Joint Self-Assessment Forms for Knee, Ankle and Shoulder

Overview

The present study represents the pilot phase of the project aimed at developing anatomical site-specific self-assessment questionnaires (shoulder, knee and ankle) that can advise the subject of the need for an orthopaedic specialist examination. The pilot phase of the project involves the collection of data from questionnaires in a population of subjects who have requested an orthopaedic consultation for the anatomical site covered by the questionnaire. Each questionnaire consists of questions designed to collect information about the patient's subjective condition. The data collected from the questionnaires will be used to evaluate the statistical significance (p value) of each question in the questionnaire in relation to the outcome of the orthopaedic specialist visit. Through a multivariate logistic analysis of the answers given by the subject, it will be possible to 'weight' each answer to obtain a final value that gives an indication of an orthopaedic specialist visit.

With the present study, an initial exploratory phase is conducted aimed at developing anatomical site-specific self-assessment questionnaires (shoulder, knee, and ankle) capable of directing the subject to the need for an orthopedic specialist visit. The questionnaire will allow the subject to understand whether his or her symptomatology indicates the presence of a clinical condition requiring orthopedic specialist examination. In this way, it will be possible to identify patients in need of a specialist visit in a timely manner, avoiding chronicity of the painful symptomatology and allowing early diagnosis and potentially faster functional recovery. To this end, starting from the analysis of clinically validated 1-10 questionnaires, orthopedic specialists afferent to the University of Ferrara, the Rizzoli Orthopedic Institute, and the Galeazzi Orthopedic Institute collaboratively developed questionnaires with the following characteristics: 1. Subjectivity: the questions in the questionnaires require an answer that reflects a specific condition of the subject, e.g. ability to carry out daily or sporting activities. 2. Specificity: the questions in the questionnaires are specific to the anatomical district (shoulder, knee, ankle). 3. Simplicity: being a questionnaire completed by the subject in complete autonomy, the questions are written in simple language and the compilation method is intuitive. 4. Reliability: the score obtained from completing the questionnaires must be able to distinguish subjects who require further diagnostic tests from subjects who require pharmacological therapy, physical therapy, or no therapy. The self-assessment forms are provided as an attachment to the clinical protocol. The present study represents the pilot phase of the project aimed at developing self-assessment questionnaires specific to anatomical site (shoulder, knee, and ankle) and involves the collection of data from self-assessment forms in a population of subjects who have requested an orthopedic specialist visit for the anatomical site covered by the questionnaire. As part of the proposed study, the answers provided by the patient will be compared with the outcome of the orthopedic specialist visit. The data collected from the questionnaires will be used to: 1. evaluate the statistical significance (p value) of each question in the questionnaire in relation to the result of the orthopedic specialist visit. and 2. assign a score to each response in relation to the outcome of the orthopedic specialist visit. The proposed study will allow us to develop self-assessment questionnaires which, based on simple questions, can direct the patient towards the need for an orthopedic specialist visit.