VISA G scoring guide Angie Fearon PhD, M(Pthy), B(AppSc)Pthy.
[email protected]
VISA G
@angie.fearon
Development of the VISA G(1)
The VISA-G was developed to evaluate the severity of impact of gluteal tendinopathy. The VISA G was constructed and tested with the intention that it should be used as a whole, although segments of it may provide clinicians with insight in to how their clients are progressing. The minimal significant difference is currently being calculated. We expect that changes would be seen over weeks, rather than days. The clinical diagnosis that this score is valid for is(2): 1. Pain over the lateral aspect of the greater trochanter (GT) 2. Pain on palpation of the GT 3. Reproduction of GT pain with the FABER test 4. No difficulty with putting on shoes or socks The score is valid for those with concurrent low back pain. It has not been tested on those with concurrent hip osteoarthritis. If the FABER test reproduced groin pain – the person probably has an intra-articular problem(2). Completing the VISA G When asking a client to complete this on the first occasion it is best to show them each question. In particular, clients may stumble on question 8. Question 8 has three sections, A, B and C. Clients should only respond to one of A, B or C. Which section they respond to depends on their pain level with weight bearing activities – see the definition attached to each section. Question 8 is particularly important as it provides weighting for levels of activity. For example, someone with no pain with walking, shopping or weight bearing activities (Section C, score=6) but who only moves about the house, scores lower than someone who has pain with these activities – but that pain doesn’t prevent them from participating in 20 to 29 mins of these activities each day (Section B, score=15).
Once all the questions are answered calculate the score out of 100. If someone fails to answer a questions (try to avoid this), mark the score out of the total available scores – this has not been tested for robustness, but it is a clinically reasonable thing to do. If the person answers all three sections of question 8 – use the lowest activity scenario – section A. References 1. Fearon AM, Ganderton C, Scarvell JM, Smith PN, Neeman T, Nash C, et al. Development and validation of a VISA tendinopathy questionnaire for greater trochanteric pain syndrome, the VISA-G. Man Ther. 2015;20(6):805-13. 2. Fearon AM, Scarvell JM, Neeman T, Cook JL, Cormick W, Smith PN. Greater trochanteric pain syndrome: defining the clinical syndrome. Br J Sports Med. 2013;47(10):649-53.
