Yalçinkaya Gamze, Kara Bilge, Arda Mehmet Nuri
Institute of Health Sciences, Dokuz Eylül University, İzmir, Turkey
School of Physical Therapy and Rehabilitation, Faculty of Health Sciences, Dokuz Eylül University, İzmir, Turkey
Turk J Med Sci. 2020 Jun 23;50(4):824-831. doi: 10.3906/sag-1905-91.
BACKGROUND/AIM: Current clinical guidelines recommend to use both clinical and self-reported measurements for evaluation of chronic neck pain. Among the self-reported outcomes, Neck disability index and patient-specific functional scale are the most widely used and recommended instruments. The purpose of our study was to determine the test-retest reliability and validity of patient-specific functional scale which was not validated in Turkish language previously.
Translation and adaptation process had conducted according to the Beaton et al. Sociodemographic data, Turkish version of patient-specific functional scale and neck disability index were recorded at the initial assessment. Retest assessment was produced for reliability analyses and intraclass correlation coefficient (ICC3,2) was determined. The correlations between patient- specific functional scale and neck disability index and hypothesis testing were examined for the convergent and construct validity analysis.
The final form was completed by 110 chronic neck pain patients (Male: 33; mean ages: 43.13 ± 13.75 years, Female: 77; mean ages: 44.45 ± 14.38). Test-retest reliability of patient-specific functional scale was found good level (ICC: 0.85). The relationship between patient-specific functional scale and neck disability index was found moderate level (P < 0.05, rho: –0.578). The median score of PSFS-T in the low disability group was significantly higher than the high disability group in the hypothesis testing of construct validity (P < 0.001).
The Turkish version of the patient-specific functional scale is a valid and reliable scale for evaluating functional status in patients with chronic neck pain.
背景/目的：当前临床指南建议同时使用临床测量和自我报告测量来评估慢性颈痛。在自我报告的结果中，颈部残疾指数和患者特定功能量表是使用最广泛且被推荐的工具。我们研究的目的是确定此前未在土耳其语中验证过的患者特定功能量表的重测信度和效度。
根据比顿等人的方法进行了翻译和改编过程。在初次评估时记录社会人口统计学数据、土耳其语版患者特定功能量表和颈部残疾指数。进行重测评估以进行信度分析，并确定组内相关系数（ICC3,2）。检查患者特定功能量表与颈部残疾指数之间的相关性以及假设检验，以进行收敛效度和结构效度分析。
110例慢性颈痛患者（男性：33例；平均年龄：43.13±13.75岁，女性：77例；平均年龄：44.45±14.38岁）完成了最终表格。发现患者特定功能量表的重测信度处于良好水平（ICC：0.85）。发现患者特定功能量表与颈部残疾指数之间的关系处于中等水平（P<0.05，rho：–0.578）。在结构效度的假设检验中，低残疾组的PSFS-T中位数得分显著高于高残疾组（P<0.001）。
土耳其语版患者特定功能量表是评估慢性颈痛患者功能状态的有效且可靠的量表。
