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Reliability and responsiveness of the Swedish short Hip-RSI

Wörner, Tobias LU ; Sansone, Mikael ; Stålman, Anders and Eek, Frida LU (2024) In Journal of Experimental Orthopaedics 11(3).
Abstract

Purpose: The aim of this study was to examine test–retest reliability and responsiveness of the short version (6-item) Hip Return to Sport after Injury (Hip-RSI) scale in patients following hip arthroscopy. Methods: The study included 100 hip arthroscopy patients responding to a digital survey including the short version (6-item) Hip-RSI, International Hip Outcome Tool (short version) (iHOT-12) and RTS status 3, 6 and 9 months following surgery. The Hip-RSI was administered twice at 3-month follow-up. Test–retest reliability was evaluated using intraclass correlation coefficients. Responsiveness was tested by correlations between changes in Hip-RSI and iHOT-12 scores and by comparing change in Hip-RSI scores of patients who progressed... (More)

Purpose: The aim of this study was to examine test–retest reliability and responsiveness of the short version (6-item) Hip Return to Sport after Injury (Hip-RSI) scale in patients following hip arthroscopy. Methods: The study included 100 hip arthroscopy patients responding to a digital survey including the short version (6-item) Hip-RSI, International Hip Outcome Tool (short version) (iHOT-12) and RTS status 3, 6 and 9 months following surgery. The Hip-RSI was administered twice at 3-month follow-up. Test–retest reliability was evaluated using intraclass correlation coefficients. Responsiveness was tested by correlations between changes in Hip-RSI and iHOT-12 scores and by comparing change in Hip-RSI scores of patients who progressed on the return to sport (RTS) continuum (from return to any sport to return to performance) to patients who did not, using independent samples t-tests. Results: Hip-RSI was found to have excellent test–retest reliability on the individual (intraclass correlation coefficient, ICC [95% confidence interval, CI]: 0.90 [0.83–0.94]) and group level (ICC [95% CI]: 0.95 [0.91–0.97]) with a standard error of measurement of 5.53 and smallest detectable change of 15.3 on the individual and 2.2 on the group level. Hip-RSI was found responsive to change through positive correlations of changes in scores with changes in iHOT-12 scores from 3 to 6 months (r [95% CI]: 0.51 [0.35–0.65]; p < 0.001) and from 3 to 9 months following arthroscopy (r [95% CI]: 0.61 [0.57–0.79); p < 0.001). Further responsiveness was shown by significant mean changes in scores among patients that progressed on the RTS-continuum (3–6 months: 8.6 [95% CI: 3.8– 13.5); 3–9 months: 12.6 [5.6–19.7]). Conclusion: The short version (6-item) Hip-RSI demonstrated excellent test–retest reliability and responsiveness to change in the evaluation of psychological readiness to RTS following hip arthroscopy. Level of Evidence: Level II.

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author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
hip arthroscopy, psychological readiness, return to sports
in
Journal of Experimental Orthopaedics
volume
11
issue
3
article number
e12029
publisher
Springer
external identifiers
  • pmid:38756914
  • scopus:85193239151
ISSN
2197-1153
DOI
10.1002/jeo2.12029
language
English
LU publication?
yes
id
1bc74a1e-9c7d-42d8-ae7f-3d6919a68c72
date added to LUP
2024-06-04 14:05:00
date last changed
2024-06-18 14:49:32
@article{1bc74a1e-9c7d-42d8-ae7f-3d6919a68c72,
  abstract     = {{<p>Purpose: The aim of this study was to examine test–retest reliability and responsiveness of the short version (6-item) Hip Return to Sport after Injury (Hip-RSI) scale in patients following hip arthroscopy. Methods: The study included 100 hip arthroscopy patients responding to a digital survey including the short version (6-item) Hip-RSI, International Hip Outcome Tool (short version) (iHOT-12) and RTS status 3, 6 and 9 months following surgery. The Hip-RSI was administered twice at 3-month follow-up. Test–retest reliability was evaluated using intraclass correlation coefficients. Responsiveness was tested by correlations between changes in Hip-RSI and iHOT-12 scores and by comparing change in Hip-RSI scores of patients who progressed on the return to sport (RTS) continuum (from return to any sport to return to performance) to patients who did not, using independent samples t-tests. Results: Hip-RSI was found to have excellent test–retest reliability on the individual (intraclass correlation coefficient, ICC [95% confidence interval, CI]: 0.90 [0.83–0.94]) and group level (ICC [95% CI]: 0.95 [0.91–0.97]) with a standard error of measurement of 5.53 and smallest detectable change of 15.3 on the individual and 2.2 on the group level. Hip-RSI was found responsive to change through positive correlations of changes in scores with changes in iHOT-12 scores from 3 to 6 months (r [95% CI]: 0.51 [0.35–0.65]; p &lt; 0.001) and from 3 to 9 months following arthroscopy (r [95% CI]: 0.61 [0.57–0.79); p &lt; 0.001). Further responsiveness was shown by significant mean changes in scores among patients that progressed on the RTS-continuum (3–6 months: 8.6 [95% CI: 3.8– 13.5); 3–9 months: 12.6 [5.6–19.7]). Conclusion: The short version (6-item) Hip-RSI demonstrated excellent test–retest reliability and responsiveness to change in the evaluation of psychological readiness to RTS following hip arthroscopy. Level of Evidence: Level II.</p>}},
  author       = {{Wörner, Tobias and Sansone, Mikael and Stålman, Anders and Eek, Frida}},
  issn         = {{2197-1153}},
  keywords     = {{hip arthroscopy; psychological readiness; return to sports}},
  language     = {{eng}},
  number       = {{3}},
  publisher    = {{Springer}},
  series       = {{Journal of Experimental Orthopaedics}},
  title        = {{Reliability and responsiveness of the Swedish short Hip-RSI}},
  url          = {{http://dx.doi.org/10.1002/jeo2.12029}},
  doi          = {{10.1002/jeo2.12029}},
  volume       = {{11}},
  year         = {{2024}},
}