Translation and cross-cultural adaptation to Spanish of the Anterior Cruciate Ligament Return to Sport after Injury Scale (SP ACL‑RSI): Measurement properties and responsiveness in a multisport sample
Rafel Donat-Roca, Violeida Sánchez-Socarrás, José M. Romero-Sánchez, Salomé Tárrega, Tània Estapé-Madinabeitia, Carles Escalona-Marfil, Roberto Seijas, Georgia Romero-Cullerés, Carolina Ochoa, Kate E. Webster
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引用次数: 0
Abstract
Purpose
The aim was to translate and adapt The Anterior Cruciate Ligament Return to Sport after Injury Scale (ACL-RSI) to Spanish and provide evidence of its psychometric properties and responsiveness in a both sexes multisport sample.
Methods
ACL-RSI Spanish version (SP ACL-RSI) was obtained by forward-back-translation method. Internal consistency, test-retest reliability, construct validity and responsiveness were assessed. Standardized response mean (SRM), smallest detectable change (SDC) and minimally important change (MIC) were obtained by anchor-based method. The sample consisted of n = 132 multisport patients who underwent ACL-RSI. Sixty-seven patients (Group A) completed test-retest of the SP ACL-RSI within 15 days and 65 patients (Group B) fulfilled SP ACL-RSI, the Tampa Scale of Kinesiophobia (TSK-11), the International Knee Documentation Committee-Subjective Knee Form (IKDC-SF 2000), the Knee Osteoarthritis Outcome Score (KOOS) preoperative, 6 and 12 months.
Results
The SP ACL-RSI shows satisfactory internal consistency (Cronbach's α = 0.95) and test–retest reliability (ICC = 0.92), with acceptable floor (9%) and ceiling (6%) effects. Convergent validity was supported with moderate positive correlations with KOOS and IKDC-SF 2000 dimensions, and a negative correlation with the TSK (p < 0.001). For SDC responsiveness, a high effect was observed with SRM = 0.97 at 12 months, and the MIC for SP ACL-RSI was 15.
Conclusions
The SP ACL-RSI is as valid and reliable as the original for measuring emotions, confidence in performance, and re-injury risk on return to sport after ACL-R in Spanish-speaking multisport practitioners of both sexes. Moreover, it shows acceptable responsiveness, performing better at the group level than the individual level.
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