Evaluating daily physical activity and biomechanical measures using wearable technology in people with Achilles tendinopathy: A descriptive exploratory study

Oskouei, Sanam Tavakkoli; Malliaras, Peter; Clark, Ross; Perraton, Luke

doi:10.1016/j.msksp.2022.102534

Cited by 3 publications

(4 citation statements)

References 42 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…We opted to assess test-retest reliability on a single day as tendinopathy pain and symptoms are known to fluctuate daily. 20 The internal consistency of the TENDINS-A was also excellent (α>0.80), ensuring all items were being scored consistently. The terminology surrounding the MDC, minimal important change and minimal clinically important difference (MCID) is confusing and for the purposes of discussion we have included all available comparisons.…”

Section: Discussionmentioning

confidence: 91%

“…Directly after completing the VISA-A questionnaire, the TENDINS-A was immediately repeated. This ensured the clinical status of participants was unchanged, 20 whilst still allowing for any potential interference effects. Specifically, the participant would be unable to remember responses to the initial TENDINS-A as they have no option to go back in the survey and 50 questions (i.e., the VISA-A and FAOS) separated the initial and then repeated TENDINS-A.…”

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

TENDINopathy Severity assessment – Achilles (TENDINS-A): Evaluation of reliability and validity in accordance with COSMIN recommendations

Murphy,

McCleary,

Hince

et al. 2023

Preprint

Self Cite

View full text Add to dashboard Cite

ObjectivesEvaluate the construct validity (structural validity and hypothesis-testing), reliability (test-retest reliability, measurement error and internal consistency) and minimal detectable change (MDC) of the 13-item TENDINopathy Severity assessment–Achilles (TENDINS-A).MethodsParticipants with Achilles pain completed an online survey: demographics, TENDINS-A, Foot and Ankle Outcome Score (FAOS) and Victorian Institute of Sport Assessment-Achilles (VISA-A). Exploratory factor analysis (EFA) assessed dimensionality. Confirmatory Factor Analysis (CFA) assessed structural validity [root-mean-squared error of approximation (RMSEA); Comparative Fit Index (CFI); Tucker-Lewis Index (TLI); Standardised Root Measure Square (SRMS)]. Correlations between TENDINS-A and the FAOS/ VISA-A assessed hypothesis-testing. Intraclass correlation (ICC) assessed test-retest reliability. Cronbach’s α assessed internal consistency. Standard error of the measurement (SEM) assessed measurement error. A distribution-based approach assessed MDC.ResultsSeventy-nine participants (51% female) with a mean (SD) age=42.6 (13.0)years, height=175.0 (11.7)cm and body mass=82.0 (19.1)kg were included. EFA identified three meaningful factors, proposed to be pain, symptoms and function. The best model identified using CFA had adequate structural validity (CFI= 0.959, TLI= 0.947, RMSEA= 0.101, SRMS=0.068) excluded three items from the original TENDINS-A, included three factors (Pain, Symptoms, and Function). TENDINS-A exhibited moderate positive correlation with FAOS (rho=0.598,p<0.001), moderate, negative correlation with VISA-A (r=-0.639,p<0.001). Reliability of the TENDINS-A is excellent (ICC=0.930; Cronbach’s α=0.808; SEM=6.54 units) and has an MDC of 12 units.ConclusionsOur evaluation of the revised 10-item TENDINS-A has determined it has adequate validity and reliability. Thus, the TENDINS-A can be recommended for immediate use, being the preferred tool over other PROMs to assess disability in Achilles tendinopathy.

show abstract

Section: Discussionmentioning

confidence: 91%

Section: Methodsmentioning

confidence: 99%

TENDINopathy Severity assessment – Achilles (TENDINS-A): Evaluation of reliability and validity in accordance with COSMIN recommendations

Murphy,

McCleary,

Hince

et al. 2023

Preprint

Self Cite

View full text Add to dashboard Cite

show abstract

“…The reliability of the TENDINS-A is excellent (ICC>0.90). We opted to assess test–retest reliability on a single day as tendinopathy pain and symptoms are known to fluctuate daily 24. The internal consistency of the TENDINS-A was also excellent (α>0.80), ensuring all items were being scored consistently.…”

Section: Discussionmentioning

confidence: 99%

“…Directly after completing the VISA-A questionnaire, the TENDINS-A was immediately repeated. This ensured the clinical status of participants was unchanged,24 while still allowing for any potential interference effects. Specifically, the participant would be unable to remember responses to the initial TENDINS-A as they have no option to go back in the survey and 50 questions (ie, the VISA-A and FAOS) separated the initial and then repeated TENDINS-A.…”

Section: Methodsmentioning

confidence: 99%

TENDINopathy Severity assessment–Achilles (TENDINS-A): evaluation of reliability and validity in accordance with COSMIN recommendations

Murphy,

McCleary,

Hince

et al. 2024

Br J Sports Med

Self Cite

View full text Add to dashboard Cite

ObjectiveTo evaluate the construct validity (structural validity and hypothesis testing), reliability (test–retest reliability, measurement error and internal consistency) and minimal important change (MIC) of the 13-item TENDINopathy Severity assessment–Achilles (TENDINS-A).MethodsParticipants with Achilles pain completed an online survey including: demographics, TENDINS-A, Foot and Ankle Outcome Score (FAOS) and Victorian Institute of Sport Assessment–Achilles (VISA-A). Exploratory factor analysis (EFA) assessed dimensionality. Confirmatory factor analysis (CFA) assessed structural validity (root mean square error of approximation (RMSEA); Comparative Fit Index (CFI); Tucker-Lewis Index (TLI); standardised root measure square (SRMS)). Correlations between TENDINS-A and the FAOS or VISA-A assessed hypothesis testing. Intraclass correlation (ICC) assessed test–retest reliability. Cronbach’s alpha assessed internal consistency. SE of the measurement (SEM) assessed measurement error. A distribution-based approach assessed MIC.Results79 participants (51% female) with a mean (SD) age=42.6 (13.0) years, height=175.0 (11.7) cm and body mass=82.0 (19.1) kg were included. EFA identified three meaningful factors, proposed as pain, symptoms and function. The best model identified using CFA for TENDINS-A had structural validity (RMSEA=0.101, CFI=0.959, TLI=0.947, SRMS=0.068), which included three factors (pain, symptoms and function), but excluded three items from the original TENDINS-A. TENDINS-A exhibited moderate positive correlation with FAOS (r=0.598, p<0.001) and a moderate negative correlation with VISA-A (r=−0.639, p<0.001). Reliability of the TENDINS-A was excellent (ICC=0.930; Cronbach’s α=0.808; SEM=6.54 units), with an MIC of 12 units.ConclusionsOur evaluation of the revised 10-item TENDINS-A determined it has construct validity and excellent reliability, compared with the VISA-A and FAOS which lack content and construct validity. The TENDINS-A is recommended as the preferred patient-reported outcome measure to assess disability in people with Achilles tendinopathy.

show abstract

Emerging Technologies in the Diagnosis of Foot and Ankle Pathologies

Ghandour,

Ashkani-Esfahani

2024

Clinical and Radiological Examination of the Foot and Ankle

View full text Add to dashboard Cite

Evaluating daily physical activity and biomechanical measures using wearable technology in people with Achilles tendinopathy: A descriptive exploratory study

Cited by 3 publications

References 42 publications

TENDINopathy Severity assessment – Achilles (TENDINS-A): Evaluation of reliability and validity in accordance with COSMIN recommendations

TENDINopathy Severity assessment – Achilles (TENDINS-A): Evaluation of reliability and validity in accordance with COSMIN recommendations

TENDINopathy Severity assessment–Achilles (TENDINS-A): evaluation of reliability and validity in accordance with COSMIN recommendations

Emerging Technologies in the Diagnosis of Foot and Ankle Pathologies

Contact Info

Product

Resources

About