Concurrent Validation of the Banff Patella Instability Instrument to the Norwich Patellar Instability Score and the Kujala Score in Patients With Patellofemoral Instability

Laurie A Hiemstra; Sarah Kerslake; Mark Lafave; Nicholas G Mohtadi

doi:10.1177/2325967116646085

Concurrent Validation of the Banff Patella Instability Instrument to the Norwich Patellar Instability Score and the Kujala Score in Patients With Patellofemoral Instability

Orthop J Sports Med. 2016 May 11;4(5):2325967116646085. doi: 10.1177/2325967116646085. eCollection 2016 May.

Authors

Laurie A Hiemstra¹, Sarah Kerslake², Mark Lafave³, Nicholas G Mohtadi⁴

Affiliations

¹ Banff Sport Medicine, Banff, Alberta, Canada.; Department of Surgery, University of Calgary, Calgary, Alberta, Canada.
² Banff Sport Medicine, Banff, Alberta, Canada.; Department of Physical Therapy, University of Alberta, Edmonton, Alberta, Canada.
³ Department of Health and Physical Education, Mount Royal University, Calgary, Alberta, Canada.
⁴ Department of Surgery, University of Calgary, Calgary, Alberta, Canada.

Abstract

Background: The Banff Patella Instability Instrument (BPII) is a disease-specific, patient-reported, quality-of-life outcome measure designed to assess patients with patellofemoral instability. The iterative assessment of the validity, reliability, and responsiveness of a health-related patient-reported outcome measure is vital to the development of a high-quality evaluation tool.

Purpose: To assess the concurrent validity of the BPII to the Norwich Patellar Instability (NPI) score and the Kujala score.

Study design: Cohort study; Level of evidence, 2.

Methods: A total of 74 patients with a confirmed diagnosis of recurrent patellofemoral instability completed the BPII, NPI, and Kujala scores at the initial orthopaedic consultation. A Pearson r correlation coefficient was computed to determine the relationship between each of these patient-reported outcomes.

Results: There were statistically significant correlations between the BPII and the NPI score (r = -0.53; P < .001) as well as the BPII and the Kujala score (r = 0.50; P < .001).

Conclusion: This study demonstrated a moderately strong correlation of the BPII to other outcome measures used to evaluate patients with patellofemoral instability. This study adds further validity to the BPII in accordance with the COSMIN (COnsensus-based Standards for the selection of health Measurement INstruments) guidelines.

Keywords: Banff Patella Instability Instrument (BPII); COSMIN; Kujala score; Norwich Patellar Instability score (NPI); outcome measure; patellofemoral instability; quality of life.