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. 2022 Apr;30(4):1180-1186.
doi: 10.1007/s00167-020-06169-0. Epub 2020 Jul 30.

Translation, cross-cultural adaptation and validation of the Italian version of the anterior cruciate ligament-return to sport after injury (ACL-RSI) scale

Emanuele Tortoli  1   2 , Luca Francini  3   4 , Giuseppe Giovannico  5 , Carlo Ramponi  6   4
Affiliations

Translation, cross-cultural adaptation and validation of the Italian version of the anterior cruciate ligament-return to sport after injury (ACL-RSI) scale

Emanuele Tortoli et al. Knee Surg Sports Traumatol Arthrosc. 2022 Apr.

Abstract

Purpose: To translate and culturally adapt the anterior cruciate ligament-return to sport after injury (ACL-RSI) scale into Italian (ACL-RSI(IT)) and examine and evaluate the psychometric properties of the Italian version in individuals who have undergone anterior cruciate ligament (ACL) reconstruction.

Methods: The ACL-RSI was forward and back translated, culturally adapted and validated one hundred and twenty nine Italian individuals who had undergone ACL reconstruction (94 males, 35 females; age 28 ± 9 years). All patients completed the translated ACL-RSI, Knee injury and Osteoarthritis Outcome Score (KOOS), International Knee Documentation Committee subjective knee form (IKDC), Tampa Scale of Kinesiophobia (TSK) and the 12-item short form health survey (SF-12). We then analysed the internal consistency, reliability and validity of the newly formed ACLRSI (IT).

Results: The ACL- RSI(IT) showed excellent internal consistency (Cronbach's alpha 0.94) and was significantly correlated with the KOOS 'quality of life' (r = 0.61, p < 0.00001), 'symptoms' (r = 0.34, p < 0.00001), 'pain' (r = 0.44, p < 0.00001), and 'sports' (r = 0.40, p < 0.00001) subscales. The ACL-RSI(IT) also correlated significantly with the IKDC (r = 0.34, p < 0.001), TSK (r = - 0.48, p < 0.00001) and SF-12 (r = - 0.40, p < 0.0001) scores.

Conclusion: The Italian version of the ACL-RSI scale was valid, discriminant, consistent and reliable in patients who had undergone ACL reconstruction. This score could be useful to evaluate the effect of psychological factors on return to sport following ACL surgery.

Level of evidence: II.

Keywords: Anterior cruciate ligament injuries; Anterior cruciate ligament reconstruction; Anterior cuciate ligament; Knee joint/injuries; Knee joint/surgery to sport; Return to sport.

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References

    1. Anthoine E, Moret L, Regnault A, Sébille V, Hardouin JB (2014) Sample size used to validate a scale: a review of publications on newly-developed patient reported outcomes measures. Health Qual 12:176. https://doi.org/10.1186/s12955-014-0176-2 - DOI
    1. Ardern CL, Taylor NF, Feller JA et al (2012) Return-to-sport outcomes at 2 to 7 years after anterior cruciate ligament reconstruction surgery. Am J Sports Med 40:41–48. https://doi.org/10.1177/0363546511422999 - DOI
    1. Ardern CL, Taylor NF, Feller JA, Webster KE (2014) Fifty-five per cent return to competitive sport following anterior cruciate ligament reconstruction surgery: an updated systematic review and meta-analysis including aspects of physical functioning and contextual factors. Br J Sports Med 48(21):1543–1552. https://doi.org/10.1136/bjsports-2013-093398 - DOI
    1. Ardern CL, Osterberg A, Tagesson S, Gauffin H, Webster KE, Kvist J (2014) The impact of psychological readiness to return to sport and recreational activities after anterior cruciate ligament reconstruction. Br J Sports Med 48:1613–1619. https://doi.org/10.1136/bjsports-2014-093842 - DOI
    1. Ardern CL, Taylor NF, Feller JA, Webster KE (2013) A systematic review of the psychological factors associated with returning to sport following injury. Br J Sports Med 47:1120–1126. https://doi.org/10.1136/bjsports-2012-091203 - DOI

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