Ajaka Nahi, Bouché Pierre-Alban, Dagher Michel, Lopes Ronny, Bauer Thomas, Hardy Alexandre
Service de chirurgie orthopédique et traumatologique, Hôpital Ambroise Pare, Paris, France.
Service de chirurgie orthopédique et traumatologique, Hôpital Lariboisière, Paris, France.
J Exp Orthop. 2022 Mar 21;9(1):27. doi: 10.1186/s40634-022-00463-1.
The aim of this study was to translate, adapt and validate in French the Ankle Ligament Reconstruction - Return to Sport after Injury (ALR-RSI), a 12-item English language scale assessing the psychological impact of returning to sports after ACL reconstruction. Our hypothesis was that the French version of the ALR-RSI scale would be valid and adaptable to the French population.
The procedure followed the guidelines for the intercultural adaptation of the self-administered questionnaires. A version of the ALR-RSI-Fr questionnaire was validated according to the international guidelines of COSMIN (COnsensus-based Standards for the selection of health status Measurement INstruments). A prospective study was conducted between March 2020 and June 2021. The study included two population groups, the first one being that of adult athletes of all levels who underwent arthroscopic ankle ligament reconstruction and the second being that of adult athletes who did not suffer from any ankle problems. After consent, patients completed three questionnaires, the ALR-RSI-Fr, the AOFAS and the Karlsson score.
The study included 30 patients and 30 controls who were all athletes. The mean age of the patients was 34.6 with 60% male and 40% female. The average time for patients to return to sport was 5.6 months. Twenty-nine patients (96.6%) underwent arthroscopic ankle reconstruction while only one was eligible for ligament reinsertion. The control group with demographic data matched to the patient group was included in this study. Correlations between ALRSI, the total Karlsson score and its different sub items and the AOFAS were estimated using Spearman coefficients. Discriminant validity was tested between the "patient" and "control" groups and sub-groups using the Wilcoxon tests. Reliability was evaluated on the ρ intraclass correlation coefficient (ICCC). A strong correlation was noted between the ALR-RSI-Fr , Karlsson and AOFAS with a Spearman score of 0.90 [0.76-0.96].A highly significant difference was found between the "patient" and "control" groups. The internal consistency of the questionnaire was excellent with a Cronbach's alfa of 0.94. Reproducibility was "excellent" with an interclass correlation coefficient of q = 0.97 [0.94-0.99].
This study showed that the cross-cultural adaptation of the English version of the ALR-RSI was successful and validated for the French-speaking population. The discriminant capacity of the scale between patients who underwent reconstruction and healthy subjects was also confirmed. This questionnaire will allow surgeons to better evaluate the psychological impact of returning to sports after ankle ligament reconstruction in French speaking patients LEVEL OF EVIDENCE: LEVEL II: Prospective cohort study (patients enrolled at different points in their disease) Control arm of randomized trial.
本研究旨在将评估前交叉韧带重建术后恢复运动的心理影响的12项英语量表《踝关节韧带重建 - 损伤后恢复运动》（ALR-RSI）翻译成法语，进行改编并验证。我们的假设是，ALR-RSI量表的法语版本将是有效的，并且适用于法国人群。
该程序遵循自我管理问卷跨文化改编的指南。根据COSMIN（基于共识的健康状况测量工具选择标准）的国际指南，对ALR-RSI-Fr问卷的一个版本进行了验证。在2020年3月至2021年6月期间进行了一项前瞻性研究。该研究包括两个人群组，第一个是接受关节镜下踝关节韧带重建的各级成年运动员，第二个是没有任何踝关节问题的成年运动员。在获得同意后，患者完成了三份问卷，即ALR-RSI-Fr、美国足踝外科协会（AOFAS）评分和卡尔森评分。
该研究包括30名患者和30名对照，他们均为运动员。患者的平均年龄为34.6岁，男性占60%，女性占40%。患者恢复运动的平均时间为5.6个月。29名患者（96.6%）接受了关节镜下踝关节重建，而只有1名符合韧带重新植入的条件。本研究纳入了人口统计学数据与患者组匹配的对照组。使用斯皮尔曼系数估计ALRSI、卡尔森总分及其不同子项目与AOFAS之间的相关性。使用威尔科克森检验在“患者”和“对照”组及亚组之间测试判别效度。使用组内相关系数ρ（ICCC）评估信度。ALR-RSI-Fr、卡尔森评分和AOFAS之间存在强相关性，斯皮尔曼评分为0.90[0.76 - 0.96]。在“患者”和“对照”组之间发现了高度显著差异。问卷的内部一致性极佳，克朗巴哈α系数为0.94。再现性“极佳”，组间相关系数q = 0.97[0.94 - 0.99]。
本研究表明，ALR-RSI英语版本的跨文化改编是成功的，并在说法语的人群中得到了验证。该量表在接受重建的患者和健康受试者之间的判别能力也得到了证实。这份问卷将使外科医生能够更好地评估说法语患者踝关节韧带重建术后恢复运动的心理影响。证据水平：II级：前瞻性队列研究（在疾病不同阶段入组的患者）随机试验的对照组。
