美国足踝矫形外科学会拇趾跖趾关节-趾间关节量表土耳其语版本的信度和效度

Reliability and Validity of the Turkish Version of the American Orthopaedic Foot and Ankle Society Hallux Metatarsophalangeal-Interphalangeal Joint Scale.

作者信息

Ziroglu Nezih, Birinci Tansu, Koluman Alican, Şahbaz Yasemin, Çiftçi Mehmet Utku, Baca Emre, Duramaz Altuğ

机构信息

Department of Orthopedics and Traumatology, Atakent Hospital, Acibadem University, Istanbul, Turkey.

Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Istanbul Medeniyet University, Istanbul, Turkey.

出版信息

Foot Ankle Spec. 2023 Nov 29:19386400231214285. doi: 10.1177/19386400231214285.

DOI:10.1177/19386400231214285

PMID:38018560

Abstract

BACKGROUND

The American Orthopaedic Foot and Ankle Society Hallux Metatarsophalangeal-Interphalangeal (AOFAS Hallux MTP-IP) scale is one of the most widely used outcome measures to evaluate hallux pathologies. This study aimed to translate the AOFAS Hallux MTP-IP scale into Turkish and investigate its psychometric properties.

METHODS

The psychometric properties of the Turkish version of the AOFAS Hallux MTP-IP (AOFAS Hallux MTP-IP-T) scale were tested in 66 patients with hallux pathologies (52 women; mean age, 47.64 ± 12.75 years). Cronbach's alpha was used to assess internal consistency. The intraclass correlation coefficient (ICC) was used to estimate test-retest. Construct validity was analyzed with the Turkish version of the Manchester-Oxford Foot Questionnaire (MOXFQ), Visual Analogue Scale (VAS), and 12-item Short-Form Health Survey(SF-12).

RESULTS

The AOFAS Hallux MTP-IP-T scale had adequate internal consistency ( = 0.71) and test-retest reliability (ICC = 0.93 for pain, ICC = 0.97 for function, and ICC = 0.97 for total score). The AOFAS Hallux MTP-IP-T total score has a moderate to strong correlation with VAS-activity and MOXFQ ( = -0.77, P = .001; = -0.69, P = .001, respectively). The weakest correlation was found between the AOFAS Hallux MTP-IP-T and the SF-12 mental component scale ( = 0.31, P = .01).

CONCLUSION

AOFAS Hallux MTP-IP-T has sufficient reliability and validity to evaluate Turkish-speaking individuals with a variety of forefoot pathologies including the hallux.

LEVELS OF EVIDENCE

Level II.

摘要

背景

美国足踝外科协会拇趾跖趾关节-趾间关节（AOFAS拇趾MTP-IP）量表是评估拇趾病变最广泛使用的疗效指标之一。本研究旨在将AOFAS拇趾MTP-IP量表翻译成土耳其语并调查其心理测量特性。

方法

对66例拇趾病变患者（52例女性；平均年龄47.64±12.75岁）测试AOFAS拇趾MTP-IP（AOFAS拇趾MTP-IP-T）量表土耳其语版本的心理测量特性。采用Cronbach'sα评估内部一致性。使用组内相关系数（ICC）估计重测信度。采用土耳其语版的曼彻斯特-牛津足部问卷（MOXFQ）、视觉模拟量表（VAS）和12项简短健康调查问卷（SF-12）分析结构效度。

结果

AOFAS拇趾MTP-IP-T量表具有足够的内部一致性（α=0.71）和重测信度（疼痛的ICC=0.93，功能的ICC=0.97，总分的ICC=0.97）。AOFAS拇趾MTP-IP-T总分与VAS-活动度和MOXFQ有中度至强相关性（分别为r=-0.77，P=0.001；r=-0.69，P=0.001）。AOFAS拇趾MTP-IP-T与SF-12心理成分量表之间的相关性最弱（r=0.31，P=0.01）。