Greater Trochanteric Pain Syndrome (GTPS)

VISA-G Questionnaire

 

 

International Knee Documentation Committee (IKDC)

VISA-G Questionnaire

The Victorian Institute of Sport Assessment (VISA-) Gluteal (G) Questionnaire is a self-report clinical outcome measure used in patients with Greater trochanteric pain syndrome (GTPS). It consists of eight questions that measure the domains of pain, function in daily living, and sports activities.

 

Validity and Reliability

The Victorian Institute of Sport Assessment-Gluteal (VISA-G) questionnaire is a patient-reported outcome measure tool specifically designed to measure the severity of disability associated with greater trochanteric pain syndrome (GTPS) (Fearon et al. 2015). The VISA-G questionnaire has been translated and validated in various languages, including German, Brazilian Portuguese, Italian, Turkish, French, and Danish (Lohrer 2010, Paiva et al. 2021, Minetto et al. 2020, Citaker et al. 2022, Beaudart et al. 2021, Jorgensen et al.  2020). The VISA-G questionnaire has high psychometric properties for measuring pain, function, and sporting activity in patients with GTPS (Fearon et al. 2015). However, a recent systematic review evaluating the content and structural validity evidence of the VISA questionnaires showed very-low-quality evidence for their content and structural validity (Korakakis et al. 2021). Despite this, the VISA-G questionnaire remains a widely used tool in research and clinical practice for evaluating patients with GTPS.

 

Scoring and Interpretation

  • Question 1 receives a VAS rating of 0 to 10. (10 is optimal health)
  • The 5 categories on questions 2 through 6 can be scored as 0, 2, 5, 7, or 10.
  • The 4 categories on question 7 can be scored as 0, 4, 7, or 10.
  • Question 8 is graded according to how long the patient can train in spite of their current level of pain.

The maximum score for an asymptomatic person is 100; theoretically, the smallest score is 0.

 

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References

Fearon AM, Ganderton C, Scarvell JM, et al. Development and validation of a VISA tendinopathy questionnaire for greater trochanteric pain syndrome, the VISA-G. Man Ther. 2015;20(6):805-813. doi:10.1016/j.math.2015.03.009

Lohrer H, Nauck T. Validierung des VISA-A-G Fragebogens für deutschsprachige Patienten mit chronischer Bursitis subachillea [Validation of the VISA-A-G questionnaire for German-speaking patients suffering from Haglund’s disease]. Sportverletz Sportschaden. 2010;24(2):98-106. doi:10.1055/s-0029-1245409

Paiva EB, Azevedo DC, Pereira AL, Garcia AN, Percope de Andrade MA. Translation, cross-cultural adaptation and validation of the Brazilian Portuguese version of the Victorian Institute of Sports Assessment for Gluteal Tendinopathy patient reported-outcome measure (VISA-G.BR). Musculoskelet Sci Pract. 2021;52:102341. doi:10.1016/j.msksp.2021.102341

Minetto MA, Busso C, Giannini A, Meiburger K, Massazza G, Maffulli N. Cross-cultural adaptation and validation of the Victorian Institute of Sports Assessment for gluteal tendinopathy questionnaire in Italian and investigation of the association between tendinopathy-related disability and pain. Eur J Phys Rehabil Med. 2020;56(6):764-770. doi:10.23736/S1973-9087.20.06209-7

Citaker S, Arikan H, Maras G, Ayas IH, Yazgan-Dagli B. Translation, reliability, and validity of the Turkish version of the Victorian Institute of Sports Assessment For Gluteal Tendinopathy (VISA-G) questionnaire in individuals with greater trochanteric pain syndrome [published online ahead of print, 2022 Sep 28]. Physiother Theory Pract. 2022;1-8. doi:10.1080/09593985.2022.2127139

Beaudart C, Gillier M, Bornheim S, Van Beveren J, Bruyère O, Kaux JF. French Translation and Validation of the Victorian Institute of Sports Assessment for Gluteal Tendinopathy Questionnaire. PM R. 2021;13(2):137-143. doi:10.1002/pmrj.12391

Jorgensen JE, Fearon AM, Mølgaard CM, Kristinsson J, Andreasen J. Translation, validation and test-retest reliability of the VISA-G patient-reported outcome tool into Danish (VISA-G.DK). PeerJ. 2020;8:e8724. Published 2020 Mar 4. doi:10.7717/peerj.8724

Korakakis V, Kotsifaki A, Stefanakis M, Sotiralis Y, Whiteley R, Thorborg K. Evaluating lower limb tendinopathy with Victorian Institute of Sport Assessment (VISA) questionnaires: a systematic review shows very-low-quality evidence for their content and structural validity-part I. Knee Surg Sports Traumatol Arthrosc. 2021;29(9):2749-2764. doi:10.1007/s00167-021-06598-5


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