Department of Orthopaedic Surgery, Korea University Medical Center, 148 Gurodong-ro, Guro-gu, Seoul, 08308, Republic of Korea.
BMC Musculoskelet Disord. 2021 Oct 14;22(1):876. doi: 10.1186/s12891-021-04765-w.
The Achilles tendon Total Rupture Score (ATRS) is a widely used patient-reported outcome measure to assess clinical outcomes of Achilles tendon rupture, but it has not been validated in Korean yet. The purpose of this study was to translate the ATRS into Korean and evaluate its reliability and validity in a Korean population.
The ATRS was translated into Korean according to recommended guidelines for forward-backward translation. Thirty-eight patients who underwent surgical treatment for Achilles tendon rupture from 2017 to 2019 were enrolled. Reliability was evaluated by the intraclass correlation coefficient (ICC), standard error of measurement (SEM), and minimal detectable change (MDC). Construct validity was assessed with Spearman rank correlations with the Korean version of the Foot and Ankle Outcome Score (FAOS) and Numeric Rating Scale (NRS) for pain in daily activity.
The Korean translation of the ATRS had excellent test-retest reliability (ICC = 0.84) and acceptable internal consistency (Cronbach's alpha = 0.84). The SEM was 6.61, and the MDC was 18.32 at the individual level and 2.97 at the group level. The Korean translation of the ATRS was strongly correlated with the FASO (r = 0.88). Correlation with the NRS in daily activity (r = - 0.66) was moderate.
The Korean translation of the ATRS showed sufficient reliability and validity for use in the Korean population.
II.
跟腱完全断裂评分（ATRS）是一种广泛用于评估跟腱断裂临床结果的患者报告结局测量工具，但尚未在韩国得到验证。本研究旨在将 ATRS 翻译成韩语，并在韩国人群中评估其可靠性和有效性。
根据正向-反向翻译的推荐指南，将 ATRS 翻译成韩语。纳入了 2017 年至 2019 年期间接受跟腱断裂手术治疗的 38 名患者。通过组内相关系数（ICC）、测量误差（SEM）和最小可检测变化（MDC）评估可靠性。采用 Spearman 等级相关分析与韩国足踝结局评分（FAOS）和日常活动疼痛数字评分量表（NRS）评估结构效度。
ATRS 的韩语翻译具有极好的重测信度（ICC=0.84）和可接受的内部一致性（Cronbach's alpha=0.84）。个体水平的 SEM 为 6.61，MDC 为 18.32，组水平的 MDC 为 2.97。ATRS 的韩语翻译与 FAOS 呈强相关（r=0.88）。与日常活动 NRS（r=-0.66）的相关性为中度。
ATRS 的韩语翻译在韩国人群中具有足够的可靠性和有效性。
II 级。
