Anterior Cruciate Ligament—Return to Sport After Injury Scale Brief Version After Acl Reconstruction: Persian Translation, Cross-Cultural Adaptation and Validation Publisher



Eshraghi N^{1, 2, 3} ; Mirghaderi P^{1, 2} ; Omid R^{1, 2} ; Sajadi M^{1, 2} ; Pashapouryeganeh A^{1, 2} ; Hosseinidolama R^{1, 2} ; Rahimzadeh P¹ ; Moharrami A² ; Rakhshan A⁴ ; Javad Mortazavi SM²
Source: Journal of Experimental Orthopaedics Published:2024

Abstract

Purpose: The purpose of this study is to analyze the short anterior cruciate ligament return to sport after injury (ACL-RSI) (Persian) version's cultural adaption and validity. Methods: To assess test–retest reliability, 102 participants were filled out the short ACL-RSI(Per) scale 6 months or more after ACLR surgery. Internal consistency (Cronbach's alpha), test–retest reliability (intraclass correlation coefficients), construct validity (Pearson's r) and sensitivity (floor/ceiling effect) were determined. In addition, patient completed other relevant measures such as Lysholm scores, the hospital for special surgery ACL satisfaction survey (HSS ACL-SS), the visual analogue scale (VAS) of pain and patient's satisfaction, the Tegner activity score (TAS), the single assessment numeric evaluation (SANE) and the Cincinnati Knee Rating System (CKRS). Results: The short ACL-RSI(Per) scale showed high internal consistency (Cronbach's alpha = 0.91) and test–retest reliability (ICC = 0.923). Significant correlations between short ACL-RSI(Per) and other scales supported validity. There was a statistically significant connection between the short ACL-RSI(Per) and the following outcomes: HSS ACL-SS (r = 0.698, p < 0.001), VAS pain (r = 0.356, p < 0.001), CKRS (r = 0.644, p < 0.001), TAS (r = 0414, p < 0.001), Lysholm score (r = 0.467, p < 0.001) and SANE score (r = 0.536; p < 0.001). In addition to a satisfactory ceiling impact (15%), a sizeable floor effect (16.7%) was also seen. Conclusion: The short ACL-RSI(Per) scale is a reliable and valid tool for assessing psychological readiness for return to sport after ACL reconstruction in Persian. Level of Evidence: III. © 2024 The Author(s). Journal of Experimental Orthopaedics published by John Wiley & Sons Ltd on behalf of European Society of Sports Traumatology, Knee Surgery and Arthroscopy.