scholar 

  173. Godin G, Colantonio A, Davis G, et al. Prediction of leisure time exercise behavior among a group of lower-limb disabled adults. J Clin Psychol 1986; 42 (2): 272–9

    Article  PubMed  CAS  Google Scholar 

  174. Noreau L, Shephard R, Simard C, et al. Relationship of impairment and functional ability to habitual activity and fitness following spinal cord injury. Int J Rehabil Res 1993; 16 (4): 265–75

    Article  PubMed  CAS  Google Scholar 

  175. Rauh M, Hovell M, Hofstetter C, et al. Reliability and validity of self-reported physical activity in Latinos. Int J Epidemiol 1992; 21 (5): 966–71

    Article  PubMed  CAS  Google Scholar 

  176. Reed J, Phillips D. Relationship between physical activity and the proximity of exercise facilities and home equipment used by undergraduate university students. J Am Coll Health 2005; 53 (6): 285–90

    Article  PubMed  Google Scholar 

  177. Valenti M, Porzio G, Aielli F, et al. Physical exercise and quality of life in breast cancer survivors. Int J Med Sci 2008; 5 (1): 24–8

    Article  PubMed  Google Scholar 

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Acknowledgements

Dr Belinda Gabbe was supported by a Career Development Award from the National Health and Medical Research Council of Australia during the preparation of this review. The authors have no conflicts of interest that are directly relevant to the content of this review.

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Authors and Affiliations

  1. Department of Epidemiology and Preventive Medicine, Monash University, Commercial Rd, Melbourne, Victoria, 3004, Australia

    Nadine E. Andrew,  Belinda J. Gabbe, Rory Wolfe & Peter A. Cameron

  2. National Trauma Research Institute, The Alfred Hospital, Melbourne, Victoria, Australia

    Belinda J. Gabbe & Peter A. Cameron

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  1. Nadine E. Andrew
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  2. Belinda J. Gabbe
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  4. Peter A. Cameron
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Correspondence to Belinda J. Gabbe.

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Andrew, N.E., Gabbe, B.J., Wolfe, R. et al. Evaluation of Instruments for Measuring the Burden of Sport and Active Recreation Injury. Sports Med 40, 141–161 (2010). https://doi.org/10.2165/11319750-000000000-00000

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