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Which is the Best Activity Rating Scale for Patients Undergoing Total Joint Arthroplasty?

  • Original Article
  • Published:
Clinical Orthopaedics and Related Research

Abstract

We compared the metric properties of the University of California, Los Angeles (UCLA) activity scale, the Tegner score, and the Activity Rating Scale for assessment of activity levels in 105 patients undergoing THA (48 women; mean age, 63.4 years) and 100 patients undergoing TKA (61 women; mean age, 66.5 years). We assessed construct validity by correlating these scales with the International Physical Activity Questionnaire and different traditional patient self-reporting outcome measures. Test-retest reliability, feasibility, and floor and ceiling effects also were determined. The UCLA scale showed the strongest correlations with the other measures (r = −0.35 to 0.56 for THA; r = −0.55 to 0.23 for TKA) and was the only scale that discriminated between insufficiently and sufficiently active patients undergoing THA and TKA. The UCLA scale had the best reliability, provided the highest completion rate, and showed no floor effects. It seems to be the most appropriate scale for assessment of physical activity levels in patients undergoing total joint arthroplasty.

Level of Evidence: Level III, diagnostic study. See the Guidelines for Authors for a complete description of levels of evidence.

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Acknowledgments

We thank Markus Loibl and Marc Sieverding for assistance with this study.

Author information

Authors and Affiliations

  1. Department of Orthopaedic Surgery, Schulthess Clinic, Lengghalde 2, 8008, Zurich, Switzerland

    Florian D. Naal MD & Michael Leunig MD

  2. Neuromuscular Research Laboratory, Schulthess Clinic, Zurich, Switzerland

    Franco M. Impellizzeri MS

  3. University of Berne, Berne, Switzerland

    Michael Leunig MD

Authors
  1. Florian D. Naal MD
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  2. Franco M. Impellizzeri MS
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  3. Michael Leunig MD
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Corresponding author

Correspondence to Florian D. Naal MD.

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Each author certifies that he or she has no commercial associations (eg, consultancies, stock ownership, equity interest, patent/licensing arrangements, etc) that might pose a conflict of interest in connection with the submitted article.

Each author certifies that his or her institution has approved the human protocol for this investigation, that all investigations were conducted in conformity with ethical principles of research, and that informed consent for participation in the study was obtained.

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Naal, F.D., Impellizzeri, F.M. & Leunig, M. Which is the Best Activity Rating Scale for Patients Undergoing Total Joint Arthroplasty?. Clin Orthop Relat Res 467, 958–965 (2009). https://doi.org/10.1007/s11999-008-0358-5

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  • DOI: https://doi.org/10.1007/s11999-008-0358-5

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