Background:

In young athletes, patient-reported activity level is frequently used to determine return to the same level of sport after treatment.

Purpose:

To evaluate the validity and score distributions of the Hospital for Special Surgery Pediatric Functional Activity Brief Scale (HSS Pedi-FABS) compared with the Tegner Activity Level Scale (Tegner) in pediatric athletes.

Study Design:

Cohort study (Diagnosis); Level of evidence, 2.

Methods:

A retrospective review of 517 consecutive youth athletes who came to a sports medicine specialty clinic for a knee evaluation was performed. Patients completed the HSS Pedi-FABS, Tegner, and a sports participation survey before evaluation. Scores were compared with reported hours, days, and weeks of participation in sports as well as level of competition. Floor or ceiling effects were identified, and finally, the means and distributions of scores in the 8 most common primary sports were analyzed.

Results:

A total of 398 participants (54.0% female) with an average age of 14.5 years (range, 10.0-18.8 years) were included in the study. The HSS Pedi-FABS demonstrated correlations with hours per week (r = 0.302; P < .001), days per week (r = 0.278; P < .001), and weeks per year (r = 0.136; P = .014) playing a primary sport. The Tegner only demonstrated a correlation with days per week (r = 0.211; P = .001). Additionally, club/select-level athletes scored higher than junior high/high school–level athletes on the HSS Pedi-FABS (23.8 vs 21.0; P = .004), but no difference was observed with the Tegner. No floor or ceiling effect was observed for the HSS Pedi-FABS, but a ceiling effect was present for the Tegner (32.8%). The HSS Pedi-FABS demonstrated a varied score distribution between the 8 most common primary sports (P < .001), with soccer players scoring the highest, on average (23.5).

Conclusion:

The HSS Pedi-FABS, compared with the Tegner, demonstrated more correlations with an athlete’s participation in sport with no floor or ceiling effect and had a wide distribution of scores even among same-sport athletes. The HSS Pedi-FABS may be a more valuable activity measure than the Tegner in pediatric athletes.

中文翻译：

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小儿运动员的活动量度：特殊外科医院小儿功能活动量表和特格纳活动量表的比较。

背景：

在年轻运动员中，经常使用患者报告的活动水平来确定治疗后恢复到相同水平的运动。

目的：

为了评估小儿运动员特殊功能医院儿科功能活动简要量表（HSS Pedi-FABS）和特格纳活动水平量表（Tegner）的有效性和分数分布。

学习规划：

队列研究（诊断）；证据水平2。

方法：

回顾性分析了517名连续的青年运动员来到运动医学专科诊所进行膝关节评估。患者在评估前完成了HSS Pedi-FABS，Tegner和一项运动参与调查。将分数与报告的参加运动的小时，天数和周数以及比赛水平进行比较。确定地板或天花板的影响，最后，对8种最常见的初级运动得分的平均值和分布进行分析。

结果：

该研究共纳入398名参与者（女性54.0％），平均年龄为14.5岁（范围为10.0-18.8岁）。HSS Pedi-FABS证明与每周小时数（r = 0.302; P <.001），每周天数（r = 0.278; P <.001）和每年几周（r = 0.136; P = .014）相关参加主要运动。Tegner仅显示出与每周天数的相关性（r = 0.211；P = .001）。此外，HSS Pedi-FABS上的俱乐部/精选级别运动员的得分高于初中/高中级别的运动员（23.8 vs 21.0；P= .004），但使用Tegner观察不到差异。HSS Pedi-FABS没有观察到地板或天花板效应，但Tegner却存在天花板效应（32.8％）。HSS Pedi-FABS在8种最常见的初级运动中表现出不同的得分分布（P <.001），而足球运动员的得分平均最高（23.5）。

结论：

与Tegner相比，HSS Pedi-FABS表现出与运动员参与运动更多的相关性，而没有地板或天花板的影响，并且即使在同运动型运动员中，分数也分布广泛。在小儿运动员中，HSS Pedi-FABS可能比Tegner更有价值。