Petryla Giedrius, Bobina Rokas, Ryliškis Sigitas, Uvarovas Valentinas, Kurtinaitis Jaunius, Sveikata Tomas, Kvederas Giedrius, Šatkauskas Igoris
Clinic of Rheumatology, Orthopaedics Traumatology and Reconstructive Surgery, Faculty of Medicine, Vilnius University, LT-03101 Vilnius, Lithuania.
Centre of Orthopaedics and Traumatology, Republican Vilnius University Hospital, Šiltnamių Str. 29, LT-04130 Vilnius, Lithuania.
Medicina (Kaunas). 2021 Apr 25;57(5):417. doi: 10.3390/medicina57050417.
: There are no valid patient-based pelvic ring function assessment tools in Lithuania. The most widely used instrument is the Majeed Pelvic Score (MPS), which is proven to be an effective tool for assessing pelvic function after pelvic injuries. The aims of our study were: (1) the translation and cross-cultural adaptation of the MPS for the Lithuanian-speaking population, (2) to test the psychometric properties of the Lithuanian version of the MPS (MPS-LT) at follow-up two-time points after pelvic fractures. : The MPS was translated and culturally adapted. Psychometric properties of the MPS-LT were determined in one patient group (n = 40) at two time-points during follow-up examination from 1.5 to 3 months (mean 2 months) and from 11 to 20 months (mean 12 months). : At the mean time of 2 months after trauma, Cronbach's α of the MPS-LT was 0.65. Correlation of the MPS-LT with the Iowa Pelvic Score (IPS) was r = 0.84 ( < 0.001), and with the Lithuanian SF-36, PCS was r = 0.53 ( < 0.001). At the mean time follow-up of 12 months, Cronbach's α was 0.86, correlation with the IPS was r = 0.92 ( < 0.001), and with the Lithuanian SF-36, PCS - r = 0.82 ( < 0.001). At the 2-month follow-up, neither floor nor ceiling effects were reached, but at 12 months, 27.5% of patients reached the ceiling effect, while none reached the floor effect. The effect size of the MPS-LT was 1.66. : The MPS-LT has limited ability to measure functional outcomes at 2 months after pelvic fracture. In contrast, at the 12-month follow-up examination, the MPS-LT had a good ability to assess pelvic function, and it was sensitive to health changes. The MPS-LT can be used as a pelvic function assessment tool after pelvic fractures for the Lithuanian-speaking population.
在立陶宛,尚无基于患者的有效骨盆环功能评估工具。使用最广泛的工具是马吉德骨盆评分(MPS),该评分已被证明是评估骨盆损伤后骨盆功能的有效工具。我们研究的目的是:(1)将MPS翻译并跨文化改编,以适用于说立陶宛语的人群;(2)在骨盆骨折后的两个随访时间点测试立陶宛语版MPS(MPS-LT)的心理测量特性。:对MPS进行了翻译和文化改编。在一个患者组(n = 40)中,在随访检查的两个时间点确定了MPS-LT的心理测量特性,这两个时间点分别为创伤后1.5至3个月(平均2个月)和11至20个月(平均12个月)。:在创伤后平均2个月时,MPS-LT的Cronbach's α为0.65。MPS-LT与爱荷华州骨盆评分(IPS)的相关性为r = 0.84(<0.001),与立陶宛语版SF-36的身体成分总结(PCS)相关性为r = 0.53(<0.001)。在平均随访12个月时,Cronbach's α为0.86,与IPS的相关性为r = 0.92(<0.001),与立陶宛语版SF-36的PCS相关性为r = 0.82(<0.001)。在2个月的随访中,未达到地板效应和天花板效应,但在12个月时,27.5%的患者达到了天花板效应,而无人达到地板效应。MPS-LT的效应量为1.66。:MPS-LT在骨盆骨折后2个月测量功能结局的能力有限。相比之下,在12个月的随访检查中,MPS-LT具有良好的评估骨盆功能的能力,并且对健康变化敏感。MPS-LT可作为说立陶宛语人群骨盆骨折后骨盆功能的评估工具。