Objective: To find measurement instruments for proximal hamstring tendinopathy, map them to outcome domains, and evaluate their measurement properties.
Methods: There were three phases. Phase one involved a search of MEDLINE, CINAHL, EMBASE, SPORTSDISCUS and PUBMED (February 2022) to identify measurement instruments used in proximal hamstring tendinopathy research. In phase two we mapped these measurement instruments to the International Tendinopathy
Scientific Consensus (ICON) core outcome domains. The third phase involved conducting a second search (same databases/census date) to identify studies that
evaluated measurement properties of measurement instruments in participants with proximal hamstring tendinopathy. Measurement properties were then evaluated
following the Consensus-based-Standards for the Selection of Health Instruments methodology —including risk of bias assessment and synthesis of findings.
Results: Twenty-eight different measurement instruments were identified in phase one. These were mapped to six of nine ICON domains in phase two. In phase three,
there was only one instrument that had been evaluated for its measurement properties (4 studies, n = 302) – the Victorian Institute of Sport Assessment – Proximal
Hamstring Tendinopathy (VISA-H). For the VISA-H there was moderate-quality evidence of sufficient construct validity, low-quality evidence of sufficient
responsiveness, reliability and measurement error, very low-quality evidence of sufficient relevance and comprehensibility and very low-quality evidence of
insufficient comprehensiveness.
Conclusion: The VISA-H – mapped to the ICON disability domain – is the only one of the 28 different measurement instruments identified that was validated in this
population. Caution in applying it is warranted given it is supported by lower quality evidence.
Anthony Nasser, Alison Grimaldi, Bill Vicenzino, Ebonie Rio, Aidan Rich, Tania Pizzari, Adam Semciw
Disease Category: Rehabilitation
Disease Name: Tendinopathy
Age Range: Unknown
Sex: Either
Nature of Intervention: Any
- Recommendations for outcome measures (measurement/how)
- Other
- Systematic review
This study consisted of three phases: (phase 1) a systematic review to identify all measurement instruments used in research on proximal hamstring tendinopathy, (phase 2) mapping of measurement instruments to ICON core health domains and (phase 3) completion of a second systematic review to evaluate the measurement properties of the identified measurement instruments.