Achilles Tendon Total Rupture Score

Original Editor - Rachael Lowe

Top Contributors - Ajay Upadhyay and Rachael Lowe

Objective

A patient-reported instrument for measuring outcome after treatment for total Achilles tendon rupture. There is a need for a patient-relevant instrument to evaluate outcome after treatment in patients with a total
Achilles tendon rupture.To develop and validate a new patient-reported instrument for measuring outcome after treatment for total Achilles tendon rupture.

Intended Population

Patients with a total Achilles tendon rupture after treatment.

Reference

Nilsson-Helander, K., R. Thomee, et al. (2007). "The Achilles Tendon Total Rupture Score (ATRS): Development and Validation." Am J Sports Med 35(3): 421-426.[1]

Document


Items asked:

Are you limited because of decreased strength in the calf/ Achilles tendon/foot?
Are you limited because of fatigue in the calf/Achilles tendon/foot?
Are you limited due to stiffness in the calf/Achilles tendon/foot?
Are you limited because of pain in the calf/Achilles tendon/foot?
Are you limited during activities of daily living?
Are you limited when walking on uneven surfaces?
Are you limited when walking quickly upstairs or uphill?
Are you limited during activities that include running?
Are you limited during activities that include jumping?
Are you limited in performing hard physical labor?

Subjects are asked to grade from 0 to 10 according to their level of limitations and/or difficulties.

Evidence [2]

Reliability

According to the study Validity and Reliability of the Achilles Tendon Total Rupture Score done by Ann Ganestam, et al noted
good agreement on reassessment of patients using the ATRS and have concluded that the score is reliable and as such a valid health measurement.

Validity

The Danish version of the ATRS showed good criterion validity because it correlated moderately strongly with the physical component
score and physical functioning subscores of the SF-36 and VISA-A.

Responsiveness

A floor or ceiling effect in more than 15% of the respondents was not found for the ATRS or VISA-A scores. The physical functioning subgroup of the SF-36 did however, show a ceiling for this outcome measure in 24% of the respondents.

Miscellaneous

The Danish version of the ATRS showed moderately strong criterion validity. For study and follow-up purposes, the ATRS seems reliable for the comparison of groups of patients but has limited usability for the repeated assessment of individual patients inthe clinic. For future use, the development of analysis guidelines would be desirable.

Contact

Katarina Nilsson-Helander, MD, Department of Orthopaedics, Sahlgrenska University Hospital/Östra, SE-416 85 Göteborg, Sweden (e-mail: [email protected]).

References

  1. Nilsson-Helander, K., R. Thomee, et al. (2007). "The Achilles Tendon Total Rupture Score (ATRS): Development and Validation." Am J Sports Med 35(3): 421-426.
  2. Ann Ganestam, Kristoffer Barfod, Jakob Klit, Anders Troelsen. Validity and Reliability of the Achilles Tendon Total Rupture Score; The Journal of Foot and Ankle Surgery, Available online 18 August 2013

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