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The American Journal of Sports Medicine 29:600-613 (2001)
© 2001 American Orthopaedic Society for Sports Medicine

Development and Validation of the International Knee Documentation Committee Subjective Knee Form

James J. Irrgang, PhD, PT, ATC{dagger},{ddagger}, Allen F. Anderson, MD§, Arthur L. Boland, MD||, Christopher D. Harner, MDa, Masahiro Kurosaka, MDb, Phillipe Neyret, MDc, John C. Richmond, MDd and K. Donald Shelborne, MDe

{dagger} University of Pittsburgh, School of Health and Rehabilitation Sciences, Pittsburgh, Pennsylvania
§ The Lipscomb Clinic, Nashville, Tennessee
|| Department of Orthopaedic Surgery, Harvard Medical School, Boston, Massachusetts
a University of Pittsburgh, School of Medicine, Pittsburgh, Pennsylvania
b Kobe University School of Medicine, Kobe, Japan
c Hôpital de la Croix-Rousse Centre Livet, Lyon, France
d Tufts University School of Medicine, Boston, Massachusetts
e Methodist Sports Medicine Center, Indianapolis, Indiana

Presented at the 27th annual meeting of the AOSSM, Keystone, Colorado, June 2001; at the 68th annual meeting of the American Academy of Orthopaedic Surgeons, San Francisco, California, March 2001; and at the International Society of Arthroscopy, Knee Surgery, and Orthopaedic Sports Medicine Congress, Montreux, Switzerland, May 2001.

{ddagger} Address correspondence and reprint requests to James J. Irrgang, PhD, PT, ATC, Room 6010A Forbes Tower, Department of Physical Therapy, University of Pittsburgh, Atwood and Sennett Streets, Pittsburgh, PA 15260

A committee of international knee experts created the International Knee Documentation Committee Subjective Knee Form, which is a knee-specific, rather than a disease-specific, measure of symptoms, function, and sports activity. The purpose of this study was to evaluate the reliability and validity of the new International Knee Documentation Committee Subjective Knee Form. To provide evidence for reliability and validity, we administered the final version of the form, along with the Short Form-36, to 533 patients with a variety of knee problems. Analyses were performed to determine reliability, validity, and differential item function related to age, sex, and diagnosis. Factor analysis revealed a single dominant component, making it reasonable to combine all questions into a single score. Internal consistency and test-retest reliability were 0.92 and 0.95, respectively. Based on test-retest reliability, the value for a true change in the score was 9.0 points. The International Knee Documentation Committee Subjective Knee Form score was related to concurrent measures of physical function (r = 0.47 to 0.66) but not to emotional function (r = 0.16 to 0.26). Analysis of differential item function indicated that the questions functioned similarly for men versus women, young versus old, and for those with different diagnoses. In conclusion, the International Knee Documentation Committee Subjective Knee Form is a reliable and valid knee-specific measure of symptoms, function, and sports activity that is appropriate for patients with a wide variety of knee problems. Use of this instrument will permit comparisons of outcome across groups with different knee problems.




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