Evidence map›Paper›PMID 33860806›Full record

SynthesisKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2021

A systematic review evaluating the clinimetric properties of the Victorian Institute of Sport Assessment (VISA) questionnaires for lower limb tendinopathy shows moderate to high-quality evidence for sufficient reliability, validity and responsiveness-part II.

Vasileios Korakakis, Rod Whiteley, Argyro Kotsifaki, Manos Stefanakis, Yiannis Sotiralis, Kristian Thorborg

Open access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
6.2field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.

  1. Dutch multidisciplinary guideline on anterior knee pain: Patellofemoral pain and patellar tendinopathy.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025
    Guideline
  2. Article
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  6. Asymmetric running is associated with pain during outdoor running in individuals with Achilles tendinopathy in the return-to-sport phase.Physical therapy in sport : official journal of the Association of Chartered Physiotherapists in Sports Medicine · 2024
    Observational
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Is the VISA-A Still Seaworthy, or Is It in Need of Maintenance?Orthopaedic journal of sports medicine · 2022
    Article
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  15. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 4 countries.

Vasileios KorakakisAspetar Orthopaedic and Sports Medicine Hospital, 29222, Doha, Qatar. Vasileios.Korakakis@aspetar.com.ORCID http://orcid.org/0000-0002-8033-3934
Rod WhiteleyAspetar Orthopaedic and Sports Medicine Hospital, 29222, Doha, Qatar.ORCID http://orcid.org/0000-0002-1452-6228
Argyro KotsifakiAspetar Orthopaedic and Sports Medicine Hospital, 29222, Doha, Qatar.ORCID http://orcid.org/0000-0002-7902-9206
Manos StefanakisSchool of Science, Program of Physiotherapy, University of Nicosia, Nicosia, Cyprus.ORCID http://orcid.org/0000-0002-3365-7768
Yiannis SotiralisHellenic Orthopaedic Manipulative Therapy Diploma (HOMTD), Athens, Greece.ORCID http://orcid.org/0000-0003-1827-1995
Kristian ThorborgDepartment of Orthopaedic Surgery, Sports Orthopedic Research Center-Copenhagen (SORC-C), Amager-Hvidovre Hospital, Faculty of Health Sciences, Copenhagen University, Copenhagen, Denmark.ORCID http://orcid.org/0000-0001-9102-4515
Qatar Orthopaedic and Sports Medicine Hospital · QAAmager Hospital · DKHellenic Oncology Research Group · GRUniversity of Nicosia · CY

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe evaluation of measurement properties such as reliability, measurement error, construct validity, and responsiveness provides information on the quality of the scale as a whole, rather than on an item level. We aimed to synthesize the measurement properties referring to reliability, measurement error, construct validity, and responsiveness of the Victorian Institute of Sport Assessment questionnaires (Achilles tendon-VISA-A, greater trochanteric pain syndrome-VISA-G, proximal hamstring tendinopathy-VISA-H, patellar tendon-VISA-P).

methodsA systematic review was conducted according to Consensus-based Standards for the Selection of Health Measurement Instruments methodology (COSMIN). PubMed, Cochrane, CINAHL, EMBASE, Web of Science, SportsDiscus, grey literature, and reference lists were searched. Studies assessing the measurement properties concerning reliability, validity, and responsiveness of the VISA questionnaires in patients with lower limb tendinopathies were included. Two reviewers assessed the methodological quality of studies assessing reliability, validity, and responsiveness using the COSMIN guidelines and the evidence for these measurement properties. A modified Grading of Recommendations Assessment Development and Evaluation (GRADE) approach was applied to the evidence synthesis.

resultsThere is moderate-quality evidence for sufficient VISA-A, VISA-G, and VISA-P reliability. There is moderate-quality evidence for sufficient VISA-G and VISA-P measurement error, and high-quality evidence for sufficient construct validity for all the VISA questionnaires. Furthermore, high-quality evidence exists with regard to VISA-A for sufficient responsiveness in patients with insertional Achilles tendinopathy following conservative interventions.

conclusionsSufficient reliability, measurement error, construct validity and responsiveness were found for the VISA questionnaires with variable quality of evidence except for VISA-A which displayed insufficient measurement error. LEVEL OF EVIDENCE: IV. REGISTRATION DETAILS: Prospero (CRD42018107671); PROSPERO reference-CRD42019126595.

Indexed as

Achilles TendonTendinopathyHumansLower ExtremityPsychometricsReproducibility of ResultsSurveys and QuestionnairesCOSMINPatient-reported outcome measuresPsychometric propertiesTendinopathy

Identifiers

PMID33860806
PMCPMC8384816
OpenAlexW3156714581

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.