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By – Dr. ISHITA DALE (PT)
INTRODUCTION
 An outcome measure is a tool used to assess a patient's
current status. Outcome measures may provide a score,
an interpretation of results and at times a risk
categorization of the patient.
 Outcome measures that we use in clinical practice are
divided into four categories:
Self-report measures
Performance-based measures
Observer-reported measures
Clinician-reported measures
OUTCOME MEASURES IN
SPORTS
 The Copenhagen Hip and Groin Outcome Score
(HAGOS)
 Illinois Agility Test
 Hexagonal Obstacle Agility Test
THE COPENHAGEN HIPAND
GROIN OUTCOME SCORE
(HAGOS)
 The Copenhagen Hip and Groin Outcome Score is a
patient-reported questionnaire that has six discrete
subscales to assess Pain (10 items), Symptoms (7
items), Physical function in daily living (5 items),
physical function in Sport and Recreation (8 items),
Participation in Physical Activities (2 items) and hip
and/or groin related Quality of Life (5 items). It has
37 items in total.
INTRODUCTION
 The objective of the HAGOS questionnaire was to
achieve a quantitative measure in a young to middle-
aged physically active patient who had hip and/or
groin disability. HAGOS uses the framework of ICF
in the questionnaire and thus looks at patients with a
hip and/or groin disabilities by relation to
impairments, activity limitation and participation
restrictions. For a patient to be considered physically
active, they need to be active for at least 2.5 hours per
week.
 Standardised answer options are given (5 Likert boxes) and
each question gets a score from 0 to 4, where 0 indicates no
problem. The six scores are calculated as the sum of the
items included, in accordance with score calculations of the
HOOS score.
 Raw scores are then transformed to a 0-100 scale, with zero
representing extreme hip and/or groin problems and 100
representing no hip and/or groin problems, as common in
orthopaedic scales.
 Scores between 0 and 100 represent the percentage of total
possible score achieved. An aggregate score is not calculated
since it is regarded desirable to analyse and interpret the
different dimensions separately.
Assign the following scores to the boxes:
 None - 0
 Mild - 1
 Moderate - 2
 Severe - 3
 Extreme - 4
 Sum up the total score of each subscale and divide by
the possible maximum score for the scale.
 Please use the formulas provided for each subscale:
 Test-retest reliability was substantial, with
Intraclass Correlation Coefficients (ICC) ranging
from 0.82-0.91 for the six subscales.
 Construct validity and responsiveness were
confirmed with statistically significant correlation
coefficients (0.37-0.73, p<.01) for convergent
construct validity, and for responsiveness from
(0.56-0.69, p<.01).
ILLINOIS AGILITY
TEST
INTRODUCTION
 The Illinois Agility Test (IAT) is one of many tests
used to assess agility. Agility is one of the testing
components of physical fitness.
 Agility may "be defined as the ability to alter direction
to achieve a specific goal (e.g. evade/deceive/react to
an opponent, create space).
 Agility training is often associated with athletics as it
is seen as an important component in improving
athletic performance. Agility training, however, is also
used outside of the athletic sphere.
 The IAT is also used in the training of tactical athletes.
The term tactical athletes is used to refer to those
individuals in law enforcement, military and rescue
professions.
 These persons require specialized training which is
geared at optimal physical performance for the job.
 The IAT is also a component of the Comprehensive
High-Level Activity Mobility Predictor which was
developed to assess male service members who had
suffered traumatic lower limb loss.
PROCEDURE
 To conduct the test adequate space, a timer and 8
cones are required. The individual starts by lying face
down by the first cone. Staring at cone 1 he is
required to run to cone 2 which is placed at a distance
of 10 meters away from the first. He then runs 10
meters to cone 3. At this point the individual has to
weave around cones 3,4,5,6. After this he has to go
through 5,4,3. He will then run to cone 8. The time to
complete the task is then recorded.
 In a study by Hachana et. al.(2013) significant
correlation was noted between the IAT and leg
power (r=0.39[95% CI, -0.26 to 0.44]; p<0.05.
Correlation was also noted between the IAT and
speed (r=0.42[95% CI, 0.37-0.5}; p<0.05.
 After controlling for speed with partial correlation
it was noted that "the significant relationship
between IAT and leg power disappeared". The
study concluded that the IAT was a valid and
reliable test correlating more to speed than leg
power.
HEXAGONAL OBSTACLE
AGILITY TEST
INTRODUCTION
 The Hexagonal Obstacle Test, also called the Hex
Jump, is a test of agility developed specifically for
alpine skiers. The test involves quickly jumping over
obstacles arranged in a hexagon shape.
 Aim: This is a test of the ability to move quickly
while maintaining balance.
 Equipment required: obstacles ranging in height
from 20cm to 35cm, stopwatch, recording sheets.
 Pre-test: Explain the test procedures to the subject.
Perform screening of health risks and obtain informed
consent. Prepare forms and record basic information
such as age, height, body weight, gender and test
conditions. Measure out the jump area and place the
obstacles as per the procedure. Perform a
standard warm-up, including practice going over the
hurdles.
 Test layout: Place the six obstacles in a hexagon. The
length of each side of the hexagon should be 66 cm (26
inches).
 Procedure: The participant starts with both feet together
in the middle of the hexagon, side-on to the 20 cm hurdle.
On the command 'go', they jump off two feet laterally over
the obstacle, then back over the same obstacle, returning
to the middle of the hexagon. Then turn a little and jump
laterally over the adjacent obstacle and back into the
hexagon, continuing around the hexagon, completing two
complete circuits. Two trials are performed in the
clockwise direction, and two trials in the anti-clockwise
direction.
 Scoring: The participant's score is the time taken to
complete two full revolutions. The stopwatch starts on
the command go, and finishes after completing two
circuits and when landing back in the middle after
jumping the 32 or 35cm hurdle (depending on the
direction of travel). If you hit one of the obstacles the
trail needs to be repeated. The score is the combined
best time for each direction.
Timing in seconds
AGE Male Female
 14-16 23.0 - 20.1 23.0 - 20.5
 17-18 22.0 - 19.7 22.0 - 19.7
 19-20 21.0 - 19.0 21.0 - 19.3
OUTCOME MEASURES IN SPORTS.pptx

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OUTCOME MEASURES IN SPORTS.pptx

  • 1. By – Dr. ISHITA DALE (PT)
  • 2. INTRODUCTION  An outcome measure is a tool used to assess a patient's current status. Outcome measures may provide a score, an interpretation of results and at times a risk categorization of the patient.  Outcome measures that we use in clinical practice are divided into four categories: Self-report measures Performance-based measures Observer-reported measures Clinician-reported measures
  • 3. OUTCOME MEASURES IN SPORTS  The Copenhagen Hip and Groin Outcome Score (HAGOS)  Illinois Agility Test  Hexagonal Obstacle Agility Test
  • 4. THE COPENHAGEN HIPAND GROIN OUTCOME SCORE (HAGOS)
  • 5.  The Copenhagen Hip and Groin Outcome Score is a patient-reported questionnaire that has six discrete subscales to assess Pain (10 items), Symptoms (7 items), Physical function in daily living (5 items), physical function in Sport and Recreation (8 items), Participation in Physical Activities (2 items) and hip and/or groin related Quality of Life (5 items). It has 37 items in total. INTRODUCTION
  • 6.  The objective of the HAGOS questionnaire was to achieve a quantitative measure in a young to middle- aged physically active patient who had hip and/or groin disability. HAGOS uses the framework of ICF in the questionnaire and thus looks at patients with a hip and/or groin disabilities by relation to impairments, activity limitation and participation restrictions. For a patient to be considered physically active, they need to be active for at least 2.5 hours per week.
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  • 12.  Standardised answer options are given (5 Likert boxes) and each question gets a score from 0 to 4, where 0 indicates no problem. The six scores are calculated as the sum of the items included, in accordance with score calculations of the HOOS score.  Raw scores are then transformed to a 0-100 scale, with zero representing extreme hip and/or groin problems and 100 representing no hip and/or groin problems, as common in orthopaedic scales.  Scores between 0 and 100 represent the percentage of total possible score achieved. An aggregate score is not calculated since it is regarded desirable to analyse and interpret the different dimensions separately.
  • 13. Assign the following scores to the boxes:  None - 0  Mild - 1  Moderate - 2  Severe - 3  Extreme - 4
  • 14.  Sum up the total score of each subscale and divide by the possible maximum score for the scale.  Please use the formulas provided for each subscale:
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  • 16.  Test-retest reliability was substantial, with Intraclass Correlation Coefficients (ICC) ranging from 0.82-0.91 for the six subscales.  Construct validity and responsiveness were confirmed with statistically significant correlation coefficients (0.37-0.73, p<.01) for convergent construct validity, and for responsiveness from (0.56-0.69, p<.01).
  • 18. INTRODUCTION  The Illinois Agility Test (IAT) is one of many tests used to assess agility. Agility is one of the testing components of physical fitness.  Agility may "be defined as the ability to alter direction to achieve a specific goal (e.g. evade/deceive/react to an opponent, create space).  Agility training is often associated with athletics as it is seen as an important component in improving athletic performance. Agility training, however, is also used outside of the athletic sphere.
  • 19.  The IAT is also used in the training of tactical athletes. The term tactical athletes is used to refer to those individuals in law enforcement, military and rescue professions.  These persons require specialized training which is geared at optimal physical performance for the job.  The IAT is also a component of the Comprehensive High-Level Activity Mobility Predictor which was developed to assess male service members who had suffered traumatic lower limb loss.
  • 20. PROCEDURE  To conduct the test adequate space, a timer and 8 cones are required. The individual starts by lying face down by the first cone. Staring at cone 1 he is required to run to cone 2 which is placed at a distance of 10 meters away from the first. He then runs 10 meters to cone 3. At this point the individual has to weave around cones 3,4,5,6. After this he has to go through 5,4,3. He will then run to cone 8. The time to complete the task is then recorded.
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  • 24.  In a study by Hachana et. al.(2013) significant correlation was noted between the IAT and leg power (r=0.39[95% CI, -0.26 to 0.44]; p<0.05. Correlation was also noted between the IAT and speed (r=0.42[95% CI, 0.37-0.5}; p<0.05.  After controlling for speed with partial correlation it was noted that "the significant relationship between IAT and leg power disappeared". The study concluded that the IAT was a valid and reliable test correlating more to speed than leg power.
  • 26. INTRODUCTION  The Hexagonal Obstacle Test, also called the Hex Jump, is a test of agility developed specifically for alpine skiers. The test involves quickly jumping over obstacles arranged in a hexagon shape.
  • 27.  Aim: This is a test of the ability to move quickly while maintaining balance.  Equipment required: obstacles ranging in height from 20cm to 35cm, stopwatch, recording sheets.  Pre-test: Explain the test procedures to the subject. Perform screening of health risks and obtain informed consent. Prepare forms and record basic information such as age, height, body weight, gender and test conditions. Measure out the jump area and place the obstacles as per the procedure. Perform a standard warm-up, including practice going over the hurdles.
  • 28.  Test layout: Place the six obstacles in a hexagon. The length of each side of the hexagon should be 66 cm (26 inches).  Procedure: The participant starts with both feet together in the middle of the hexagon, side-on to the 20 cm hurdle. On the command 'go', they jump off two feet laterally over the obstacle, then back over the same obstacle, returning to the middle of the hexagon. Then turn a little and jump laterally over the adjacent obstacle and back into the hexagon, continuing around the hexagon, completing two complete circuits. Two trials are performed in the clockwise direction, and two trials in the anti-clockwise direction.
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  • 30.  Scoring: The participant's score is the time taken to complete two full revolutions. The stopwatch starts on the command go, and finishes after completing two circuits and when landing back in the middle after jumping the 32 or 35cm hurdle (depending on the direction of travel). If you hit one of the obstacles the trail needs to be repeated. The score is the combined best time for each direction.
  • 31. Timing in seconds AGE Male Female  14-16 23.0 - 20.1 23.0 - 20.5  17-18 22.0 - 19.7 22.0 - 19.7  19-20 21.0 - 19.0 21.0 - 19.3