Reliability and Validity of the Turkish Version of the Atroshi–Lyrén 6-Item CTS Symptoms Scale in Unilateral Carpal Tunnel Syndrome

IF 1.4 4区医学 Q4 HEALTH CARE SCIENCES & SERVICES

Journal of Manipulative and Physiological Therapeutics Pub Date : 2025-07-01 Epub Date: 2025-11-13 DOI:10.1016/j.jmpt.2025.10.049

Abdurrahman Tanhan PhD, PT , Tülay Çevik Saldıran PhD, PT , İlke Kara Öz MSc, PT , Berra Özberk Pamuk MD

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引用次数: 0

Abstract

Objective

This study aimed to assess the reliability and construct validity of the Turkish version of the Atroshi–Lyrén 6-Item carpal tunnel syndrome (CTS) Symptoms Scale (A–L Scale-Tr) and to examine its associations with patient-reported outcome measures, including the Boston Carpal Tunnel Questionnaire (BCTQ) and Quick Disability of the Arm, Shoulder and Hand (QuickDASH).

Methods

A forward-backward translation procedure was performed following international guidelines. Sixty-two patients with unilateral CTS were invited to complete the A–L Scale-Tr. The test-retest reliability, convergent, and discriminant validity were evaluated.

Results

The A–L Scale-Tr revealed high values of internal consistency (Cronbach’s alpha = 0.854), and test-retest reliability (ICC = 0.96, 95% CI = 0.93-0.98). In the A–L Scale-Tr the factor structure was found optimal and explained 58.39% of the variance. The validity analysis showed strong correlation with night pain (r = 0.821), moderate correlation with BCTQ Symptoms Severity Scale (r = 0.564) and BCTQ Functional Status Scale (r = 0.453), QuickDASH (r = 0.474), pain at rest (r = 0.557), and pain at activity (r = 0.497) (P < .001).

Conclusions

It was found that the A–L Scale-Tr has good reliability and construct validity for symptom severity assessment in CTS. The A–L scale will be useful to clinicians and researchers in Turkish patients.

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土耳其版atroshi - lyr 6项CTS症状量表在单侧腕管综合征中的信度和效度

目的：本研究旨在评估土耳其版atroshi - lyrn 6项腕管综合征（CTS）症状量表（A-L Scale- tr）的信度和结构效度，并研究其与患者报告的结局测量指标的关联，包括波士顿腕管问卷（BCTQ）和手臂、肩膀和手的快速残疾（QuickDASH）。方法：按照国际标准进行向前-向后翻译。62例单侧CTS患者被邀请完成A-L量表- tr。评估重测信度、收敛效度和判别效度。结果：A-L量表- tr具有较高的内部一致性（Cronbach’s alpha = 0.854）和重测信度（ICC = 0.96, 95% CI = 0.93 ~ 0.98）。在A-L量表- tr中，因子结构最优，解释了58.39%的方差。效度分析显示，与夜间疼痛有较强相关性（r = 0.821），与BCTQ症状严重程度量表（r = 0.564）、BCTQ功能状态量表（r = 0.453）、QuickDASH量表（r = 0.474）、静息疼痛（r = 0.557）、活动疼痛（r = 0.497）有中度相关性（P < 0.001）。结论：A-L量表具有良好的信度和结构效度。A-L量表对土耳其患者的临床医生和研究人员很有用。

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

Journal of Manipulative and Physiological Therapeutics 医学-康复医学

CiteScore

3.00

自引率

7.70%

发文量

审稿时长

29 weeks

期刊介绍： The Journal of Manipulative and Physiological Therapeutics (JMPT) is an international and interdisciplinary journal dedicated to the advancement of conservative health care principles and practices. The JMPT is the premier biomedical publication in the chiropractic profession and publishes peer reviewed, research articles and the Journal''s editorial board includes leading researchers from around the world. The Journal publishes original primary research and review articles of the highest quality in relevant topic areas. The JMPT addresses practitioners and researchers needs by adding to their clinical and basic science knowledge and by informing them about relevant issues that influence health care practices.