Development and validation of a new visa questionnaire (VISA-H) for patients with proximal hamstring tendinopathy

Cacchio, Angelo; Paulis, Fosco De; Maffulli, Nicola

doi:10.1136/bjsports-2012-091552

Cited by 49 publications

(66 citation statements)

References 35 publications

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“…The absence of a ‘gold standard’ for comparison should be considered as a limitation, however, the VISA-H,59 although not formally validated, was the only available instrument. The sample consisted of track and field athletes and did not included athletes from other sports (football/rugby) with high prevalence rates of HMI, a fact that limits its generalisability.…”

Section: Discussionmentioning

confidence: 99%

“…A visual analogue/numeric scale is more accurate and sensitive than categorical verbal scales57 58 and has been used in the development of questionnaire 59 60. Seven questions used a 0–10 numerical rating, the remaining three questions that addressed sport activity and demanding functional tests used a categorical rating system on an incremental range of values 60–62.…”

Section: Methodsmentioning

confidence: 99%

“…Seven questions used a 0–10 numerical rating, the remaining three questions that addressed sport activity and demanding functional tests used a categorical rating system on an incremental range of values 60–62. At this stage the questionnaire included three items from Victorian Institute of Sport Assessment (VISA) questionnaires 59 60 62. These items are psychometrically sound and development of new items to assess a clinical presentation is unnecessary 54…”

Section: Methodsmentioning

confidence: 99%

“…Concurrent validity was assessed with Spearman r between the scores obtained from FASH and VISA-H 59. Factorial validity was assessed using exploratory principal component analysis and eigenvalues over one were extracted 71.…”

Section: Methodsmentioning

confidence: 99%

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Development and validation of a questionnaire (FASH—Functional Assessment Scale for Acute Hamstring Injuries): to measure the severity and impact of symptoms on function and sports ability in patients with acute hamstring injuries

et al. 2014

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Development and validation of a questionnaire (FASH—Functional Assessment Scale for Acute Hamstring Injuries): to measure the severity and impact of symptoms on function and sports ability in patients with acute hamstring injuries

et al. 2014

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“…Consequently, in order to evaluate the benefit of the US-guided EPI technique in the treatment of PHTrSNE, the operator shall continuously monitor the evolution of the symptoms related to the disease. The Visual Analogic Scale (VAS) 9,18 and the Victorian Institute of Sport Assessment-Proximal Hamstring Tendons (VISA-H) questionnaire 20 are useful for this purpose. In particular, VISA-H has proven to have high degree of internal consistency and high test-retest reliability 20 .…”

Section: Strengths and Limitations Of The Techniquementioning

confidence: 99%

Treatment of proximal hamstring tendinopathyrelated sciatic nerve entrapment: presentation of an ultrasound-guided �Intratissue Percutaneous Electrolysis� application

Mattiussi

Moreno

2016

MLTJ

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SummaryBackground: Proximal Hamstring Tendinopathyrelated Sciatic Nerve Entrapment (PHTrSNE) is a neuropathy caused by fibrosis interposed between the semimembranosus tendon and the sciatic nerve, at the level of the ischial tuberosity. Methods: Ultrasound-guided Intratissue Percutaneous Electrolysis (US-guided EPI) involves galvanic current transfer within the treatment target tissue (fibrosis) via a needle 0.30 to 0.33 mm in diameter. The galvanic current in a saline solution instantly develops the chemical process of electrolysis, which in turn induces electrochemical ablation of fibrosis. In this article, the interventional procedure is presented in detail, and both the strengths and limits of the technique are discussed. Results: US-guided EPI eliminates the fibrotic accumulation that causes PHTrSNE, without the semimembranosus tendon or the sciatic nerve being directly involved during the procedure. The technique is however of limited use in cases of compression neuropathy. Conclusion: US-guided EPI is a technique that is quick to perform, minimally invasive and does not force the patient to suspend their activities (work or sports) to make the treatment effective. This, coupled to the fact that the technique is generally well-tolerated by patients, supports use of USguided EPI in the treatment of PHTrSNE.

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Non‐surgical management of acute proximal hamstring avulsions can produce clinically acceptable results

Maffulli,

Hassan,

Poku

et al. 2024

Knee surg. sports traumatol. arthrosc.

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PurposeTo evaluate the mid‐term clinical outcomes for the non‐surgical and surgical management of acute proximal hamstring avulsions.MethodsSixty physically active individuals were offered surgical or non‐surgical management for their proximal hamstring avulsion injuries. Distal retraction was defined as greater than 2 cm. Primary outcome measures were the Victorian Institute of sport assessment‐proximal hamstring tendons (VISA‐H) and functional assessment scale for acute hamstring injuries (FASH). Secondary outcome measures included palpable gap (cm), return to sport (RTS) and the ability to perform Nordic hamstring curls. Outcome variables were adjusted in regression models for gender, age, and treatment.ResultsThirty‐one patients elected to undertake non‐surgical management, and 29 chose surgery with a mean follow‐up of 34.8 ± 8.7 and 34.9 ± 7.0 months, respectively. The mean VISA‐H for the non‐surgical and surgical groups were 87.3 ± 3.4 and 87.9 ± 4.1 (n.s.), respectively. The mean FASH for the non‐surgical group was 89.3 ± 2.4 and 88 ± 3.6 for the surgical group (n.s.). This was consistent after adjusting for confounders.The mean gap for the non‐surgical group was 4.5 ± 1.09 and 4.9 ± 1.19 cm for the surgical group (n.s.). No significant differences were found in the abilities to perform Nordic hamstring curls (n.s.). Both groups achieved comparable RTS rates (n.s.). On average, the non‐surgical group achieved RTS at 5.5 ± 1.2 months post‐injury, whereas the surgical group was at 5.7 ± 0.7 months (n.s.).ConclusionPhysically active individuals with acute proximal hamstring avulsions and distal retraction of the tendon stump can be managed non‐surgically, achieving similar functional levels and RTS compared to patients treated surgically.Level of EvidenceLevel III.

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Development and validation of a new visa questionnaire (VISA-H) for patients with proximal hamstring tendinopathy

Abstract: The VISA-H is a PRO questionnaire with high psychometric properties for measuring pain, function and sporting activity in patients with PHT.

Cited by 49 publications

References 35 publications

Development and validation of a questionnaire (FASH—Functional Assessment Scale for Acute Hamstring Injuries): to measure the severity and impact of symptoms on function and sports ability in patients with acute hamstring injuries

Development and validation of a questionnaire (FASH—Functional Assessment Scale for Acute Hamstring Injuries): to measure the severity and impact of symptoms on function and sports ability in patients with acute hamstring injuries

Treatment of proximal hamstring tendinopathyrelated sciatic nerve entrapment: presentation of an ultrasound-guided �Intratissue Percutaneous Electrolysis� application

Non‐surgical management of acute proximal hamstring avulsions can produce clinically acceptable results

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