Musculoskeletal Rehabilitation Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz,Iran.
Department of Physiotherapy, School of Rehabilitation Sciences, Ahvaz Jundishapur University of Medical Science, Ahvaz,Iran.
J Sport Rehabil. 2023 Jan 23;32(4):369-375. doi: 10.1123/jsr.2022-0107. Print 2023 May 1.
BACKGROUND: The Anterior Cruciate Ligament-Return to Sport after Injury scale (ACL-RSI) is used to measure athletes' psychological readiness in terms of their emotions, confidence in performance, and risk appraisal with respect to return to sport after ACL reconstruction. OBJECTIVE: To translate and cross-culturally adapt the ACL-RSI to the Persian version and evaluate the reliability and validity of this scale in patients with ACL reconstruction. STUDY DESIGN: Clinical measurement study (psychometric analysis). METHODS: To assess test-retest reliability, 100 participants were asked to complete the Persian version of the ACL-RSI 2 times with a 7- to 10-day interval. In the first assessment, the patients also filled the Injury-Psychological Readiness to Return to Sport Questionnaire, Tampa Scale of Kinesiophobia, International Knee Documentation Committee Subjective Knee Form, and Knee Injury and Osteoarthritis Outcome Score. Internal consistency (Cronbach alpha, α), test-retest reliability (intraclass correlation coefficients), measurement error (standard error of measurement and minimum detectable change), and construct validity (Pearson r) were determined. RESULTS: Our results showed good internal consistency (Cronbach alpha = .94) and excellent test-retest reliability (intraclass correlation coefficients = .90 (.85-.93)]. Standard error of measurement and minimum detectable change were 4.64 and 12.85, respectively. No significant bias was observed between test and retest. In addition, based on the results of correlation analysis, all hypotheses of this study were confirmed. The Persian version of the ACL-RSI had a strong correlation with Injury-Psychological Readiness to Return to Sport (I-PPR) (P < .001, r = .76) and Tampa scale of Kinesiophobia (TKS) (P < .001, r = -.68). Furthermore, a moderate correlation was observed between the Persian version of the ACL-RSI and the International Knee Documentation Committee Subjective Knee Form (P < .001, r = .44) and between this version of the ACL-RSI and the subscales of Knee Injury and Osteoarthritis Outcome Score (P < .001, r = .30-.55). CONCLUSION: Given its acceptable reliability and validity, the Persian version of the ACL-RSI seems to be a suitable tool for evaluating psychological readiness to return to sport after ACL reconstruction.
背景：前交叉韧带损伤后重返运动量表（ACL-RSI）用于测量运动员在经历前交叉韧带重建后重返运动时的情绪、对运动表现的信心和风险评估方面的心理准备情况。
目的：将 ACL-RSI 翻译并跨文化适应为波斯语版本，并评估该量表在接受 ACL 重建的患者中的可靠性和有效性。
研究设计：临床测量研究（心理计量学分析）。
方法：为了评估测试-重测信度，100 名参与者被要求在 7-10 天的间隔内两次完成 ACL-RSI 的波斯语版本。在第一次评估中，患者还填写了损伤-心理准备重返运动问卷、坦帕运动恐惧量表、国际膝关节文献委员会主观膝关节评分和膝关节损伤和骨关节炎结局评分。确定了内部一致性（克朗巴赫α，α）、测试-重测信度（组内相关系数）、测量误差（测量标准误差和最小可检测变化）和结构效度（Pearson r）。
结果：我们的结果显示出良好的内部一致性（克朗巴赫α=.94）和极好的测试-重测信度（组内相关系数=.90（.85-.93））。测量标准误差和最小可检测变化分别为 4.64 和 12.85。在测试和重测之间没有观察到显著的偏差。此外，根据相关分析的结果，本研究的所有假设均得到证实。ACL-RSI 的波斯语版本与损伤-心理准备重返运动（I-PPR）（P <.001，r =.76）和坦帕运动恐惧量表（TKS）（P <.001，r = -.68）具有很强的相关性。此外，ACL-RSI 的波斯语版本与国际膝关节文献委员会主观膝关节评分（P <.001，r =.44）之间存在中度相关性，与膝关节损伤和骨关节炎结局评分的子量表（P <.001，r =.30-.55）之间也存在中度相关性。
结论：鉴于其可接受的可靠性和有效性，ACL-RSI 的波斯语版本似乎是评估前交叉韧带重建后重返运动心理准备情况的合适工具。
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