Vosoughi Amir Reza, Yoosefinejad Amin Kordi, Dehbarez Yasaman Safaei, Kargarshouraki Zeinab, Mahdaviazad Hamideh
Bone and Joint Diseases Research Center, Department of Orthopedic Surgery, Chamran Hospital, Shiraz University of Medical Sciences, Shiraz, Iran (ARV).
Physical Therapy Department, School of Rehabilitation Sciences, Shiraz University of Medical Sciences, Shiraz, Iran (AKY).
Foot Ankle Spec. 2024 Oct;17(5):442-450. doi: 10.1177/19386400211068242. Epub 2022 Jan 7.
The use of a valid and reliable outcome scoring system is crucial for evaluating the result of different treatment interventions. The aims of this study were to translate and culturally adapt the American Orthopaedic Foot and Ankle Society (AOFAS) midfoot scoring system into the Persian language and assess its validity and reliability.
In total, 57 patients with midfoot injuries were enrolled. Forward-backward translation and cultural adaptation methods were used to develop the Persian version of AOFAS midfoot scoring system. Reliability and internal consistency were assessed using intraclass correlation coefficient (ICC) and Cronbach's alpha. The discriminant and convergent validities of the scoring system were assessed using the total score of the mental and physical component of SF-36.
The mean age of the participants was 46.2 ± 16.3 years. The intra-observer reliability of the totals core of the Persian version of AOFAS midfoot scoring system was 0.96 (confidence interval [CI]: 0.92-0.97) and the inter-observer reliability of the scoring system was 0.90 (CI: 0.86-0.95). The Persian version of AOFAS midfoot scoring system had acceptable convergence with physical component scoring system of SF-36 and its subscales (0.57); moreover, it had acceptable discriminant validity with the mental component of SF-36 and its subscales (0.36).
The Persian version of AOFAS midfoot is a reliable and valid instrument and could be used by Persian language clinicians and researchers.
使用有效且可靠的结果评分系统对于评估不同治疗干预措施的效果至关重要。本研究的目的是将美国足踝外科协会（AOFAS）中足评分系统翻译成波斯语并进行文化调适，同时评估其有效性和可靠性。
总共纳入了57例中足损伤患者。采用前后翻译和文化调适方法来开发AOFAS中足评分系统的波斯语版本。使用组内相关系数（ICC）和克朗巴哈系数评估可靠性和内部一致性。使用SF-36的心理和生理成分总分评估评分系统的判别效度和收敛效度。
参与者的平均年龄为46.2±16.3岁。AOFAS中足评分系统波斯语版本总分的观察者内信度为0.96（置信区间[CI]：0.92-0.97），评分系统的观察者间信度为0.90（CI：0.86-0.95）。AOFAS中足评分系统波斯语版本与SF-36的生理成分评分系统及其子量表具有可接受的收敛性（0.57）；此外，它与SF-36的心理成分及其子量表具有可接受的判别效度（0.36）。
AOFAS中足评分系统的波斯语版本是一种可靠且有效的工具，可供使用波斯语的临床医生和研究人员使用。
3级。
