Escuelas Universitarias Gimbernat, Universidad Autonoma de Barcelona, Sant Cugat del Valles, Barcelona, Spain.
Mutualidad Catalana de Futbolistas, Federación Española de Futbol, Ronda Sant Pere 19-21, 08010, Barcelona, Spain.
Knee Surg Sports Traumatol Arthrosc. 2020 Mar;28(3):833-839. doi: 10.1007/s00167-019-05517-z. Epub 2019 May 14.
To translate into Spanish and validate the anterior cruciate ligament-return to sport after injury (ACL-RSI) scale, and to evaluate the psychological factors that have the greatest impact on the return to play among Spanish football players.
The ACL-RSI was first translated into Spanish by two teams of bilingual experts. At the time of discharge, 114 amateur and semi-professional football players who underwent ACL reconstruction answered a questionnaire regarding demographic and injury-related data, along with the translated ACL-RSI, the Knee Injury and Osteoarthritis Outcome Score (KOOS), the Tampa Scale for Kinesiophobia (TSK-11SV) and the injury-psychological readiness to return to sport (I-PRRS). Statistical analysis included reliability tests (Cronbach's alpha and test-retest), construct validity and exploratory factor analysis.
The ACL-RSI-Sp showed excellent internal consistency (Cronbach's α = 0.9), temporal stability (test-retest r = 0.9) and significant moderate correlations with the KOOS subscales of symptoms (r = 0.4; p < 0.01), pain (r = 0.4; p < 0.01), daily life (r = 0.4; p < 0.01), "sport" (r = 0.5; p < 0.01) and quality of life (r = 0.6; p < 0.01). Significant moderate and strong correlations were also observed for the ACL-RSI-Sp with the TSK (r = - 0.5; p < 0.01) and the I-PRRS (r = 0.8; p < 0.01), respectively. Confidence in performance (1) and fear and insecurity (2) explained 62.6% of the total variance in ACL-RSI-Sp.
The ACL-RSI-Sp was a valid and reliable instrument to evaluate the relevant psychological factors in the return to sports of Spanish football players after ACL reconstruction. Players' confidence in performance and fear and insecurity were the most important factors influencing the return to play in this population.
Level IV.
将前交叉韧带损伤后重返运动（ACL-RSI）量表翻译成西班牙语并进行验证，并评估影响西班牙足球运动员重返运动的最大心理因素。
ACL-RSI 首先由两组双语专家翻译成西班牙语。在出院时，114 名接受 ACL 重建的业余和半职业足球运动员回答了一份问卷，内容涉及人口统计学和与受伤相关的数据，以及翻译后的 ACL-RSI、膝关节损伤和骨关节炎结局评分（KOOS）、坦帕运动恐惧量表（TSK-11SV）和运动损伤心理准备量表（I-PRRS）。统计分析包括可靠性测试（Cronbach's α 和测试-重测）、结构有效性和探索性因素分析。
ACL-RSI-Sp 显示出极好的内部一致性（Cronbach's α=0.9）、时间稳定性（测试-重测 r=0.9），并与 KOOS 子量表的症状（r=0.4；p<0.01）、疼痛（r=0.4；p<0.01）、日常生活（r=0.4；p<0.01）、“运动”（r=0.5；p<0.01）和生活质量（r=0.6；p<0.01）有显著的中度相关性。ACL-RSI-Sp 与 TSK（r=-0.5；p<0.01）和 I-PRRS（r=0.8；p<0.01）也有显著的中度和高度相关性。表现信心（1）和恐惧与不安全感（2）解释了 ACL-RSI-Sp 总方差的 62.6%。
ACL-RSI-Sp 是一种有效的、可靠的工具，可用于评估西班牙足球运动员 ACL 重建后重返运动的相关心理因素。球员的表现信心和恐惧与不安全感是影响该人群重返运动的最重要因素。
IV 级。
