Narin Selnur, Unver Bayram, Bakırhan Serkan, Bozan Ozgür, Karatosun Vasfi
Department of Orthopedic Physiotherapy, School of Physical Therapy and Rehabilitation, Dokuz Eylül University, İzmir, Turkey.
Department of Physical Therapy and Rehabilitation, School of Health, İzmir University, Izmir, Turkey.
Acta Orthop Traumatol Turc. 2014;48(3):241-8. doi: 10.3944/AOTT.2014.3109.
The purpose of this study was to adapt the English version of the Hospital for Special Surgery (HSS) knee score for use in a Turkish population and to evaluate its validity, reliability and cultural adaptation.
Standard forward-back translation of the HSS knee score was performed and the Turkish version was applied in 73 patients. The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), Mini-Mental State Examination and sit-to-stand test were also performed and analyzed. Internal consistency reliability was tested using Cronbach's alpha. The intraclass correlation coefficient (ICC) was used to calculate the test-retest reliability at one-week intervals. Validity was assessed by calculating the Pearson correlation between the HSS, WOMAC and sit-to-stand test scores.
The ICC ranged from 0.98 to 0.99 with high internal consistency (Cronbach's alpha: 0.87). The WOMAC score correlated with total HSS score (r: -0.80, p<0.001) and sit-to-stand score (r: 0.12, p: 0.312).
The Turkish version of the HSS knee score is reliable and valid in evaluating the total knee arthroplasty in Turkish patients.
本研究旨在对特殊外科医院（HSS）膝关节评分的英文版本进行调整，以用于土耳其人群，并评估其有效性、可靠性和文化适应性。
对HSS膝关节评分进行标准的前后向翻译，并将土耳其语版本应用于73例患者。还进行并分析了西安大略和麦克马斯特大学骨关节炎指数（WOMAC）、简易精神状态检查和坐立试验。使用Cronbach's alpha检验内部一致性可靠性。组内相关系数（ICC）用于计算间隔一周的重测可靠性。通过计算HSS、WOMAC和坐立试验评分之间的Pearson相关性来评估有效性。
ICC范围为0.98至0.99，具有较高的内部一致性（Cronbach's alpha：0.87）。WOMAC评分与HSS总分（r：-0.80，p<0.001）和坐立评分（r：0.12，p：0.312）相关。
HSS膝关节评分的土耳其语版本在评估土耳其患者的全膝关节置换术方面是可靠且有效的。
