The POSNA Pediatric Musculoskeletal Functional Health Questionnaire: Report on Reliability, Validity, and Sensitivity to Change

Abstract

The goal of orthopaedic interventions is to improve the functional health of patients, particularly physical function. The American Academy of Orthopaedic Surgeons and the Pediatric Orthopaedic Society of North America (POSNA) commissioned a work group to construct functional health outcomes scales for children and adolescents, focusing on musculoskeletal health. The work group developed scales assessing upper extremity function, transfers and mobility, physical function and sports, comfort (pain free), happiness and satisfaction, and expectations for treatment. Parent and adolescent self-report forms were developed and tested on 470 subjects aged 2-18 years. The POSNA scales demonstrated good reliability, construct validity, sensitivity to change over a 9-month period, and ability to outperform a standard instrument, the Child Health Questionnaire physical functioning scale. They were useful for a wide variety of ages and diagnoses. They appear to be ideally suited for orthopaedic surgeons to assess the functional health and efficacy of treatment of their patients at baseline and follow-up.

Outcome assessment for Brachial Plexus birth injury. Results from the iPluto world‐wide consensus survey

“…Tools to evaluate other domains of the ICF are readily available and used in some clinics, but these were not ranked high enough in the current rounds by the iPluto participants. Available tools for evaluation of the domain “Activities and participation” are for instance the AHA/mini‐AHA,17 BPOM,16 Children's Hand‐use Experience Questionnaire (CHEQ),30 Disabilities of the Arm, Shoulder, and Hand (DASH) Outcome Measure,31, 32 Hand Use at Home (HUH)33 and Pediatric Outcomes Data Collection Instrument (PODCI) 26, 34. For “Environmental Factors” the PedsQL Family impact module35 and PODCI34 are available.…”

L’arthrogrypose : manifestations cliniques et prise en charge

“…Les raideurs congénitales dans l'arthrogrypose distale ont été rapportées comme étant plus faciles à traiter que dans l'amyoplasie qui nécessite habituellement davantage d'interventions chirurgicales que tout autre type d'arthrogrypose. Le score PODCI est l'un des scores utilisés pour évaluer les résultats de la prise en charge des troubles musculo-squelettiques en pédiatrie [5]. Diverses études ont montré qu'il s'agissait d'un score fiable pour évaluer les aspects de fonction, de bonheur et de douleur chez les enfants ayant des limitations de la mobilité articulaire [5].…”

“…Le score PODCI est l'un des scores utilisés pour évaluer les résultats de la prise en charge des troubles musculo-squelettiques en pédiatrie [5]. Diverses études ont montré qu'il s'agissait d'un score fiable pour évaluer les aspects de fonction, de bonheur et de douleur chez les enfants ayant des limitations de la mobilité articulaire [5].…”

“…Le type, la topographie et la gravité des raideurs articulaires, les anomalies malformatives associées, les moyens de prise en charge thérapeutique et l'évolution clinique ont été recherchés. Le score Pediatric Outcomes Data Collection Instrument (PODCI) [5] a été utilisé pour évaluer les résultats fonctionnels à distance. Ce score repose sur un questionnaire qui analyse 6 domaines : la fonction du membre supérieur, les transferts et la mobilité, la participation au sport, la douleur, le bonheur et la fonction globale.…”

The Oxford Ankle Foot Questionnaire for children: responsiveness and longitudinal validity

“…We elected to use the Kidscreen short index measure as a comparator as a well developed generic instrument that would not overburden the respondents with additional questions. While other generic instruments that focus on physical functioning may show greater sensitivity to change than the Kidscreen in children with foot or ankle problems, some outcome measures commonly used in orthopaedics, such as the Activities Scale for Kids [15] or the Pediatric Outcome Data Collection Instrument [16], include a number of items that may not have face validity for children with foot or ankle problems.…”