Nilsson Pia, Baigi Amir, Marklund Bertil, Månsson Jörgen
Tvååker Primary Health Care Centre, Varberg, Sweden.
BMC Musculoskelet Disord. 2008 Jun 5;9:79. doi: 10.1186/1471-2474-9-79.
In Sweden, as well as in Scandinavia, there is no easy way to evaluate patients' difficulties when they suffer from lateral epicondylitis/epicondylalgia. However, there is a Canadian questionnaire, in English, that could make the evaluation of a patient's pain and functional loss both quick and inexpensive. Therefore, the aim of this study was to translate and cross-culturally adapt the questionnaire "Patient-rated Tennis Elbow Evaluation" into Swedish (PRTEE-S; "Patientskattad Utvärdering av Tennisarmbåge"), and to evaluate the reliability and validity of the test.
The Patient-rated Tennis Elbow Evaluation was cross-culturally adapted for the Swedish language according to well-established guidelines. Fifty-four patients with unilateral epicondylitis/epicondylalgia were assessed using the PRTEE-S (Patientskattad Utvärdering av Tennisarmbåge), the Disabilities of Arm, Shoulder, and Hand questionnaire, and the Roles & Maudsley score to establish the validity and reliability of the PRTEE-S. Reliability was determined via calculation of the intra-class correlation coefficient (ICC) the internal consistency was assessed by Cronbach's alpha, and validity was calculated using Spearman's correlation coefficient.
The test-retest reliability, using the PRTEE-S (Patientskattad Utvärdering av Tennisarmbåge) intraclass correlation coefficient, was 0.95 and the internal consistency was 0.94. The PRTEE-S correlated well with the Disabilities of the Arm, Shoulder, and Hand questionnaire (r = 0.88) and the Roles & Maudsley score (r = 0.78).
The PRTEE-S (Patientskattad Utvärdering av Tennisarmbåge) represents a reliable and valid instrument to evaluate the subjective outcome in Swedish speaking patients with lateral epicondylitis/epicondylalgia, and can be used in both research and clinical settings.
在瑞典以及斯堪的纳维亚地区，当患者患有外侧上髁炎/上髁疼痛时，没有简便的方法来评估他们所面临的困难。然而，有一份英文的加拿大问卷，可以快速且低成本地评估患者的疼痛和功能丧失情况。因此，本研究的目的是将“患者自评网球肘评估”问卷翻译成瑞典语并进行跨文化调适（PRTEE-S；“患者自评网球肘评估”），并评估该测试的信度和效度。
根据公认的指南，对“患者自评网球肘评估”问卷进行跨文化调适以适应瑞典语。使用PRTEE-S（患者自评网球肘评估）、手臂、肩部和手部功能障碍问卷以及角色与莫兹利评分对54名单侧外侧上髁炎/上髁疼痛的患者进行评估，以确定PRTEE-S的效度和信度。通过计算组内相关系数（ICC）来确定信度，用克朗巴赫α系数评估内部一致性，并用斯皮尔曼相关系数计算效度。
使用PRTEE-S（患者自评网球肘评估）组内相关系数的重测信度为0.95，内部一致性为0.94。PRTEE-S与手臂、肩部和手部功能障碍问卷（r = 0.88）以及角色与莫兹利评分（r = 0.78）相关性良好。
PRTEE-S（患者自评网球肘评估）是一种可靠且有效的工具，可用于评估瑞典语患者外侧上髁炎/上髁疼痛的主观结果，可用于研究和临床环境。
