• Am J Sports Med · Dec 2010

    Validity and internal consistency of the international knee documentation committee subjective knee evaluation form in children and adolescents.

    • Laura C Schmitt, Mark V Paterno, and Samuel Huang.
    • Cincinnati Children’s Hospital Medical Center, Ohio 45229, USA. laura.schmitt@cchmc.org
    • Am J Sports Med. 2010 Dec 1; 38 (12): 2443-7.

    BackgroundThe International Knee Documentation Committee (IKDC) Subjective Knee Evaluation Form (IKDC Knee Form) is a valid, reliable, and responsive measure of knee-related symptoms, function, and sports activities in adults. Despite the incidence of knee injuries in younger individuals, the measurement characteristics of the IKDC Knee Form have not been established. Hypothesis/PurposeThe purpose of this study was to investigate the validity and internal consistency of the IKDC Knee Form in pediatric, adolescent, and young adult patients with a variety of knee conditions. The authors hypothesized that the IKDC Knee Form would be a valid and consistent measure of knee function in these age groups.Study DesignCohort study (diagnosis); Level of evidence, 2.MethodsThe IKDC Knee Form and Pediatric Quality of Life Inventory 4.0 Generic Core Scales (PedsQL) physical functioning component were administered to 673 individuals between 6 and 18 years of age. The internal consistency and validity of the IKDC Knee Form were determined for the entire cohort and for age group cohorts (pediatric, 6-12 years; adolescent, 13-15 years; young adult, 16-18 years) using the PedsQL physical functioning component for comparison.ResultsThe results were similar across all age groups. In the original format, internal consistency was high and factor analysis showed a single, dominant component underlying the item responses for each age group. Items 2, 3, and 6 may contribute to measurement error in young individuals. Correlation between the IKDC Knee Form and PedsQL physical functioning component score was moderately high for the entire cohort (r = .83) and for all age groups (pediatric, r = .84; adolescent, r = .84; young adult, r = .79).ConclusionIn its current form, the IKDC Knee Form is a valid and consistent knee-specific measure of symptoms, function, and sports activity in individuals between the ages of 6 and 18 years with a variety of knee problems. Further work is needed to establish the reliability and responsiveness of the IKDC Knee Form for this age group.

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