Dong Yuan, Cao Shiqi, Zhou Shiran, Hu Fanqi, Hu Wenhao, Qian Dingfei, Yu Haichao, Zhang Zhen, Chen Qiaoling, Zhang Xuesong
Department of Orthopaedics 4th Medical Center, Chinese PLA General Hospital, Fuxing Rd. 28, Haidian District, Beijing, 100142, China.
Medical Science Research Center, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Eur Spine J. 2025 Mar;34(3):815-823. doi: 10.1007/s00586-024-08562-6. Epub 2024 Nov 22.
To translate and cross-culturally adapt Fukushima Lumbar Spinal Stenosis Scale into a Simplified Chinese version (FLS-25-SC), and evaluate the reliability and validity of FLS-25-SC in patients with lumbar spinal stenosis.
Test-retest reliability was assessed by Intra-class correlation coefficient (ICC). Construct validity was analyzed by correlations between FLS-25-SC and the Swiss Spinal Stenosis (SSS) Questionnaire, Visual analogue scale (VAS) as well as the short form (36) health survey (SF-36).
The original version of the FLS-25 was cross-culturally adapted and translated into Simplified Chinese. FLS-25-SC was indicated to have excellent reliability (Cronbach's alpha = 0.941, ICC = 0.952). FLS-25-SC had almost perfect correlation with Physical Functioning (r = -0.870, P < 0.001) subscale of SF-36. Moderate to substantial correlations between FLS-25-SC and Symptom severity (r = 0.542, P < 0.001), Physical function (r = 0.604, P < 0.001) subscales of Swiss Spinal Stenosis (SSS) Questionnaire, VAS (r = 0.613, P < 0.001), as well as Role Physical (r = -0.537, P < 0.001) and Bodily Pain (r = -0.474, P < 0.001). It was observed that the loading of the 3 factors explained 63.108% of the total variance: [Kaiser-Mayer-Olkin (KMO) = 0.903, C2 = 1769.491, p < 0.001].
FLS-25-SC has been shown to have acceptable reliability and validity in patients with degenerative lumbar spinal stenosis and may be recommended for patients in Chinese mainland.
将福岛腰椎管狭窄症量表进行翻译并跨文化改编为简体中文版（FLS - 25 - SC），并评估FLS - 25 - SC在腰椎管狭窄症患者中的信度和效度。
通过组内相关系数（ICC）评估重测信度。通过分析FLS - 25 - SC与瑞士腰椎管狭窄症（SSS）问卷、视觉模拟量表（VAS）以及简短健康调查问卷（SF - 36）之间的相关性来分析结构效度。
FLS - 25的原始版本经过跨文化改编并翻译成简体中文。FLS - 25 - SC显示出具有出色的信度（Cronbach's α = 0.941，ICC = 0.952）。FLS - 25 - SC与SF - 36的身体功能（r = - 0.870，P < 0.001）子量表几乎具有完美的相关性。FLS - 25 - SC与瑞士腰椎管狭窄症（SSS）问卷的症状严重程度（r = 0.542，P < 0.001）、身体功能（r = 0.604，P < 0.001）子量表、VAS（r = 0.613，P < 0.001）以及角色身体（r = - 0.537，P < 0.001）和身体疼痛（r = - 0.474，P < 0.001）之间存在中度至高度相关性。观察到3个因素的载荷解释了总方差的63.108%：[Kaiser - Mayer - Olkin（KMO）= 0.903，C2 = 1769.491，p < 0.001]。
FLS - 25 - SC在退行性腰椎管狭窄症患者中已显示出可接受的信度和效度，可推荐用于中国大陆的患者。
