Self-Reported Outcome Measures of the Impact of Injury and Illness on Athlete Performance: A Systematic Review

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SYSTEMATIC REVIEW

Self-Reported Outcome Measures of the Impact of Injury and Illness on Athlete Performance: A Systematic Review Julie Gallagher1 • Ian Needleman1 • Paul Ashley1 • Ruben Garcia Sanchez2 Robbie Lumsden3



Ó The Author(s) 2016. This article is published with open access at Springerlink.com

Abstract Background Self-reported outcome measures of athlete health, wellbeing and performance add information to that obtained from clinical measures. However valid, universally accepted outcome measures are required. Objective To determine which athlete-reported outcome measures of performance have been used to measure the impact of injury and illness on performance in sport and assess evidence to support their validity. Methods The authors searched Ovid MEDLINE, Ovid EMBASE, CINAHL Plus, SPORTDiscus with Full Text and Cochrane library to January 2016. Predefined inclusion and exclusion criteria were applied and papers included if an outcome measure of performance, assessed in relation to

illness, injury or a related intervention, was reported by an elite, adult, able-bodied athlete. A checklist was used to assess eligible outcome measures for aspects of validity. Reporting of this study was guided by PRISMA guidelines for systematic reviews. Results Twenty athlete-reported outcome measures in 21 papers were identified. Of these 20, only four cited validation. Of these four, three reported evidence to support validity in elite athlete groups as defined by the predetermined checklist. Fifteen patient-reported outcome measures were identified, of which four demonstrated validity in young athletic populations. Conclusions Most athlete-reported outcome measures of performance have been designed for individual studies with no reported assessment of validity. Despite some limitations, the Oslo Sports Trauma Centre overuse injury questionnaire demonstrates validity and potential utility to investigate the self-reported impact of pre-defined conditions on athletic performance across different sports.

& Ian Needleman [email protected] Julie Gallagher [email protected]

Key Points

Paul Ashley [email protected]

Valid self-reported outcome measures can contribute to a greater understanding of the impact of illness and injury on athletic performance.

Ruben Garcia Sanchez [email protected] Robbie Lumsden [email protected] 1

Centre for Oral Health and Performance, UCL Eastman Dental Institute, London, UK

2

London, UK

3

UCL Library Services, University College London, London, UK

There is currently no universally accepted selfreported outcome measure of athlete performance. The Oslo Sports Trauma Research Centre overuse injury questionnaire has potential for development for use across different sports.

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J. Gallagher et al.

1 Background Athlete-reported measures of health, wellbeing and performance can add meaningful information to that obtained from traditional physiological and biochemical performance measures [1, 2]. Research which includes the athlete’s perspective has co