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



Eshraghi N1, 2, 3 ; Mirghaderi P1, 2 ; Omid R1, 2 ; Sajadi M1, 2 ; Pashapouryeganeh A1, 2 ; Hosseinidolama R1, 2 ; Rahimzadeh P1 ; Moharrami A2 ; Rakhshan A4 ; Javad Mortazavi SM2
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Authors Affiliations
  1. 1. Surgical Research Society (SRS), Students' Scientific Research Center, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Joint Reconstruction Research Center, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Vali-E-Asr Reproductive Health Research Center, Family Health Research Institute, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Department of Foreign Languages, Tehran University of Medical Sciences, Tehran, Iran

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.
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