急性腘绳肌损伤功能评估量表的波斯语版本的跨文化适应性、信度和效度。
Cross-cultural adaptation, reliability and validity of the persian version of the functional assessment scale for acute hamstring injuries.
机构信息
Department of Orthotics and Prosthetics, School of Rehabilitation Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.
Orthopedic & Rehabilitation Research Center, Shiraz University of Medical Sciences, Chamran Blvd, Shiraz, Iran.
出版信息
J Orthop Surg Res. 2024 Nov 26;19(1):794. doi: 10.1186/s13018-024-05252-3.
BACKGROUND
The Functional Assessment Scale for Acute Hamstring Injuries (FASH) which measure symptom's severity and impact on physical activity and sports ability in individuals with acute hamstring muscle injury, is not available in Persian. The aim of this study was to translate and cross-culturally adapt the FASH questionnaire to Persian and to assess the psychometric properties of the translated version.
METHODS
The Persian-translation and cross-cultural adaptation processes were based on World Health Organization method. A total of 160 participants compromising of four groups: (1) acute hamstring injury (N = 40), (2) other lower extremity injury (N = 40), (3) risk of acute injury (N = 40), and (4) healthy control (N = 40) were recruited to complete the Persian version of FASH (FASH-P) questionnaire twice with an interval of 48-60 h. The Short Form Health Survey (SF-36) and Lower Extremity Functional Scale (LEFS) were used to assess the criterion validity. Test-retest reliability, internal consistency, criterion validity, Dimensionality and floor/ceiling effects were evaluated to assess the FASH-P psychometric properties.
RESULTS
The FASH questionnaire were translated to Persian without any major problems. The FASH-P showed excellent power of differentiation because the scores were significantly different among the four groups. Regarding psychometric performances, excellent test-retest reliability (Intraclass correlation coefficient of 0.997) and a high level of internal consistency (Cronbach's alpha of 0.966) were observed. The FASH-P total score was significantly correlated with SF-36 and LEFS questionnaires representing an excellent criterion validity. No floor or ceiling effect were found for total score in Hamstring muscle injury group.
CONCLUSIONS
Due to the excellent psychometric performance, the FASH-P can be used as a reliable and valid tool for evaluating the severity of symptoms and sports ability in Persian-speaking patients with hamstring muscle injury.
背景
功能评估量表（FASH）用于评估急性腘绳肌损伤患者的症状严重程度及其对日常活动和运动能力的影响，但目前尚无波斯语版本。本研究旨在将 FASH 问卷翻译成波斯语并对其进行跨文化调适，评估其信度和效度。
方法
本研究采用世界卫生组织的方法进行问卷翻译和跨文化调适。共招募了 160 名参与者，分为四组：（1）急性腘绳肌损伤组（n=40）；（2）下肢其他损伤组（n=40）；（3）急性损伤风险组（n=40）；（4）健康对照组（n=40）。所有参与者在 48-60 小时内两次完成 FASH 问卷（FASH-P）和简明健康状况调查问卷（SF-36）、下肢功能量表（LEFS）。采用组间比较、重测信度、内部一致性、效标效度、维度分析和天花板/地板效应来评估 FASH-P 的信度和效度。
结果
FASH 问卷的翻译过程未出现重大问题。FASH-P 具有良好的区分度，各组得分差异有统计学意义。FASH-P 具有良好的重测信度（ICC=0.997）和内部一致性（Cronbach's alpha=0.966）。FASH-P 总分与 SF-36 和 LEFS 显著相关，表明其具有良好的效标效度。在急性腘绳肌损伤组中，FASH-P 总分无天花板或地板效应。
结论
FASH-P 具有良好的信度和效度，可用于评估波斯语系的急性腘绳肌损伤患者的症状严重程度和运动能力。
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