Cross-cultural adaptation, reliability and validity of the Greek version of the Spinal Appearance Questionnaire (SAQ) in patients with adolescent idiopathic scoliosis.

IF 1.6 Q3 CLINICAL NEUROLOGY
Marianna Oikonomaki, George Kelalis, Apostolos Z Skouras, Spiros Sotiropoulos, George Georgoudis, Theodoros Grivas
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Abstract

Purpose: The Spinal Appearance Questionnaire (SAQ) is a widely validated tool for assessing perceptions of spinal deformity in adolescent idiopathic scoliosis (AIS) patients. This study aimed to develop and validate a Greek version of the SAQ (GR-SAQ).

Methods: A cross-cultural adaptation of the SAQ following international guidelines was performed. Internal consistency and test-retest reliability were evaluated. Convergent validity was assessed by correlating the GR-SAQ with the Appearance domain of Scoliosis Research Society-22 (SRS-22) and the Cobb angle with the Trunk Shift domain of GR-SAQ. Divergent validity was examined through the relationship between GR-SAQ, patient characteristics, and clinical measures including Cobb angle, DIERS Formetric 4D angle, and scoliometer readings.

Results: The study included 61 AIS patients (52 females, 13.91 ± 2.57 years, 25.33 ± 10.14° Cobb angle). GR-SAQ exhibited good internal consistency (Cronbach's α = 0.794) and excellent test-retest reliability (ICC = 0.931, 95%CI: 0.880-0.960). Correlations between GR-SAQ and SRS-22 showed a low-to-moderate negative correlation (r = -0.351, p = 0.006). The Trunk Shift domain moderately correlated with the Cobb Angle (r = 0.393, p = 0.002). Divergent validity analyses did not demonstrate statistical significance (p > 0.05).

Conclusion: The GR-SAQ is a valid and reliable tool for evaluating spinal deformity perception in Greek AIS patients.

希腊语版青少年特发性脊柱侧凸患者脊柱外观问卷(SAQ)的跨文化适应性、可靠性和有效性。
目的:脊柱外观问卷(SAQ)是一种经过广泛验证的工具,用于评估青少年特发性脊柱侧弯症(AIS)患者对脊柱畸形的看法。本研究旨在开发并验证希腊语版的SAQ(GR-SAQ):方法:根据国际指南对 SAQ 进行了跨文化改编。评估了内部一致性和重复测试可靠性。通过将 GR-SAQ 与脊柱侧弯研究协会-22(SRS-22)的外观领域以及 Cobb 角度与 GR-SAQ 的躯干移位领域相关联,对收敛效度进行了评估。通过GR-SAQ、患者特征和临床测量(包括Cobb角、DIERS Formetric 4D角和脊柱侧弯测量仪读数)之间的关系来检验发散有效性:研究共纳入 61 名 AIS 患者(52 名女性,13.91 ± 2.57 岁,25.33 ± 10.14° Cobb 角)。GR-SAQ具有良好的内部一致性(Cronbach's α = 0.794)和出色的测试-再测可靠性(ICC = 0.931,95%CI:0.880-0.960)。GR-SAQ和SRS-22之间的相关性呈中低度负相关(r = -0.351,p = 0.006)。躯干偏移域与柯布角呈中度相关(r = 0.393,p = 0.002)。发散有效性分析未显示统计学意义(p > 0.05):结论:GR-SAQ 是评估希腊 AIS 患者脊柱畸形感知的有效而可靠的工具。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
3.20
自引率
18.80%
发文量
167
期刊介绍: Spine Deformity the official journal of the?Scoliosis Research Society is a peer-refereed publication to disseminate knowledge on basic science and clinical research into the?etiology?biomechanics?treatment?methods and outcomes of all types of?spinal deformities. The international members of the Editorial Board provide a worldwide perspective for the journal's area of interest.The?journal?will enhance the mission of the Society which is to foster the optimal care of all patients with?spine?deformities worldwide. Articles published in?Spine Deformity?are Medline indexed in PubMed.? The journal publishes original articles in the form of clinical and basic research. Spine Deformity will only publish studies that have institutional review board (IRB) or similar ethics committee approval for human and animal studies and have strictly observed these guidelines. The minimum follow-up period for follow-up clinical studies is 24 months.
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