Clinical and Outcomes Research

Coordinator:  Julie Agel
Phone: (206) 940-2141
Fax: (612) 273-8072
agelx001@umn.edu

MFA Packets: documents are available in Adobe Acrobat PDF format and alternatives as noted. Contact Julie Agel with questions.

NOTE: Version 1.2 packets posted 3/28/2000.

A. Full Package:

Document 1: MFA Survey, Version L1.2
Cover page (MS Word version)
Questionnaire; yes-no questions (MS Word version)
Last page of questionnaire, with room for comments and our thanks
   (MS Word version)
MFA Normative Data (MS Word Version)

Document 2: MFA Coding Key Manual, Version L1.2
Cover page (MS Word version)
Coding key manual for MFA; yes-no questions with coding information
   (MS Word version)

Document 3: MFA Administration, Coding, and Scoring Instructions
Cover page (MS Word version)
Coding/scoring instructions text (MS Word version)

Document 4: Sample Coding and Scoring Programs
Cover page (MS Word version)
Programs for calculating MFA scores
SAS (text version)
SPSSPC (text version)
SPSSWin (text version)

B. Short Musculoskeletal Function Assessment Form (SMFA)

Cover page (MS Word version)
Dysfunction index (MS Word version)
Bother index (MS Word version)
Scoring instructions (MS Word version)
Category descriptions (MS Excel version)

The SMFA is a free-for-use questionnaire.  If you need a permission statement for your institution, it is available here in Acrobat (.PDF) format.

C. Pre-Injury MFA (Baseline Version)

Cover page (MS Word version)
Questionnaire (MS Word version)

MFA Normative Table

SMFA Normative Data

Project Summary Form
(Adobe Acrobat PDF Format): Print and FAX to Julie Agel

D. German Language Translation

Dr. S. Kirschner
Orthopädische Klinik König-Ludwig Haus
Julius Maximillian Universität
Brettreichstr. 11
97074 Würzburg
Germany
s-kirschner.klh@mail.uni-wuerzburg.de

E.  Swedish Language Translation

Please contact:
Sari Ponzer, MD, PhD
Department of Orthopaedics
Stockholm Söder Hospital
Karolinska Institutet
S - 118 83 Stockholm
Sweden
sari.ponzer@sodersjukhuset.se
Phone: + 46 8 616 2863
FAX: + 46 8 616 2804

F.  French Language Translation

Edward J. Harvey, MDCM FRCSS
Hand and Microvascular/Trauma
Medical Director: Fracture/Bone Metabolism
Jo Miller Research Laboratories
McGill University - MUHC
Division of Orthopaedic Surgery
Montreal General Site
1650 Cedar Avenue Suite D10-160
Montreal, Quebec H3G 1A4
Tel   514-937-6011 x2734
Fax  514-934-8394
email: ejharvey@hotmail.com

Musculoskeletal Function Assessment Instrument (MFA).

See:

Alasdair GS, Alexander DA, Hutchinson JD.  Recovery after musculoskeletal trauma in men and women.  J. Trauma 59:213-216, 2005.

Alasdair GS, Alexander DA, Hutchinson JD.  The mind does matter:  psychological and physical recovery after musculoskeletal trauma.  J. Trauma 61:1408-1414, 2006.

Alasdair GS, Johnson AT, Hutchinson JD.  The New Injury Severity Score:  better prediction of functional recovery after musculoskeletal injury.  Value In Health 9(1):24-27, 2006.

Anglen JO, Burd TA, Hendricks KJ, Harrison P.  The "gull sign:"  a harbinger of failure for internal fixation of geriatric acetabular fractures.  J. Orthop. Trauma 17:625-634, 2003.

Bhattacharyya T, McCarty LP, Harris MB, Morrsion SM, Wixted JJ, Vrahas MS, Smith RM:  The posterior shearing tibial plateau fracture:  treatment and results via a posterior approach.  J. Orthop. Trauma 19[5]:305-310, 2005.

Borrelli J, Goldfarb C, Ricci W, Wagner JM, Engsberg JR. Functional outcome after isolated acetabular fractures. J. Orthop. Trauma 16:73-81, 2002.

Brown OL, Dirschl DR, Obremskey WT. "Incidence of hardware-related pain and its effect on functional outcomes after reduction and internal fixation of ankle fractures." J. Orthop. Trauma 15:271-274, 2001.

Catalano LW, Cole RJ, Gelberman RH, Evanhoff BA, Gilula LA, Borrelli J. Displaced intra-articular fractures of the distal aspect of the radius. J. Bone Joint Surg. [Am] 79:1290-1302, 1997.

Dowrick AS, Gabbe BJ, Williamson OD,Cameron PA.  Does the disabilities of the arm, shoulder and hand (DASH) scoring system only measure disability due to injuries to the upper limb?  J. Bone Joint Surg. [Br] 88[4]:524-7, 2006.

Egol KA, Gruson K, Spitzer AB, Walsh M, Tejwani NC.  Do successful surgical results after operative treatment of long-bone nonunions correlate with outcomes?  Clin. Orthop. Relat. Res. 467:2979-2985, 2009.

Egol KA, Pahk B, Walsh M, Tejwani NC, Davidovitch RI, Koval KJ.  Outcome after unstable ankle fracture:  effect of syndesmotic stabilization.  J. Orthop. Trauma 24:7-8, 2010.

Egol KA, Sheikhazadeh A, Mogatederi S, Barnet A, Koval KJ. Lower-extremity function for driving an automobile after operative treatment of ankle fracture. J. Bone Joint Surg. [Am] 85[7]:1185-1189, 2003.

Egol KA, Tejwani NC, Walsh MG, Capla EL, Koval KJ. Predictors of short-term functional outcome following ankle fracture surgery.  J. Bone Joint Surg [Am] 88[5]:974-9, 2006.

Engelberg R, Martin DP, Agel J, Obremsky W, Coronado G, Swiontkowski MF: Musculoskeletal function assessment instrument: criterion and construct validity. J. Orthop. Res. 14:182-192, 1996.

Engelberg R, Martin DP, Agel J, Swiontkowski M: Musculoskeletal function assessment: reference values for patient and non-patient samples. J. Orthop. Res. 17:101-109, 1999.

Goldfarb CA, Ricci WM, Tull F, Ray D, Borrelli J:  Functional outcome after fracture of both bones of the forearm.  J. Bone Joint Surg. [Br] 87:374-379, 2005.

Guevera CJ, Cook C, Pietrobon R, Rodriguez G, Nunley J, Higgins LD, Olson SA, Vail, TP:  Validation of a Spanish version of the Short Musculoskeletal Function Assessment Questionnaire (SMFA). J. Orthop. Trauma 20:623-630, 2006.

Herscovici D, Widmaier J, Scaduto JM, Sanders RW, Walling A:  Operative treatment of calcaneal fractures in elderly patients. J. Bone Joint Surg. [Am] 87:1260-1264, 2005. (June, 2005).

Jaglal S, Lakhani Z, Schatzker J. Reliability, validity and responsiveness of the lower extremity measure for patients with a hip fracture. J. Bone Joint Surg. [Am] 82:955-962, 2000.

Kazemi N, Archdeacon MT:  Immediate full weightbearing after percutaneous fixation of anterior column acetabulum fractures.  J. Orthop. Trauma 26(2): 73-79, 2012.

König A, Kirschner S, Walther M, Böhm D, Faller H: [I. Cultural adaptation, practicability and reliability evaluation of the musculoskeletal functional assessment questionnaire]. Z. Orthop. Ihre Grenzgeb 138:295-301, 2000.

König A, Walther M, Matzer M, Heesen T, Kirschner S, Faller H: [II. Validity and sensitivity to change of the musculoskeletal functional assessment questionnaire in primary gonarthrosis and total endoprosthetic joint replacement]. Z. Orthop. Ihre Grenzgeb. 138:302-5, 2000.

König A, Kirschner S, Walther M, Bohm D, Faller H. Kulturelle adaptation, praktikabilitats und reliabilitats-prufung des funktionsfragebogen bewegungsapparat (SMFA-D). Z. Orthop. 138:295-301, 2000.

König A, Walther M, Matzer M, Heesen T, Kirschner S, Faller H. Validitat und anderungs seneitivitat des funktionsfrage bogens bewegungsapparat (SMFA-D) bei primarer gonarthrose und totalendoprothetischem gelenkersatz. Z. Orthop. 138:302-305, 2000.

Kreder HJ, Agel J, McKee MD, Schemitsch EH, Stephen D, Hanel DP.  A randomized, controlled trial of distal radius fractures with metaphyseal displacement but without joint incongruity: Closed reduction and casting versus closed reduction, spanning external fixation, and optional percutaneous K-wires.  J. Orthop. Trauma 20(2):115-121, 2006.

Kreder HJ, Hanel DP, Agel J, McKee M, Schemitsch EH, Trumble TE, Stephen D.  Indirect reduction and percutaneous fixation versus open reduction and internal fixation for displaced intra-articular fractures of the distal radius: A randomized, controlled trial.  J. Bone Joint Surg. (Br) 87-B:829-36, 2005.

Kreder HJ, Rozen N, Borkhoff CM, Laflamme YG, McKee MD, Schemitsch EH, Stephen DJ.  Determinants of functional outcome after simple and complex acetabular fractures involving the posterior wall.  J. Bone Joint Surg [Br] 88[6]:776-82, 2006.

Kuo RS, Tejwani NC, DiGiovannie CW, Holt SK, Benirschke SK, Hansen ST, Sangeorzan BJ. Outcome after open reduction and internal fixation of lisfranc joint injuries. J. Bone Joint Surg. [Am] 82:1609-1618, 2000.

Martin DP, Engelberg R, Agel J, Snapp D, Swiontkowski MF: Development of a musculoskeletal extremity health instrument: the musculoskeletal function assessment instrument. J. Orthop. Res. 14:173-181, 1996.

Martin DP, Engelberg R, Agel J, Swiontkowski MF: Comparison of the musculoskeletal function assessment questionnaire with the short form-36, the Western Ontario and McMaster Universities osteoarthritis index, and the sickness impact profile health-status measures. J. Bone Joint Surg. [Am] 79:1323-1335, 1997.

McQueen DA, Long MJ, Schurman JR:  Selecting a subjective health status measure for optimum utility in everyday orthopaedic practice.  J. Evaluation Clin. Practice 11[1]45-51, 2005.

Obremsky WT, Brown O, Driver R, Dirschl DR.  Comparison of SF-36 and Short Musculoskeletal Functional Assessment in recovery from fixation of unstable ankle fractures.  Orthopaedics 30[2]:145-151, 2007.

Paxton EW, Fithian DC, Stone ML, Silva P. The reliability and validity of knee-specific and general health instruments in assessing acute patellar dislocation outcomes. Am. J. Sports Med. 31[4]:487-492, 2003.

Peskun C, McKee M, Kreder H, Stephen D, McConnell A, Schemitsch EH.  Functional outcome of ipsilateral intertrochanteric and femoral shaft fractures.  J. Orthop. Trauma 22[2]:102-6, 2008.

Sanders DW, Busam M, Hattwick E, Edwards JR, McAndrew MP, Johnson KD.  Functional outcomes following displaced talar neck fractures.  J. Orthop. Trauma 18[5]:265-270, 2004.

Singh JR, Nwosu U, Egol KA.  Long-term functional outcome and donor-site morbidity associated with autogenous iliac crest bone grafts utilizing a modified anterior approach.  Bull. NYU Hosp. for Joint Diseases 67:347-51, 2009.

Sinnott KA, Milburn P, McNaughton. Factors associated with thoracic spinal.cord injury, lesion level and rotator cuff disorders. Spinal Cord 38:748-753, 2000.

Strauss JE, Lippert FG.  Chronic lateral ankle instability:  incidence of associated conditions and rationale for treatment.  #130.  Presented at the American Academy of Orthopaedic Surgeons 72nd Annual Meeting.  Feb. 23-27, 2005, Washington, D.C.

Swiontkowski MF, Engelberg R, Martin DP, Agel J: Short musculoskeletal function assessment questionnaire: validity, reliability, and responsiveness. J. Bone Joint Surg. [Am] 81:1245-1260, 1999.

Taylor MK, Pietrobon R, Menezes A, Olson SA, Deng P, Bathia N, DeVellis RF, Kume P, Higgins LD:  Cross-cultural adaptation and validation of the Brazilian Portugese version of the short musculoskeletal function assessment questionnaire:  the SMFA-BR.  J. Bone Joint Surg. [Am] 87:788-794, 2005.

Weening B, Bhandari M:  Predictors of functional outcome following transsyndesmotic screw fixation of ankle fractures.  J. Orthop. Trauma 19[2]:102-108, 2005.

Weistroffer JK, Muldoon MP, Duncan DD, Fletcher EH, Padgett DE. Femoral neck stress fractures: outcome analysis at minimum five-year follow-up. J. Orthop. Trauma 7[5]:334-337, 2003.

Wollmerstedt N, Kirschner S, Böhm D, Faller H, König A:  [Design and evaluation of the Extra Short Musculoskeletal Function Assessment Questionnaire XSMFA-D].  Z. Orthop. 141:718-724, 2003.

Wollmerstedt N, Kirschner S, Wolz T, Ellssel J, Beyer W, Faller H, König A:  [Evaluating the reliability, validity and responsiveness of the German Short Musculoskeletal Function Assessment Questionnaire, SMFA-D, in inpatient rehabilitation of patients with conservative treatment for hip osteoarthritis].  Rehabilitation 43:233-240, 2004. 

Cross-Cultural Adaptations of Health Status Measures (Downloadable PDF):
Beaton D, Bombardier S, Guillemin F, Ferraz MB. Recommendations for the Cross-Cultural Adaptation of Health Status Measures. AAOS Institute for Work & Health, December, 1998.