Journal article
Associations of the modified STarT back tool and Hospital Anxiety and Depression Scale (HADS) with gait speed and knee pain in knee osteoarthritis: a retrospective cohort study
Disability and Rehabilitation, Vol.44(16), pp.4452-4458
2022
PMID: 33577352
Abstract
Objective: The association of the modified STarT Back Tool (mSBT) psychosocial measure with gait speed and knee pain in knee osteoarthritis is not well defined. This study aimed to, in patients with knee osteoarthritis, (i) examine the convergent validity of mSBT with the Hospital Anxiety and Depression Scale (HADS) and (ii) compare the predictive validity of mSBT and HADS with gait speed and knee pain. Methods: We performed a retrospective cohort analysis of mSBT, HADS, gait speed, and knee pain outcomes data collected from 119 patients who received outpatient physical therapy. Of these patients who were evaluated at their first (baseline) physical therapy visit, 55 had available data at the Week-16 follow-up visit. Results: mSBT and HADS showed moderately strong pairwise correlations (Spearman correlation > 0.57; p < 0.001). After adjusting for age, sex, body weight, and knee impairment variables in multivariable linear mixed-effects analyses, mSBT was associated with gait speed (p < 0.001) and knee pain intensity (p < 0.001) and it had comparable strength of association as HADS. In within-patient regression analyses, change in mSBT was associated with changes in gait speed (p = 0.04) and knee pain (p = 0.01) over 16 weeks. Conclusion: The mSBT had convergent validity with HADS and it showed predictive validity with gait speed and knee pain in knee osteoarthritis. Although broader validation is required, the 5-item mSBT psychosocial measure may be applied as part of routine clinical care to assess psychological distress in patients with knee osteoarthritis.
Details
- Title
- Associations of the modified STarT back tool and Hospital Anxiety and Depression Scale (HADS) with gait speed and knee pain in knee osteoarthritis: a retrospective cohort study
- Authors
- Cheryl Lian-Li Poon (Author) - Singapore General HospitalPhilip Cheong (Author) - Department of Physiotherapy, Singapore General HospitalJohn Wei-Ming Tan (Author) - Department of Physiotherapy, Singapore General HospitalJulian Thumboo (Author) - Singapore General HospitalEe-Lin Woon (Author) - Singapore General HospitalRoss Allan Clark (Author) - University of the Sunshine Coast, Queensland, School of Health and Sport Sciences - LegacyGary Cheok (Author) - Department of Physiotherapy, National Healthcare Group PolyclinicsYong-Hao Pua (Author) - Singapore General Hospital
- Publication details
- Disability and Rehabilitation, Vol.44(16), pp.4452-4458
- Publisher
- Taylor & Francis
- Date published
- 2022
- DOI
- 10.1080/09638288.2021.1883750
- ISSN
- 1464-5165
- PMID
- 33577352
- Organisation Unit
- University of the Sunshine Coast, Queensland; School of Health and Sport Sciences - Legacy; School of Health and Behavioural Sciences - Legacy; School of Health - Public Health
- Language
- English
- Record Identifier
- 99511307202621
- Output Type
- Journal article
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- Domestic collaboration
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- Rehabilitation
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