PTOTSystematic ReviewBrazilian journal of physical therapy2025

Physical functions assessed by lower limb performance-based and self-reported outcome measures for knee musculoskeletal conditions: A scoping review.

Andrés Pierobon, Will Taylor, Richelle Caya and 5 others

PMID 39667259

WHAT IT FOUND

Most knee function tests miss the mark for everyday life.

Self-reported surveys cover many activities but are vague. Performance tests usually check just one thing, like jumping, and can't be combined into a single score. Clinicians must match the tool to the specific activity they want to measure.

Key findings

01Performance-based outcome measures typically assess only a single physical function, with a median of one activity per test.

02Self-reported outcome measures cover a much broader range of activities but often use vague wording that combines multiple functions into single items.

03Outcome measures for knee osteoarthritis rarely include challenging or high-impact activities like jumping and running, focusing instead on basic daily tasks.

STILL TO COME

How it was doneWhat they foundWhat it means for PTsWhat it means for OTs

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What it does not show

The review did not assess the psychometric quality (validity, reliability) of the identified measures, only the content they covered. Only English-language studies and peer-reviewed literature were included, potentially missing relevant measures from other languages or grey literature. Data extraction was performed by a single primary investigator, which introduces a risk of minor errors, although this was reviewed by the wider team. The findings apply only to knee OA, ACL injury, and PFP, and may not generalize to other knee conditions like meniscal tears or post-surgical recovery.

Declared interests

The authors declare that they have no known personal relationships that could have appeared to influence the work reported in this paper.

The easy way to misread this

Do not assume that a single performance-based test gives you a complete picture of a patient's physical function. Most PBOMs assess only one specific activity, so a high score on a jumping test for an ACL patient does not mean they can climb stairs or stand up from a chair safely. Similarly, do not treat self-reported scores as precise measures of specific physical capabilities, as the questions often combine multiple activities into vague items.

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