Celik Derya
Division of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Istanbul University, 34740, Bakırköy, Istanbul, Turkey,
Rheumatol Int. 2015 Jun;35(6):1015-20. doi: 10.1007/s00296-014-3201-1. Epub 2014 Dec 31.
To translate and culturally adapt the Mayo Elbow Performance Score (MEPS), a widely used instrument for evaluating disability associated with elbow injuries, into Turkish (MEPS-T) and to determine psychometric properties of the translated version. The MEPS was translated into Turkish using published methodological guidelines. The measurement properties of the MEPS-T (construct validity and floor and ceiling effects) were tested in 91 patients with elbow pathology. The reproducibility of the MEPS-T was tested in 59 patients over 7-14 days. The responsiveness of the MEPS-T was tested in a subgroup of 46 patients diagnosed with lateral epicondylitis and who received conservative treatment for 6 weeks. The interclass correlation coefficient (ICC) was used to estimate the test-retest reliability. The construct validity was analyzed with the disabilities of the arm, shoulder and hand (DASH), Visual Analog Scale (VAS) and the Short Form 36 (SF-36). Effect size (ES) was used to assess the responsiveness. The distribution of floor and ceiling effects was determined. The MEPS-T showed very good test-retest reliability (ICC 0.89). The correlation coefficients between the MEPS-T and DASH and VAS were -0.61 and -0.53, respectively (p < 0.001). The highest correlations were between the MEPS-T and the mental component summary (r = 0.47, p = 0.001) and role emotional (r = 0.45, p = 0.001). The MEPS-T ES, 0.50, was moderate (95% CI 0.33-0.62). We observed no ceiling or floor effects. The MEPS-T represents a valid, reliable and moderately responsive instrument for evaluating patients with elbow disease.
为了将广泛用于评估肘部损伤相关残疾情况的梅奥肘部功能评分（MEPS）进行翻译和文化调适，使其适用于土耳其语（MEPS-T），并确定翻译版本的心理测量学特性。使用已发表的方法学指南将MEPS翻译成土耳其语。在91例肘部病变患者中测试了MEPS-T的测量特性（结构效度以及地板效应和天花板效应）。在59例患者中进行了为期7至14天的测试，以检验MEPS-T的可重复性。在46例被诊断为外侧上髁炎并接受了6周保守治疗的患者亚组中测试了MEPS-T的反应性。使用组内相关系数（ICC）来估计重测信度。通过手臂、肩部和手部功能障碍（DASH）、视觉模拟量表（VAS）和简明健康调查问卷36项（SF-36）分析结构效度。使用效应量（ES）评估反应性。确定地板效应和天花板效应的分布情况。MEPS-T显示出非常好的重测信度（ICC 0.89）。MEPS-T与DASH和VAS之间的相关系数分别为-0.61和-0.53（p < 0.001）。MEPS-T与心理成分总结（r = 0.47，p = 0.001）和角色情感（r = 0.45，p = 0.001）之间的相关性最高。MEPS-T的效应量为0.50，属于中等水平（95%置信区间0.33 - 0.62）。我们未观察到天花板效应或地板效应。MEPS-T是一种用于评估肘部疾病患者的有效、可靠且具有中等反应性的工具。
