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Musculoskeletal function assessment: reference values for patient and non-patient samples.

R Engelberg1, D P Martin, J Agel

  • 1Department of Health Services, University of Washington, Seattle, USA.

Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society
|March 12, 1999
PubMed
Summary

This study provides essential reference values for the Musculoskeletal Function Assessment, aiding interpretation of health status in patients with musculoskeletal disorders. These values help clinicians evaluate care and monitor patient recovery effectively.

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Area of Science:

  • Orthopedics
  • Rehabilitation Medicine
  • Health Outcomes Research

Background:

  • Health-status questionnaires are crucial for patient care but lack reference values for interpretation.
  • The Musculoskeletal Function Assessment (MFA) is a validated tool for diverse musculoskeletal conditions.
  • Interpreting MFA scores is challenging without established normative data.

Purpose of the Study:

  • To establish reference values for the Musculoskeletal Function Assessment (MFA).
  • To provide normative data for non-patients and patients with extremity injuries.
  • To describe reference values for changes in MFA scores over time post-injury.

Main Methods:

  • Collected data from 123 non-patients and 274 patients with extremity injuries.
  • Analyzed MFA scores by age, gender, and seven Orthopaedic Trauma Association/AO diagnostic groups.

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  • Measured MFA scores at baseline and at 3, 6, 9, and 12 months post-injury.

    • Main Results:

    • Established descriptive statistics for non-patients by age and gender.
    • Reported significant improvements in MFA scores from baseline to follow-up in the patient sample (p = 0.00).
    • Demonstrated large effect sizes for MFA score changes at 3-9 months post-injury (1.03) and small effects at 6-12 months (0.49).

    Conclusions:

    • The established reference values enhance the utility of the Musculoskeletal Function Assessment.
    • MFA scores show significant improvement and responsiveness in patients recovering from musculoskeletal injuries.
    • These findings support the use of MFA for monitoring recovery across different injury types and time points.