土耳其版诺维奇髌股关节不稳定评分和班夫髌股关节不稳定工具 2.0 的翻译、信度和效度。
Translation, reliability and validity of the Turkish versions of Norwich Patellar Instability score and The Banff Patellar Instability Instrument 2.0.
机构信息
Orthopedics and Traumatology Department, Hacettepe University Medical School, Ankara, Turkey.
出版信息
J Orthop Surg Res. 2024 Feb 14;19(1):140. doi: 10.1186/s13018-024-04612-3.
BACKGROUND
Current treatment options for patellofemoral (PF) instability have required functional scoring systems. The Banff Patellar Instability Instrument (BPII) 2.0 and Norwich Patellar Instability (NPI) scores were explicitly created to meet the need to evaluate PF instability. Different patient-reported outcome measurements (PROMs) are used to evaluate anterior knee problems.
OBJECTIVES
To test the validity and reliability of the Turkish version of the BPII 2.0 and NPI score.
STUDY DESIGN AND METHODS
Fifty-one patients that operated for PF instability, older than eighteen years old, were included in this study. Turkish translation of the BPII 2.0 and NPI scores was undertaken through translation into Turkish by an independent translator. Two tests were repeated seven days apart. Intraclass correlation coefficient (ICC) was used for test-retest reliability. Internal consistency was analyzed using Cronbach's alpha. Validity was assessed by correlating the Kujala and Lysholm knee scores.
RESULTS
Fifty-one patients (34 females/17 males), the average age was 25 ± 7, were included in this study. Cronbach's alpha value was 0.829 for BPII 2.0 and 0.843 for NPI for the first time answered by patients. ICC values applied to evaluate test-retest reliability were 0.904 (p < 0.05) for BPII 2.0 and 0.915 (p < 0.05) for NPI. There was a moderate correlation between the BPII 2.0 Turkish version and the Kujala score. There was a very high correlation between the Turkish version of the BPII 2.0 and Lysholm knee scores. An excellent negative correlation was found between Norwich and Kujala scores (r = -0.819, p < 0.05). The correlation coefficient between Norwich and Lysholm scores was -0.662, indicating a high negative correlation (p < 0.05). The correlation coefficients between the Turkish version of BPII 2.0 and NPI were -0.533 (p < 0.05).
CONCLUSIONS
The Turkish version of the BPII 2.0 and NPI score is a reliable and valid instrument for Turkish-speaking patients with patellofemoral instability.
背景
目前，针对髌股（PF）不稳定的治疗选择需要功能评分系统。Banff 髌股不稳定仪器（BPII）2.0 和诺维奇髌股不稳定（NPI）评分的创建目的是为了满足评估 PF 不稳定的需要。不同的患者报告结局测量（PROM）用于评估前膝问题。
目的
测试 BPII 2.0 和 NPI 评分土耳其语版本的有效性和可靠性。
研究设计和方法
本研究纳入了 51 例因 PF 不稳定而接受手术的年龄大于 18 岁的患者。BPII 2.0 和 NPI 评分的土耳其语翻译由独立翻译人员进行翻译。两次测试相隔七天重复进行。组内相关系数（ICC）用于测试-重测信度。使用 Cronbach's alpha 分析内部一致性。通过与 Kujala 和 Lysholm 膝关节评分相关来评估效度。
结果
本研究纳入了 51 例患者（34 例女性/17 例男性），平均年龄为 25±7 岁。BPII 2.0 的 Cronbach's alpha 值为首次回答时的 0.829，NPI 为 0.843。用于评估测试-重测信度的 ICC 值分别为 0.904（p<0.05）和 0.915（p<0.05）。BPII 2.0 土耳其语版本与 Kujala 评分之间存在中度相关性。BPII 2.0 土耳其语版本与 Lysholm 膝关节评分之间存在高度相关性。诺维奇和 Kujala 评分之间存在极好的负相关性（r=-0.819，p<0.05）。诺维奇和 Lysholm 评分之间的相关系数为-0.662，表明高度负相关（p<0.05）。BPII 2.0 和 NPI 的土耳其语版本之间的相关系数为-0.533（p<0.05）。
结论
BPII 2.0 和 NPI 评分的土耳其语版本是一种可靠且有效的工具，适用于患有髌股不稳定的土耳其语患者。
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