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前交叉韧带损伤后恢复运动量表简版的跨文化适应及波斯语验证

Cross-cultural adaptation and validation of the short version of anterior cruciate ligament return to sport after injury scale to Persian Language.

作者信息

Kazemi Pakdel Fereshteh, Kazemi Pakdel Ahmad, Sarbazi Zarandi Mohammad Ali, Rad Safoora Sabaghian, Zarei Hamed

机构信息

Department of Corrective Exercises and Sports Injury, Faculty of Physical Education & Sport Sciences, University of Guilan, Rasht-Ghazvin Road, Rasht, 4199613776, Iran.

Department of Biomechanics, Faculty of Physical Education & Sport Sciences, Shahid Bahonar University of Kerman, Kerman, 76169-14111, Iran.

出版信息

J Orthop Surg Res. 2025 May 27;20(1):525. doi: 10.1186/s13018-025-05920-y.

DOI:10.1186/s13018-025-05920-y
PMID:40426220
Abstract

BACKGROUND

Many athletes who have anterior cruciate ligament reconstruction (ACL-R) surgery strive to resume their sport at the level they played before the injury. The purpose of this study was to analyze the short Anterior Cruciate Ligament-Return to Sport after Injury scale (ACL-RSI) version's cultural adaptation and validity to Persian language.

METHODS

To evaluate test-retest reliability, 140 participants completed the Persian short version of the ACL-RSI twice, with a 7- to 10-day interval between assessments. Also, Internal consistency, and construct validity were assessed.

RESULTS

The findings indicate that the measure demonstrates excellent test-retest reliability (intraclass correlation coefficients = 0.92 [0.86 - 0.95]) and strong internal consistency (Cronbach's alpha = 0.91). Also, the standard error of measurement and minimum detectable change were determined to be 5.11 and 10.69, respectively. The Persian short version of the ACL-RSI exhibited a strong correlation with the ACL-RSI (P <.001, r =.77), a moderate correlation with the Injury Psychological Readiness to Return to Sport Questionnaire (I-PRRS) (P =.03, r =.51) and a strong negative correlation with the Tampa Scale of Kinesiophobia (TKS) (P <.001, r = -.73). Additionally, this short version of the ACL-RSI demonstrated a strong correlation with the International Knee Documentation Committee Subjective Knee Form (IKDC) (P <.001, r =.68) and with the Knee Injury and Osteoarthritis Outcome Score (KOOS) subscales (P <.001, r =.61-0.69).

CONCLUSION

The Persian short version of the ACL-RSI is recommended as a reliable and valid tool for assessing psychological readiness for athletes returning to sport following ACL-R.

CLINICAL TRIAL NUMBER

Not applicable.

摘要

背景

许多接受前交叉韧带重建(ACL-R)手术的运动员都努力恢复到受伤前的运动水平。本研究的目的是分析前交叉韧带损伤后恢复运动短期量表(ACL-RSI)简短版在波斯语中的文化适应性和有效性。

方法

为评估重测信度,140名参与者两次完成波斯语简短版ACL-RSI,两次评估间隔7至10天。同时,评估了内部一致性和结构效度。

结果

研究结果表明,该量表显示出出色的重测信度(组内相关系数=0.92[0.86-0.95])和较强的内部一致性(Cronbach's α=0.91)。此外,测量标准误和最小可检测变化分别确定为5.11和10.69。波斯语简短版ACL-RSI与ACL-RSI表现出强相关性(P<.001,r=.77),与运动损伤心理恢复准备问卷(I-PRRS)表现出中度相关性(P=.03,r=.51),与坦帕运动恐惧量表(TKS)表现出强负相关性(P<.001,r=-.73)。此外,ACL-RSI简短版与国际膝关节文献委员会主观膝关节表(IKDC)表现出强相关性(P<.001,r=.68),与膝关节损伤和骨关节炎疗效评分(KOOS)各子量表表现出强相关性(P<.001,r=.61-0.69)。

结论

推荐波斯语简短版ACL-RSI作为评估ACL-R术后运动员恢复运动心理准备状态的可靠有效工具。

临床试验编号

不适用。

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本文引用的文献

1
Anterior Cruciate Ligament Reconstruction Using Lateral Extra-Articular Procedures: A Systematic Review.使用外侧关节外手术进行前交叉韧带重建:一项系统评价
Medicina (Kaunas). 2025 Feb 8;61(2):294. doi: 10.3390/medicina61020294.
2
Males have higher psychological readiness to return to sports than females after anterior cruciate ligament reconstruction: a systematic review and meta-analysis.前交叉韧带重建术后男性比女性恢复运动的心理准备更充分:一项系统评价和荟萃分析。
BMJ Open Sport Exerc Med. 2024 Dec 15;10(4):e001996. doi: 10.1136/bmjsem-2024-001996. eCollection 2024.
3
Examination of the validity of the Injury-Psychological Readiness to Return to Sport (I-PRRS) scale in male professional football players: A worldwide study of 29 professional teams.
对男性职业足球运动员伤后重返运动心理准备量表(I-PRRS)有效性的检验:来自 29 支职业球队的全球研究。
J Sports Sci. 2023 Nov;41(21):1906-1914. doi: 10.1080/02640414.2024.2307764. Epub 2024 Jan 25.
4
The Dutch language short Anterior Cruciate Ligament-Return to Sport after Injury scale has good to excellent construct validity, internal consistency, and test-retest reliability when assessing athletes undergoing rehabilitation after ACL injury or ACL reconstruction.荷兰语版前交叉韧带损伤后重返运动量表在评估 ACL 损伤或 ACL 重建后接受康复治疗的运动员时,具有良好到优秀的结构有效性、内部一致性和重测信度。
J ISAKOS. 2023 Dec;8(6):412-419. doi: 10.1016/j.jisako.2023.07.005. Epub 2023 Jul 25.
5
Construct validity and internal consistency of the Home and Family Work Roles Questionnaires: a cross-sectional study with exploratory factor analysis.家庭和工作角色问卷的结构效度和内部一致性:一项横断面研究的探索性因子分析。
BMC Womens Health. 2023 Feb 10;23(1):56. doi: 10.1186/s12905-023-02199-1.
6
Anterior Cruciate Ligament-Return to Sport After Injury Scale: Reliability and Validity of the Persian Version.前交叉韧带损伤后重返运动量表的波斯文版本:信度和效度。
J Sport Rehabil. 2023 Jan 23;32(4):369-375. doi: 10.1123/jsr.2022-0107. Print 2023 May 1.
7
Return-to-Sport Criteria After Anterior Cruciate Ligament Reconstruction Fail to Identify the Risk of Second Anterior Cruciate Ligament Injury.前交叉韧带重建失败后重返运动的标准未能识别出再次发生前交叉韧带损伤的风险。
J Athl Train. 2022 Sep 1;57(9-10):937-945. doi: 10.4085/1062-6050-0608.21.
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Rehabilitation following surgical reconstruction for anterior cruciate ligament insufficiency: What has changed since the 1960s?-State of the art.前交叉韧带缺陷术后重建的康复:自 20 世纪 60 年代以来有何变化?——最新进展。
J ISAKOS. 2023 Jun;8(3):153-162. doi: 10.1016/j.jisako.2022.10.001. Epub 2022 Nov 19.
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Arthroscopy. 2023 Mar;39(3):613-622. doi: 10.1016/j.arthro.2022.10.014. Epub 2022 Oct 27.