Cui Jin, Jia Zhenyu, Zhi Xin, Li Xiaoqun, Zhai Xiao, Cao Liehu, Weng Weizong, Zhang Jun, Wang Lin, Chen Xiao, Su Jiacan
Graduate Management Unit, Changhai hospital affiliated to the Second Military Medical University, Shanghai, People's Republic of China.
Department of Orthopedics, Changhai hospital affiliated to the Second Military Medical University, Shanghai, People's Republic of China.
Health Qual Life Outcomes. 2017 Jan 5;15(1):2. doi: 10.1186/s12955-016-0574-8.
The Achilles tendon Total Rupture Score (ATRS), which is originally developed in 2007 in Swedish, is the only patient-reported outcome measure (PROM) for specific outcome assessment of an Achilles tendon rupture.Purpose of this study is to translate and cross-culturally adapt Achilles tendon Total Rupture Score (ATRS) into simplified Chinese, and primarily evaluate the responsiveness, reliability and validity.
International recognized guideline which was designed by Beaton was followed to make the translation of ATRS from English into simplified Chinese version (CH-ATRS). A prospective cohort study was carried out for the cross-cultural adaptation. There were 112 participants included into the study. Psychometric properties including floor and ceiling effects, Cronbach's alpha, intraclass correlation coefficient, effect size, standard response mean, and construct validity were tested.
The mean scores of CH-ATRS are 57.42 ± 13.70. No sign of floor or ceiling effect was found of CH-ATRS. High level of internal consistency was supported by the value of Cronbach's alpha (0.893). ICC (0.979, 95%CI: 0.984-0.993) was high to indicate the high test-retest reliability. Great responsive ness was proved with the high absolute value of ES and SRM (0.84 and 8.98, respectively). The total CH-ATRS score had very good correlation with physical function and body pain subscales of SF-36 (r = -0.758 and r = -0.694, respectively, p < 0.001), while poor correlation with vitality and role physical subscales of SF-36 (r = -0.033 and r = -0.025, respectively, p ≥ 0.05), which supported construct validity of CH-ATRS.
This Chinese version of Achilles tendon Total Rupture Score (CH-ATRS) can be used as a reliable and valid instrument for Achilles tendon rupture assessing in Chinese-speaking population. Level of evidence II.
跟腱完全断裂评分（ATRS）于2007年在瑞典首次制定，是唯一一项由患者报告的用于跟腱断裂特定结局评估的结局指标。本研究旨在将跟腱完全断裂评分（ATRS）翻译成简体中文并进行跨文化调适，并初步评估其反应度、可靠性和效度。
遵循由比顿设计的国际认可指南，将ATRS从英文翻译成简体中文版（CH-ATRS）。开展一项前瞻性队列研究进行跨文化调适。共有112名参与者纳入研究。测试了包括地板效应和天花板效应、克朗巴哈系数、组内相关系数、效应量、标准反应均值和结构效度在内的心理测量学特性。
CH-ATRS的平均得分为57.42±13.70。未发现CH-ATRS有地板效应或天花板效应迹象。克朗巴哈系数值（0.893）支持较高的内部一致性。组内相关系数较高（ICC为0.979，95%CI：0.984-0.993），表明重测信度较高。效应量和标准反应均值的绝对值较高（分别为0.84和8.98），证明反应度良好。CH-ATRS总分与SF-36的身体功能和身体疼痛分量表具有非常好的相关性（分别为r=-0.758和r=-0.694，p<0.001），而与SF-36的活力和身体角色分量表相关性较差（分别为r=-0.033和r=-0.025，p≥0.05），这支持了CH-ATRS的结构效度。
中文版跟腱完全断裂评分（CH-ATRS）可作为评估华语人群跟腱断裂的可靠且有效的工具。证据等级为II级。
