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. 2020 Dec 9;6(1):e000877. doi: 10.1136/bmjsem-2020-000877

Table 6.

Spearman’s rank correlations between patient-reported outcomes, function and key patellofemoral alignment measures

3D measures (weightbearing) 2D measures (nonweightbearing)
Proximal translation Lateral translation Mediolateral tilt Insall Salvati Ratio Bisect offset Patellar tilt angle
r P r P r P r P r P r P
Patient-reported outcomes
KOOS (n=15)†
Symptoms −0.24 0.39 −0.45 0.09 −0.34 0.22 0.23 0.41 0.43 0.11 −0.48 0.07
Pain −0.63 0.01 −0.31 0.27 −0.35 0.20 −0.03 0.93 −0.15 0.60 −0.11 0.68
Activities of Daily Living −0.49 0.06 −0.22 0.41 −0.28 0.31 0.15 0.59 −0.03 0.93 −0.24 0.40
Sport and Recreation −0.38 0.16 −0.39 0.16 −0.40 0.14 −0.11 0.70 −0.37 0.18 −0.36 0.18
Quality of Life −0.20 0.47 −0.63 0.01 −0.52 0.05 −0.01 0.98 −0.57 0.03 −0.65 <0.01
Patellofemoral −0.41 0.13 −0.28 0.31 −0.23 0.42 −0.08 0.77 −0.24 0.40 −0.30 0.27
AKPS (n=15) −0.58 0.02 −0.41 0.13 −0.50 0.06 0.09 0.75 −0.30 0.28 −0.36 0.19
Tampa Scale for Kinesiophobia (n=15) 0.21 0.44 −0.01 0.98 0.08 0.77 0.19 0.49 −0.22 0.42 −0.26 0.36
Knee Self-Efficacy Scale (n=15)
Daily Activities −0.69 <0.01 −0.20 0.47 −0.34 0.22 −0.22 0.44 −0.10 0.72 0.01 0.98
Sport & Leisure −0.49 0.06 0.03 0.91 −0.01 0.97 0.09 0.75 0.26 0.35 0.13 0.65
Physical Activities −0.48 0.07 −0.39 0.15 −0.45 0.09 −0.06 0.83 −0.19 0.49 −0.16 0.57
Knee Function in the Future −0.20 0.47 −0.20 0.48 −0.28 0.32 0.38 0.16 0.05 0.85 0.03 0.93
EQ-5D-5L (n=30) −0.37 0.04 0.02 0.93 −0.31 0.10 −0.42 0.02 −0.49 <0.01 −0.35 0.06
Functional performance (n=30)
30 s chair stand test −0.19 0.31 −0.02 0.94 0.09 0.63 −0.04 0.85 0.16 0.39 0.08 0.68
Repetitive single leg rises −0.48 <0.01 −0.07 0.72 −0.18 0.34 −0.32 0.09 −0.24 0.21 −0.22 0.24
Timed 12 stair climb −0.48 <0.01 0.16 0.41 −0.15 0.43 −0.33 0.07 −0.03 0.88 0.06 0.77

†Only participants with patellofemoral osteoarthritis completed knee-related patient-reported outcomes (n=15); all remaining comparisons are for the full sample (n=30).

Items in bold indicate moderate correlation (r ≥0.40), or statistical significance (p≤0.05).

Correlation signs have all been standardised to reflect that a ‘–’ sign indicates that as the patella moves further into malalignment (ie, more proximally, more laterally, or more lateral tilt), the outcome of interest worsens.

AKPS, Anterior Knee Pain Scale; EQ-5D-5L, Euro-Quality of Life 5-Dimension, 5-Likert scale; KOOS, Knee injury and Osteoarthritis Outcome Score; PFOA, Patellofemoral osteoarthritis.