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跨文化调适与验证意大利版维多利亚运动评估臀部肌腱病问卷及其与肌腱病相关残疾和疼痛关系的研究。

Cross-cultural adaptation and validation of the Victorian Institute of Sports Assessment for gluteal tendinopathy questionnaire in Italian and investigation of the association between tendinopathy-related disability and pain.

机构信息

Division of Physical Medicine and Rehabilitation, Department of Surgical Sciences, University of Turin, Turin, Italy -

Division of Physical Medicine and Rehabilitation, Department of Surgical Sciences, University of Turin, Turin, Italy.

出版信息

Eur J Phys Rehabil Med. 2020 Dec;56(6):764-770. doi: 10.23736/S1973-9087.20.06209-7. Epub 2020 Jul 7.

DOI:10.23736/S1973-9087.20.06209-7
PMID:32638573
Abstract

BACKGROUND

The Victorian Institute of Sports Assessment for gluteal tendinopathy (VISA-G) questionnaire has recently been proposed as a condition-specific patient reported outcome measurement tool to assess the tendinopathy-related disability.

AIM

The aim was to evaluate the reliability of the Italian version of the VISA-G questionnaire and its construct validity and to investigate the association between tendinopathy-related disability and pain.

DESIGN

It consists in a cross-sectional study.

SETTING

The location of the study was a university laboratory.

POPULATION

We evaluated patients with gluteal tendinopathy (N.=38) and healthy controls (N.=38).

METHODS

Subjects were asked to fill the VISA-G questionnaire twice to evaluate its reliability. The construct validity was evaluated by comparing the VISA score with the Oswestry Disability Index score. Moreover, pain intensity, extent and location were also investigated.

RESULTS

The VISA-G scores showed non-significant changes in the median values and the values of intraclass correlation coefficient showed very high correlation between the first and second administration (ICC>0.90 in both populations). No significant correlations were found between VISA-G score and either pain extent (R=-0.05, P=0.76), or resting pain intensity (R=-0.13, P=0.45), or palpation pain intensity (R= 0.01, P=0.97). Conversely, a high (and significant) negative correlation was obtained between VISA-G score and Oswestry Disability Index score (R=-0.80, P<0.0001).

CONCLUSIONS

These results indicated that the VISA-G Italian version presents excellent test-retest reliability.

CLINICAL REHABILITATION IMPACT

The evaluation of gluteal tendinopathy-related disability through VISA-G can be useful for the prognostic assessment and/or follow-up of tendinopathy patients in combination with the pain drawing assessment of pain extent.

摘要

背景

维多利亚运动评估研究所臀肌腱病(VISA-G)问卷最近被提议作为一种特定于疾病的患者报告结果测量工具,用于评估与肌腱病相关的残疾。

目的

旨在评估 VISA-G 问卷意大利语版本的可靠性及其结构有效性,并研究与肌腱病相关的残疾与疼痛之间的关系。

设计

这是一项横断面研究。

设置

研究地点为大学实验室。

人群

我们评估了臀肌腱病患者(N=38)和健康对照组(N=38)。

方法

要求受试者两次填写 VISA-G 问卷以评估其可靠性。结构有效性通过比较 VISA 评分与 Oswestry 残疾指数评分来评估。此外,还调查了疼痛强度、程度和位置。

结果

VISA-G 评分中位数的数值变化无显著性,组内相关系数的数值显示两次测试之间高度相关(两组的 ICC 均>0.90)。VISA-G 评分与疼痛程度的范围(R=-0.05,P=0.76)、静息疼痛强度(R=-0.13,P=0.45)或触诊疼痛强度(R=0.01,P=0.97)之间无显著相关性。相反,VISA-G 评分与 Oswestry 残疾指数评分之间存在高度(且显著)负相关(R=-0.80,P<0.0001)。

结论

这些结果表明,VISA-G 意大利语版本具有极好的测试-重测可靠性。

临床康复影响

通过 VISA-G 评估臀肌腱病相关残疾对于结合疼痛程度图评估疼痛对肌腱病患者的预后评估和/或随访可能是有用的。

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