前交叉韧带损伤后重返运动量表的韩文版：翻译与跨文化调适。
Korean Version of the Anterior Cruciate Ligament-Return to Sport after Injury Scale: Translation and Cross-cultural Adaptation.
机构信息
Department of Orthopedic Surgery and Sports Medical Center, and Sports Medical Research Institute, Seoul Paik Hospital, Inje University College of Medicine, Seoul, Korea.
Department of Orthopedic Surgery and Sports Medical Center, KonKuk University Medical Center, Seoul, Korea.
出版信息
Clin Orthop Surg. 2019 Jun;11(2):164-169. doi: 10.4055/cios.2019.11.2.164. Epub 2019 May 9.
BACKGROUND
To translate into Korean and culturally adapt the anterior cruciate ligament-return to sports after injury (ACL-RSI) scale assessing psychological readiness to return to sports after ACL reconstruction and to validate its psychometric properties.
METHODS
The ACL-RSI scale was forward translated into Korean and back-translated into English for cultural adaptation according to the standardized guideline. For validation, the Korean version of the ACL-RSI (ACL-RSI Kr) was administered to patients who underwent ACL reconstruction. The following subjective questionnaires were also administered: International Knee Documentation Committee Subjective Knee Evaluation Form (IKDC-SKF), Lysholm scale, Knee injury and Osteoarthritis Outcome Score (KOOS), and a Return to Sports Questionnaire. Test-retest reliability, internal consistency, content validity, construct validity, and discriminant validity of the ACL-RSI Kr were assessed.
RESULTS
A total of 129 patients (102 men and 27 women) were included in the study. Their mean age was 28.3 years. The average follow-up duration was 13.2 months. Test-retest reliability was remarkable (intraclass correlation coefficient, 0.949), internal consistency was high (Cronbach's alpha, 0.932), and floor and ceiling effects were confirmed to be less than 10%. Construct validity assessed by correlation analysis with KOOS, IKDC-SKF, and Lysholm scale showed the correlation coefficients ranging from 0.169 to 0.679 (all < 0.01). Compared with the Return to Sports Questionnaire, statistically significant difference was found in the ACL-RSI Kr between patients who received more than 7 points and less than 7 points (72.2 vs. 60.3, = 0.025) for performance level scored using a 10-point Likert scale, proving its discriminative value.
CONCLUSIONS
The ACL-RSI Kr demonstrated good psychometric properties. This scale can be an excellent instrument for evaluating patient's psychological readiness to return to sports after ACL injury.
背景
将评估前交叉韧带损伤后重返运动的心理准备（ACL-RSI）量表翻译为韩文，并进行文化调适，用于评估前交叉韧带重建后重返运动的心理准备，并验证其心理测量学特性。
方法
ACL-RSI 量表按照标准化指南进行正向翻译为韩文，再回译为英文进行文化调适。为了验证，对接受 ACL 重建的患者进行了韩文版 ACL-RSI（ACL-RSI Kr）的评估。还同时评估了以下主观问卷：国际膝关节文献委员会主观膝关节评估表（IKDC-SKF）、Lysholm 量表、膝关节损伤和骨关节炎结局评分（KOOS）以及重返运动问卷。评估 ACL-RSI Kr 的测试-重测信度、内部一致性、内容效度、结构效度和判别效度。
结果
共有 129 名患者（102 名男性和 27 名女性）纳入研究。他们的平均年龄为 28.3 岁。平均随访时间为 13.2 个月。测试-重测信度良好（组内相关系数，0.949），内部一致性较高（克朗巴赫α系数，0.932），且地板效应和天花板效应均小于 10%。通过与 KOOS、IKDC-SKF 和 Lysholm 量表的相关性分析评估结构效度，相关系数范围为 0.169 至 0.679（均<0.01）。与重返运动问卷相比，ACL-RSI Kr 在使用 10 分 Likert 量表评分的运动表现水平上，得分大于 7 分和小于 7 分的患者之间存在统计学显著差异（72.2 与 60.3，=0.025），证明了其判别价值。
结论
ACL-RSI Kr 具有良好的心理测量学特性。该量表可作为评估 ACL 损伤后患者重返运动心理准备的优秀工具。
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