Juntharamussakarn Chanopak, Tepa Wacharapol, Chanchoo Suchitphon, Lertwanich Pisit
Department of Orthopaedic Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Orthop J Sports Med. 2025 Apr 16;13(4):23259671251328336. doi: 10.1177/23259671251328336. eCollection 2025 Apr.
BACKGROUND: The Anterior Cruciate Ligament-Return to Sport after Injury (ACL-RSI) scale measures psychological readiness to return to sport after an anterior cruciate ligament (ACL) injury or ACL reconstruction (ACLR). The 6-item short version of this scale has demonstrated psychometric properties similar to those of the original 12-item version. PURPOSE: To translate the short ACL-RSI scale into Thai and assess its psychometric properties via the COSMIN (COnsensus-based Standards for the selection of health Measurement INstruments) checklist. STUDY DESIGN: Cohort study (Diagnosis); Level of evidence, 3. METHODS: This prospective cohort study was conducted from August 2022 to April 2024. The Thai version of the short ACL-RSI scale was translated according to international guidelines. A psychometric evaluation was performed on athletes aged 18 to 50 years who had undergone ACLR at 6 months to 5 years prior. Participants completed the study questionnaires at baseline and 2 weeks later. The construct validity of the Thai version of the short ACL-RSI scale was evaluated by testing predefined hypotheses regarding its associations with other assessment tools. Reliability was assessed using internal consistency, test-retest reliability, and measurement error. Interpretability was assessed based on floor and ceiling effects and the minimal important change. RESULTS: The short ACL-RSI scale was successfully translated into Thai. A total of 142 participants (mean age, 30.7 ± 8.9 years; 83.1% male) were included. Overall, 8 of 9 (88.9%) predefined hypotheses were confirmed, supporting good construct validity. The scale demonstrated good internal consistency (Cronbach alpha = 0.88) and test-retest reliability (intraclass correlation coefficient = 0.79). No floor or ceiling effects were observed. The minimal important change, which was calculated via a distribution-based method, was 9.2 points. CONCLUSION: The study demonstrated that the Thai version of the short ACL-RSI scale is a valid and reliable tool for assessing psychological readiness to return to sport after ACLR.
背景:前交叉韧带损伤后恢复运动(ACL-RSI)量表用于衡量前交叉韧带(ACL)损伤或前交叉韧带重建(ACLR)后恢复运动的心理准备情况。该量表的6项简短版本已证明其心理测量特性与原始的12项版本相似。 目的:将简短的ACL-RSI量表翻译成泰语,并通过COSMIN(基于共识的健康测量工具选择标准)清单评估其心理测量特性。 研究设计:队列研究(诊断);证据等级,3级。 方法:这项前瞻性队列研究于2022年8月至2024年4月进行。简短的ACL-RSI量表泰语版本是根据国际指南翻译的。对18至50岁、在6个月至5年前接受过ACLR的运动员进行了心理测量评估。参与者在基线和2周后完成研究问卷。通过测试关于其与其他评估工具关联的预定义假设,评估泰语版本简短ACL-RSI量表的结构效度。使用内部一致性、重测信度和测量误差评估信度。基于地板效应和天花板效应以及最小重要变化评估可解释性。 结果:简短的ACL-RSI量表成功翻译成泰语。共纳入142名参与者(平均年龄,30.7±8.9岁;83.1%为男性)。总体而言,9项预定义假设中的8项(88.9%)得到证实,支持良好的结构效度。该量表显示出良好的内部一致性(Cronbachα=0.88)和重测信度(组内相关系数=0.79)。未观察到地板效应或天花板效应。通过基于分布的方法计算的最小重要变化为9.2分。 结论:该研究表明,泰语版本的简短ACL-RSI量表是评估ACLR后恢复运动心理准备情况的有效且可靠的工具。
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