Chen Tianwu, Zhang Peng, Li Yunxia, Webster Kate, Zhang Jian, Yao Wei, Yin Yue, Ai Chingchong, Chen Shiyi
Department of Sports Medicine and Arthroscopy, Huashan Hospital, Shanghai, China.
Sports Medicine Center, Fudan University, Shanghai, China.
PLoS One. 2017 Aug 17;12(8):e0183095. doi: 10.1371/journal.pone.0183095. eCollection 2017.
To translate and cross-culturally adapt the anterior cruciate ligament-return to sport after injury (ACL-RSI) into simplified Chinese [ACL-RSI (Cn)].
In this diagnostic study, the translation, cross-culturally adaptation, and validation of the ACL-RSI was performed according to international guidelines. A total of 112 patients with ACL reconstruction participated in this study. All were capable of competitive sports before the injury and completed the Knee Injury and Osteoarthritis Outcome (KOOS), the International Knee Documentation Committee (IKDC), the Tampa Scale of Kinesiophobia (TSK), and the Tegner activity score. Forty-eight patients completed the ACL-RSI (Cn) twice within two weeks. The validity was tested using seven premade hypotheses. Internal consistency, reliability, and measurement error was assessed.
At meanly 15.6 months postoperative, 81 (72.3%) patients returned to sport, with 57 (50.9%) to competitive sport and 24 (21.4%) to recreational sport. Thirty-one (27.7%) patients didn't return to any sport, with 19 (17.0%) still had planned to return, and 12 (10.7%) gave up sport. The ACL-RSI (Cn) demonstrated excellent validity with all hypotheses confirmed. The outcome of ACL-RSI (Cn) was strongly correlated the KOOS subscale quality of life (r = 0.66, p<0.001), the TSK (r = -0.678, p<0.001), the Tegner score (r = 0.695, p<0.001). There was statistic difference between cases returned (68.6 ± 10.1) and didn't return to sport (41.3 ± 17.7), p<0.001; between cases returned to competitive (71.1 ± 8.9) and recreational sport (62.9 ± 10.5), (P = 0.002); between cases who planned to return (50.7 ± 14.1) and gave up sport (26.5 ± 11.7), (P<0.001). The internal consistency (Cronbach's α = 0.96) and test-retest reliability [intra-class correlation coefficient (ICC) = 0.90] was excellent. The measurement error, floor and ceiling effect was satisfactory. Administration time was 3.2 minutes, and no item was missed.
The ACL-RSI (Cn) scale was confirmed as a valid, reliable, and feasible tool for evaluating psychological factors influencing return to sport.
将前交叉韧带损伤后恢复运动（ACL-RSI）量表翻译并进行跨文化调适为简体中文[ACL-RSI（中文）]。
在这项诊断性研究中，ACL-RSI量表的翻译、跨文化调适及验证按照国际指南进行。共有112例接受前交叉韧带重建的患者参与本研究。所有患者在受伤前均能参加竞技运动，并完成了膝关节损伤和骨关节炎疗效评分（KOOS）、国际膝关节文献委员会（IKDC）评分、坦帕运动恐惧量表（TSK）以及特格纳活动评分。48例患者在两周内两次完成ACL-RSI（中文）量表测评。使用七个预设假设检验效度，并评估内部一致性、信度和测量误差。
术后平均15.6个月时，81例（72.3%）患者恢复运动，其中57例（50.9%）恢复竞技运动，24例（21.4%）恢复娱乐性运动。31例（27.7%）患者未恢复任何运动，其中19例（17.0%）仍计划恢复运动，12例（10.7%）放弃运动。所有假设均得到证实，表明ACL-RSI（中文）量表具有良好的效度。ACL-RSI（中文）量表结果与KOOS生活质量子量表（r = 0.66，p<0.001）、TSK（r = -0.678，p<0.001）、特格纳评分（r = 0.695，p<0.001）显著相关。恢复运动的患者（68.6±10.1）与未恢复运动的患者（41.3±17.7）之间存在统计学差异，p<0.001；恢复竞技运动的患者（71.1±8.9）与恢复娱乐性运动的患者（62.9±10.5）之间存在统计学差异，（P = 0.002）；计划恢复运动的患者（50.7±14.1）与放弃运动的患者（26.5±11.7）之间存在统计学差异，（P<0.001）。内部一致性（Cronbach'sα = 0.96）和重测信度[组内相关系数（ICC）= 0.90]良好。测量误差、地板效应和天花板效应均令人满意。量表施测时间为3.2分钟，无项目遗漏。
ACL-RSI（中文）量表被证实是评估影响恢复运动的心理因素的有效、可靠且可行的工具。
