维多利亚运动研究所跟腱病评估量表（VISA-A）可靠性的汇总分析。
A Reliability Generalization Meta-Analysis of the Victorian Institute of Sport Assessment Scale for Achilles Tendinopathy (VISA-A).
机构信息
1 Department of Clinical Medicine, Miguel Hernández University, San Juan de Alicante, Alicante, Spain.
2 Center for Translational Research in Physiotherapy, Department of Pathology and Surgery, Miguel Hernández University, San Juan de Alicante, Alicante, Spain.
出版信息
Foot Ankle Int. 2019 Apr;40(4):430-438. doi: 10.1177/1071100718816953. Epub 2018 Dec 20.
BACKGROUND
: A reliability generalization study of a questionnaire is necessary to provide higher-level evidence for its reliability. This has not been performed for the Victorian Institute of Sport Assessment-Achilles tendinopathy (VISA-A) questionnaire. The VISA-A has been a commonly used questionnaire to evaluate the symptoms of Achilles tendon disorders and their impact on physical activity, one of the most common disorders among athletes and sports persons (9%-40%). Furthermore, this questionnaire has been translated to several languages and due to its simplicity is one of the most widely used questionnaires for patients with this type of disorder. Therefore, we performed a reliability generalization study of the VISA-A using MEDLINE (through PubMed) and Scopus as data sources.
METHODS
: We selected studies that analyzed the reliability of the VISA-A by evaluating Cronbach's alpha, the intraclass correlation coefficient (ICC), and the Spearman correlation coefficients to compare VISA-A with similar scales. The data were analyzed using fixed- and random-effects models. We assessed sensitivity through the leave-one-out method. Quality analysis was performed using the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) checklist.
RESULTS
: Of a total of 263 studies (eliminating duplicates), 7 fulfilled inclusion criteria. The mean reliability was (1) Cronbach's alpha, 0.75 (95% CI, 0.70-0.79); (2) ICC, 0.91 (95% CI, 0.82-0.96); (3) correlation coefficient with the Curwin and Stanish grading system, -0.82 (95% CI, -0.93 to -0.56); and (4) correlation coefficient with the Percy and Conochie classification, 0.91 (95% CI, 0.87-0.93). We were unable to perform the funnel plot analysis and estimate meta-regression models. The Spearman correlation coefficients for both comparative scales showed influential studies (sensitivity analysis).
CONCLUSION
: Internal consistency and reproducibility were found to be good, but the parallel-forms reliability could not be supported. Therefore, more scientific evidence is needed to generalize the reliability of the VISA-A.
LEVEL OF EVIDENCE
: Level I, meta-analysis of literature.
背景
为了提供更高级别的证据来证明问卷的可靠性，有必要对其进行可靠性综合研究。但是，维多利亚运动研究所评估-跟腱病（VISA-A）问卷尚未进行过此类研究。VISA-A 是一种常用于评估跟腱疾病症状及其对体育活动影响的问卷，是运动员和运动人群中最常见的疾病之一（9%-40%）。此外，该问卷已被翻译成多种语言，由于其简单性，是此类疾病患者最常用的问卷之一。因此，我们使用 MEDLINE（通过 PubMed）和 Scopus 作为数据源，对 VISA-A 的可靠性进行了综合研究。
方法
我们选择了通过评估 Cronbach's alpha、组内相关系数（ICC）和 Spearman 相关系数来分析 VISA-A 可靠性的研究，这些研究旨在评估 VISA-A 的信度，以比较 VISA-A 与类似量表的相关性。使用固定和随机效应模型对数据进行分析。我们通过逐一剔除法评估敏感性。使用共识基础健康测量工具选择标准（COSMIN）清单进行质量分析。
结果
在总共 263 项研究（排除重复项）中，有 7 项符合纳入标准。总体可靠性为：（1）Cronbach's alpha 为 0.75（95%CI，0.70-0.79）；（2）ICC 为 0.91（95%CI，0.82-0.96）；（3）与 Curwin 和 Stanish 分级系统的相关系数为-0.82（95%CI，-0.93 至-0.56）；（4）与 Percy 和 Conochie 分类的相关系数为 0.91（95%CI，0.87-0.93）。我们无法进行漏斗图分析和估计元回归模型。两个比较量表的 Spearman 相关系数均显示存在有影响力的研究（敏感性分析）。
结论
发现内部一致性和可重复性良好，但不能支持平行形式的可靠性。因此，需要更多的科学证据来推广 VISA-A 的可靠性。
证据水平
一级，文献的荟萃分析。
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