Mercanoğlu Anıl Onur, Kaçoğlu Celil, Atalay Erdem
Department of Recreation, Faculty of Sport Sciences, Eskişehir Technical University, Eskişehir, Türkiye.
Department of Coaching Education, Faculty of Sport Sciences, Eskişehir Technical University, Eskişehir, Türkiye.
Orthop J Sports Med. 2025 Aug 19;13(8):23259671251358407. doi: 10.1177/23259671251358407. eCollection 2025 Aug.
Adaptation studies have evaluated ankle instability (AI) across various cultures and sports.
PURPOSE/HYPOTHESIS: The Cumberland Ankle Instability Tool (CAIT) is a valid patient-reported outcome measure used to assess the presence and severity of AI. The current study aimed to adapt the CAIT to the Turkish language, test its psychometric properties, and determine cutoff scores in a Turkish population with AI compared with observations in their healthy counterparts.
Cohort study (Diagnosis); Level of evidence, 3.
To evaluate the Turkish version of the CAIT (CAIT-TR), data obtained from 236 recreationally active participants with and without AI were examined. Test-retest reliability, internal consistency, cutoff score, and ceiling and floor effects were assessed.
The test-retest reliability of the CAIT-TR was excellent, with an intraclass correlation coefficient of 0.968 and 0.978 for the right and left ankles, respectively. Cronbach α values for the CAIT-TR were calculated as 0.855 and 0.852 for the right and left ankles, respectively. The discriminative ability and cutoff score of the CAIT-TR were determined by defining the receiver operating characteristic curve and calculating the Youden index for the left and right ankles (0.579 and 0.551, respectively), with a cutoff score of 23.5 and threshold of ≤23.
Our study demonstrates that the CAIT-TR is a valid and reliable tool for assessing the presence and severity of AI in recreationally active Turkish-speaking individuals. These data should help in providing a practical assessment tool for care in this population.
NCT05977660 (ClinicalTrials.gov identifier).
适应性研究已经在不同文化和运动中评估了踝关节不稳（AI）。
目的/假设：坎伯兰踝关节不稳工具（CAIT）是一种有效的患者报告结局指标，用于评估AI的存在情况和严重程度。本研究旨在将CAIT改编为土耳其语版本，测试其心理测量特性，并确定与健康对照相比，患有AI的土耳其人群的截断分数。
队列研究（诊断）；证据等级，3级。
为了评估CAIT的土耳其语版本（CAIT-TR），检查了从236名有或没有AI的休闲活动参与者获得的数据。评估了重测信度、内部一致性、截断分数以及天花板效应和地板效应。
CAIT-TR的重测信度极佳，右侧和左侧踝关节的组内相关系数分别为0.968和0.978。CAIT-TR的Cronbach α值右侧和左侧踝关节分别计算为0.855和0.852。通过定义受试者工作特征曲线并计算左右踝关节的约登指数（分别为0.579和0.551）来确定CAIT-TR的鉴别能力和截断分数，截断分数为23.5，阈值为≤23。
我们的研究表明，CAIT-TR是评估讲土耳其语的休闲活动个体中AI的存在情况和严重程度的有效且可靠的工具。这些数据应有助于为该人群的护理提供一种实用的评估工具。
NCT05977660（ClinicalTrials.gov标识符）
