Department of Orthopedics, Changhai Hospital, Second Military Medical University, Shanghai, China.
Department of Orthopedics, Chengdu Military General Hospital, Chengdu, China.
Knee Surg Sports Traumatol Arthrosc. 2018 Oct;26(10):2997-3003. doi: 10.1007/s00167-018-4850-5. Epub 2018 Feb 5.
The aim of this study is to obtain a translation and adaptation of the anterior cruciate ligament-return to sport after injury (ACL-RSI) into simplified Chinese and validate the simplified Chinese version.
Translation and adaptation were performed according to the guidelines of the American Academy of Orthopaedic Surgeons Outcome Committee. A total of 122 patients who were diagnosed with an ACL injury and underwent primary arthroscopic anterior cruciate ligament reconstruction (ACLR) between 2015 and 2016 were included in this study. The simplified Chinese version of the ACL-RSI (SC-ACL-RSI), Knee injury and Osteoarthritis Outcome Score (KOOS), Lysholm score and International Knee Documentation Committee (IKDC) subjective knee form were completed. Psychometric evaluations included score distribution, internal consistency, test-retest reliability, and construct and discriminant validity.
SC-ACL-RSI scores exhibited a normal distribution without ceiling and floor effects. Internal consistency was high (Cronbach's alpha = 0.94). The intraclass correlation coefficient was 0.98, indicating excellent test-retest reliability. SC-ACL-RSI scores were correlated with all KOOS subscales (r = 0.30 to 0.69, p < 0.001), the IKDC subjective knee form (r = 0.46, p < 0.001) and the Lysholm score (r = 0.56, p < 0.001). The mean scores between patients who returned to the same preinjury level of sport (65.1 ± 14.3) and those who could not return to the same level (51.0 ± 15.0) were significantly different (p < 0.001).
The SC-ACL-RSI is a reliable and valid instrument to evaluate the psychological impact of a patient returning to sport after ACLR. It is important to evaluate patients' ability to return to sport after an ACL injury. The information provided by the SC-ACL-RSI will affect decisions regarding treatment and rehabilitation plans, which are more likely to influence clinical outcomes.
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本研究旨在获得前交叉韧带损伤后重返运动（ACL-RSI）的简化中文版翻译和验证。
根据美国矫形外科医师学会结果委员会的指南进行翻译和改编。共纳入 2015 年至 2016 年间接受初次关节镜下前交叉韧带重建（ACLR）治疗的 122 例 ACL 损伤患者。使用简化中文版 ACL-RSI（SC-ACL-RSI）、膝关节损伤和骨关节炎结果评分（KOOS）、Lysholm 评分和国际膝关节文献委员会（IKDC）主观膝关节评分表进行评估。心理测量评估包括评分分布、内部一致性、重测信度以及结构和判别效度。
SC-ACL-RSI 评分呈正态分布，无天花板和地板效应。内部一致性较高（Cronbach's alpha = 0.94）。组内相关系数为 0.98，表明重测信度极好。SC-ACL-RSI 评分与所有 KOOS 子量表（r = 0.30 至 0.69，p < 0.001）、IKDC 主观膝关节评分（r = 0.46，p < 0.001）和 Lysholm 评分（r = 0.56，p < 0.001）均相关。重返术前运动水平相同（65.1 ± 14.3）和无法重返相同运动水平（51.0 ± 15.0）的患者之间的平均评分差异有统计学意义（p < 0.001）。
SC-ACL-RSI 是一种可靠且有效的工具，可用于评估 ACLR 后患者重返运动的心理影响。评估 ACL 损伤后患者重返运动的能力非常重要。SC-ACL-RSI 提供的信息将影响治疗和康复计划的决策，而这些决策更有可能影响临床结局。
II 级。
