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Related Experiment Videos

The nonarthritic hip score: reliable and validated.

Christian P Christensen1, Peter L Althausen, Murray A Mittleman

  • 1Department of Orthopaedic Surgery, National Naval Medical Center at Bethesda, 8901 Wisconsin Avenue, Bethesda, MD 20889-5600, USA. cpchristensen@mindspring.com

Clinical Orthopaedics and Related Research
|February 13, 2003
PubMed
Summary

A new hip score for young, active patients is valid, consistent, and reproducible. This tool accurately measures hip pain and function in individuals with high demands and expectations.

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Area of Science:

  • Orthopedics
  • Sports Medicine
  • Rehabilitation Science

Background:

  • Younger patients with hip pain have different needs than older adults with degenerative joint disease.
  • A validated, reliable hip score is crucial for assessing outcomes in this demographic.
  • Existing hip scores may not fully capture the functional demands and expectations of young, active individuals.

Purpose of the Study:

  • To evaluate the validity, internal consistency, and reproducibility of a novel, short, self-administered hip score.
  • To establish the utility of this score for young patients with high activity demands and treatment expectations.
  • To provide a reliable tool for assessing hip pain and function in a younger, active population.

Main Methods:

  • The study included 48 young patients (mean age 33) with intractable hip pain and normal radiographs for validity and internal consistency assessment.

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  • Reproducibility was determined using data from an additional 17 patients with hip pain.
  • Pearson correlation coefficients and Cronbach's alpha were used to assess validity and internal consistency, respectively. Test-retest reliability was also evaluated.

    • Main Results:

    • The hip score demonstrated strong validity, with Pearson correlation coefficients of 0.82 and 0.59 compared to the Harris hip score and Short Form-12, respectively.
    • Internal consistency was high across the score's four domains, with Cronbach's alpha ranging from 0.69 to 0.92.
    • Test and retest reproducibility was excellent, with subset reproducibility ranging from 0.87 to 0.95 and an overall reproducibility of 0.96.

    Conclusions:

    • The developed short, self-administered hip score is a valid measure for young patients experiencing hip pain.
    • The questionnaire exhibits strong internal consistency and excellent test-retest reproducibility.
    • This tool is suitable for assessing hip function in young patients with high activity demands and treatment expectations.