Bahari Milad, Hadadi Mohammad, Vosoughi Amir Reza, Kordi Yoosefinejad Amin, Sobhani Sobhan
Department of Physical Therapy, School of Rehabilitation Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.
Department of Orthotics and Prosthetics, School of Rehabilitation Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.
Disabil Rehabil. 2022 Mar;44(6):983-991. doi: 10.1080/09638288.2020.1781268. Epub 2020 Jul 14.
Achilles tendinopathy is a prevalent overuse injury among athletes and in those with a sedentary lifestyle. Current evidence indicates that the Victorian Institute of Sport Assessment-Achilles (VISA-A) questionnaire is a valid, reliable and disease-specific outcome measure for assessing the clinical symptoms in patients with Achilles tendinopathy. The objective of this study was to translate and cross-culturally adapt the VISA-A questionnaire into Persian (VISA-A-P) and evaluating its psychometric properties.
Cultural adaptation of VISA-A-P was conducted according to Beaton's guideline. The final version of VISA-A-P was handed to 61 patients for analysis of psychometric properties. Test-retest reliability, internal consistency, concurrent validity, item-total correlation, and floor/ceiling effect were evaluated in patients with Achilles tendinopathy. To assess test-retest reliability, 35 patients refilled the VISA-A-P twice within 5-7 days. Known-group validity was evaluated using 50 healthy individuals.
VISA-A-P showed excellent test-retest reliability (ICC = 0.90), excellent internal consistency (Cronbach's alpha = 0.95), strong correlation with FAAM, and moderate to strong correlation with FAOS questionnaires. There was a significant difference between the average score of patients (34.55 ± 18.24) and the healthy group (73.1 ± 20.10). VISA-A-P showed neither ceiling nor floor effect.
The VISA-A-P is a reliable and valid instrument for measuring the symptoms in Persian speaking populations with Achilles tendinopathy.Implications for rehabilitationAchilles tendinopathy is a debilitating overuse injury that insidiously affects tendoAchilles.VISA-A-P revealed acceptable validity and reliability and it could be used by Persian speaking clinicians and researchers to assess pain and function in people with Achilles tendinopathy.
跟腱病是运动员和久坐不动人群中常见的过度使用损伤。目前的证据表明，维多利亚运动评估-跟腱（VISA-A）问卷是评估跟腱病患者临床症状的有效、可靠且针对疾病的结局指标。本研究的目的是将VISA-A问卷翻译成波斯语（VISA-A-P）并进行跨文化调适，同时评估其心理测量学特性。
根据比顿指南对VISA-A-P进行文化调适。将VISA-A-P的最终版本交给61名患者以分析其心理测量学特性。对跟腱病患者评估重测信度、内部一致性、同时效度、项目-总分相关性以及地板/天花板效应。为评估重测信度，35名患者在5至7天内两次填写VISA-A-P。使用50名健康个体评估已知组效度。
VISA-A-P显示出出色的重测信度（组内相关系数=0.90）、出色的内部一致性（克朗巴哈系数=0.95），与FAAM有强相关性，与FAOS问卷有中度至强相关性。患者平均得分（34.55±18.24）与健康组（73.1±20.10）之间存在显著差异。VISA-A-P既无天花板效应也无地板效应。
VISA-A-P是测量讲波斯语的跟腱病患者症状的可靠且有效的工具。
康复意义
跟腱病是一种使人衰弱的过度使用损伤，会不知不觉地影响跟腱。VISA-A-P显示出可接受的效度和信度，讲波斯语的临床医生和研究人员可使用它来评估跟腱病患者的疼痛和功能。
