ArticleBMC musculoskeletal disorders2009
Development and validation of an index of musculoskeletal functional limitations.
Article in BMC musculoskeletal disorders, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 27 citations in OpenAlex.
- A systematic review of dimensions evaluating patient experience in chronic illness.Health and quality of life outcomes · 2019Pooled it
- Patient-reported physical activity questionnaires: a systematic review of content and format.Health and quality of life outcomes · 2012Pooled it
- Five-Year Outcome of Operative and Nonoperative Management of Meniscal Tear in Persons Older Than Forty-Five Years.Arthritis & rheumatology (Hoboken, N.J.) · 2020Trial
- Patient-reported outcomes after total knee replacement vary on the basis of preoperative coexisting disease in the lumbar spine and other nonoperatively treated joints: the need for a musculoskeletal comorbidity index.The Journal of bone and joint surgery. American volume · 2013Trial
- Impact of 3 Months of Supervised Exercise on Function by Arthritis Status.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2025Article
- Association Between Structural Change Over Eighteen Months and Subsequent Symptom Change in Middle-Aged Patients Treated for Meniscal Tear.Arthritis care & research · 2023Article
- Incentivised physical activity intervention promoting daily steps among university employees in the workplace through a team-based competition.Frontiers in public health · 2023Article
- Validity and reliability of Fried frailty phenotype in Turkish population.Turkish journal of medical sciences · 2022Article
- Osteopathic Models Integration Radar Plot: A Proposed Framework for Osteopathic Diagnostic Clinical Reasoning.Journal of chiropractic humanities · 2021Review
- Association between changes in muscle strength and pain in persons with meniscal tear and osteoarthritis.Osteoarthritis and cartilage open · 2020Article
- Longitudinal Trajectories of Pain and Function Improvement Following Total Knee Replacement.ACR open rheumatology · 2019Article
- Implementation of a workplace intervention using financial rewards to promote adherence to physical activity guidelines: a feasibility study.BMC public health · 2017Article
- Effect of Obesity on Pain and Functional Recovery Following Total Knee Arthroplasty.The Journal of bone and joint surgery. American volume · 2017Article
- The Influence of Arthritis in Other Major Joints and the Spine on the One-Year Outcome of Total Hip Replacement: A Prospective, Multicenter Cohort Study (EUROHIP) Measuring the Influence of Musculoskeletal Morbidity.The Journal of bone and joint surgery. American volume · 2017Article
- Review
- Aggregate health burden and the risk of hospitalization in older persons post hip replacement surgery.The journals of gerontology. Series A, Biological sciences and medical sciences · 2013Article
- Health burden in chronic disease: multimorbidity is associated with self-rated health more than medical comorbidity alone.Journal of clinical epidemiology · 2012Article
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundWhile musculoskeletal problems are leading sources of disability, there has been little research on measuring the number of functionally limiting musculoskeletal problems for use as predictor of outcome in studies of chronic disease. This paper reports on the development and preliminary validation of a self administered musculoskeletal functional limitations index.
methodsWe developed a summary musculoskeletal functional limitations index based upon a six-item self administered questionnaire in which subjects indicate whether they are limited a lot, a little or not at all because of problems in six anatomic regions (knees, hips, ankles and feet, back, neck, upper extremities). Responses are summed into an index score. The index was completed by a sample of total knee replacement recipients from four US states. Our analyses examined convergent validity at the item and at the index level as well as discriminant validity and the independence of the index from other correlates of quality of life.
results782 subjects completed all items of the musculoskeletal functional limitations index and were included in the analyses. The mean age of the sample was 75 years and 64% were female. The index demonstrated anticipated associations with self-reported quality of life, activities of daily living, WOMAC functional status score, use of walking support, frequency of usual exercise, frequency of falls and dependence upon another person for assistance with chores. The index was strongly and independently associated with self-reported overall health.
conclusionThe self-reported musculoskeletal functional limitations index appears to be a valid measure of musculoskeletal functional limitations, in the aspects of validity assessed in this study. It is useful for outcome studies following TKR and shows promise as a covariate in studies of chronic disease outcomes.
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Registered trials
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