肩痛患者Constant评分印尼语版本的跨文化适应、效度和信度研究
Cross-Cultural Adaptation, Validity, and Reliability Study of the Indonesian Version of the Constant Score in Patients With Shoulder Pain.
作者信息
Lubis Andri Maruli Tua, Pangestu Juniarto, Kholinne Erica, Aminata Iman Widya, Landika Andre Eltapama, Deviandri Romy
机构信息
Department of Orthopedics, Faculty of Medicine, Universitas Indonesia, Cipto Mangunkusumo Hospital, Jakarta, Indonesia.
Faculty of Medicine, Universitas Trisakti, Jakarta, St. Carolus Hospital, Jakarta, Indonesia.
出版信息
Orthop J Sports Med. 2025 Aug 11;13(8):23259671251360415. doi: 10.1177/23259671251360415. eCollection 2025 Aug.
BACKGROUND
Shoulder pain is one of the main symptoms of patients treated at orthopaedic clinics. The Constant score (CS) is widely used in the literature to assess shoulder functional outcomes. To the authors' knowledge, no outcome measure has been related to shoulder complaints in Indonesia.
PURPOSE
To perform a translation and cross-cultural adaptation and assess the validity and reliability of the Indonesian CS (CS-INA) as a shoulder functional assessment instrument in Indonesia.
STUDY DESIGN
Cohort study (Diagnosis); Level of evidence, 2.
METHODS
After a translation cross-cultural adaptation of the CS into the Indonesian language was performed, the validity and reliability of the CS-INA were investigated. Data from patients with shoulder pain were collected consecutively in the orthopaedic clinic of 2 tertiary hospitals in Jakarta in 2023. The validity and reliability study of the final version of the CS-INA was conducted by 1 researcher in 2 meetings within 1 week. The Indonesian version of the 36-item Short Form Survey (SF-36) questionnaire was also given to the respondents. The correlation between CS-INA and SF-36 was determined to evaluate construct validity, whereas internal consistency, intraclass correlation, standard error of measurement (SEM), and minimal detectable change (MDC) were calculated to provide data on reliability.
RESULTS
A total of 102 shoulders (101 patients) were included in the study. CS-INA showed excellent construct validity with SF-36 (Pearson correlation 0.90; < .05). The reliability study showed good internal consistency (Cronbach α = 0.85) and intraclass correlation (ICC = 0.86). The SEM of the test and retest was 7.37, whereas the MDC was 14.3. No floor or ceiling effects were observed in this study.
CONCLUSION
The Indonesian version of the Constant score showed good validity and reliability for the Indonesian population experiencing shoulder pain.
背景
肩痛是骨科门诊患者的主要症状之一。Constant评分（CS）在文献中被广泛用于评估肩部功能结局。据作者所知，印度尼西亚尚未有与肩部疾病相关的结局指标。
目的
进行翻译和跨文化改编，并评估印度尼西亚版Constant评分（CS-INA）作为印度尼西亚肩部功能评估工具的有效性和可靠性。
研究设计
队列研究（诊断）；证据等级，2级。
方法
将CS翻译成印度尼西亚语并进行跨文化改编后，对CS-INA的有效性和可靠性进行研究。2023年，在雅加达两家三级医院的骨科门诊连续收集肩痛患者的数据。CS-INA最终版本的有效性和可靠性研究由一名研究人员在1周内分两次会议进行。还向受访者发放了印度尼西亚版的36项简明健康调查问卷（SF-36）。通过确定CS-INA与SF-36之间的相关性来评估结构效度，同时计算内部一致性系数、组内相关系数、测量标准误差（SEM）和最小可检测变化（MDC）以提供可靠性数据。
结果
本研究共纳入102个肩部（101例患者）。CS-INA与SF-36显示出良好的结构效度（Pearson相关性为0.90；P<0.05）。可靠性研究显示出良好的内部一致性（Cronbach α=0.85）和组内相关系数（ICC=0.86）。重测的SEM为7.37，而MDC为14.3。本研究未观察到地板效应或天花板效应。
结论
印度尼西亚版Constant评分对印度尼西亚肩痛患者显示出良好的有效性和可靠性。
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