Ortega-Avila Ana Belen, Reina-Martin Inmaculada, Cervera-Garvi Pablo, Lopezosa-Reca Eva, Cabello-Manrique David, Gijon-Nogueron Gabriel
Department of Nursing and Podiatry, University of Malaga, Málaga, Spain.
Department of Physical Education and Sports, Faculty of Sports Sciences, University of Granada, Granada, Spain.
Disabil Rehabil. 2021 Apr;43(8):1056-1064. doi: 10.1080/09638288.2019.1652701. Epub 2019 Aug 20.
To review the different versions of The Victorian Institute of Sports Assessment - Achilles questionnaire for Achilles tendinopathy to evaluate its psychometric properties and the methodological quality of these studies.
This study is a systematic review.
A search was conducted in the PubMed, SCOPUS, CINAHL, Physiotherapy Evidence Database and Google Scholar databases, based on the following inclusion criteria: population with Achilles tendinopathy >18 years; validation studies of the Victorian Institute of Sports Assessment-Achilles questionnaire, in different languages, with no time limit. Two of the present authors independently assessed the quality of the studies located and extracted the relevant data. Terwee's criteria and the COSMIN checklist were employed to ensure adequate methodological quality.
Eleven instruments met the inclusion criteria for this review. Significant methodological flaws were detected, mostly regarding construct validity and responsiveness.
The cultural adaptation of the Spanish-language and Brazilian-Portuguese-language VISA-A presents adequate methodological quality. However, further studies are required, with greater methodological rigor, of the cultural adaptations of measurement instruments.IMPLICATIONS FOR REHABILITATIONOn available evidence, the Spanish-language and Brazilian-Portuguese language versions of the Victorian Institute of Sports Assessment - Achilles questionnaire are the most appropriate for patients with Achilles tendinopathy.Robust methods should be designed and implemented to obtain higher quality instruments for patients with Achilles tendinopathy to be used systematically in daily clinical practice.Most previous transcultural versions of the Victorian Institute of Sports Assessment - Achilles tendinopathy questionnaire have presented inadequate evidence of their psychometric properties and should be used with caution for patients with Achilles tendinopathy.
回顾用于跟腱病的维多利亚运动评估机构跟腱问卷的不同版本，以评估其心理测量特性及这些研究的方法学质量。
本研究为系统评价。
基于以下纳入标准在PubMed、SCOPUS、CINAHL、物理治疗证据数据库和谷歌学术数据库中进行检索：年龄>18岁的跟腱病患者；不同语言的维多利亚运动评估机构跟腱问卷的验证研究，无时间限制。两位作者独立评估所检索研究的质量并提取相关数据。采用特韦 criteria和COSMIN清单确保方法学质量充分。
11份工具符合本评价的纳入标准。检测到显著的方法学缺陷，主要涉及结构效度和反应性。
西班牙语和巴西葡萄牙语版VISA - A的文化适应性呈现出足够的方法学质量。然而，需要对测量工具的文化适应性进行更严格方法学的进一步研究。
康复启示
根据现有证据，西班牙语和巴西葡萄牙语版的维多利亚运动评估机构跟腱问卷最适合跟腱病患者。
应设计并实施稳健的方法，以获得更高质量的工具，供跟腱病患者在日常临床实践中系统使用。
此前大多数维多利亚运动评估机构跟腱病问卷的跨文化版本在心理测量特性方面证据不足，对跟腱病患者使用时应谨慎。
