Hospital for Special Surgery (HSS) diz skorunun Türkçe versiyonunun kültürel adaptasyonu, güvenilirlik ve geçerliliği

Öz

Amaç:Bu çalışmanın amacı Hospital for Special Surgery (HSS) diz skorlamasını Türk popülasyonu için uyarlamak ve bu versiyonun kültürel adaptasyon, güvenilirlik ve geçerliliğini incelemekti.

Çalışma planı: Hospital for Special Surgery diz skorlamasının standart çevirisi sonrasında, Türkçe versiyonu 73 hastaya uygulandı. Hastalara, ayrıca, Batı Ontario ve McMaster Üniversitesi Osteoartrit İndeksi (Western Ontario and McMaster Universities Osteoarthritis Index, WOMAC), Mini-Mental Durum Testi (Mini-Mental State Examination, MMSE) ve otur-kalk testi de uygulandı ve analizleri yapıldı. İç tutarlık güvenilirliği Cronbach alfa katsayısı kullanılarak test edildi. Test-tekrar test güvenilirliğinin birer hafta aralıklarla hesaplanmasında sınıf içi korelasyon katsayısından yararlanıldı. Geçerlilik ise HSS, WOMAC, ve otur-kalk test skorları arasındaki Pearson korelasyonu hesaplanarak değerlendirildi.

Bulgular: İç tutarlık güvenilirliğinin hesaplanmasında kaydedilen 0.98-0.99 aralığı yüksek iç tutarlılığa işaret etmekteydi (Cronbach alfa katsayısı: 0.87). WOMAC skoru ile toplam HSS skoru ve otur-kalk test skorlarının korele olduğu görüldü (sırasıyla, r: -0.80, p<0.001 ve r: 0.12, p: 0.312).

Çıkarımlar: Hospital for Special Surgery diz skorlamasının Türkçe versiyonu Türk total diz artroplastisi hastalarını değerlendirmede güvenilir ve geçerli bir ölçektir.

Anahtar Kelimeler

• Çeviri; geçerlilik; güvenilirlik; The Hospital for Special Surgery diz skorlaması.

Cross-cultural adaptation, reliability and validity of the Turkish version of the Hospital for Special Surgery (HSS) Knee Score

Öz

Objective:The purpose of this study was to adapt the English version of the Hospital for Special Surgery (HSS) knee score for use in a Turkish population and to evaluate its validity, reliability and cultural adaptation.

Methods: Standard forward-back translation of the HSS knee score was performed and the Turkish version was applied in 73 patients. The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), Mini-Mental State Examination and sit-to-stand test were also performed and analyzed. Internal consistency reliability was tested using Cronbach’s alpha. The intraclass correlation coefficient (ICC) was used to calculate the test-retest reliability at one-week intervals. Validity was assessed by calculating the Pearson correlation between the HSS, WOMAC and sit-to-stand test scores.

Results: The ICC ranged from 0.98 to 0.99 with high internal consistency (Cronbach’s alpha: 0.87). The WOMAC score correlated with total HSS score (r: -0.80, p<0.001) and sit-to-stand score (r: 0.12, p: 0.312).

Conclusion: The Turkish version of the HSS knee score is reliable and valid in evaluating the total knee arthroplasty in Turkish patients.

Anahtar Kelimeler

• Reliability
• The Hospital for Special Surgery knee score
• translation
• validity

Kaynakça

1. Akodu AK, Giwa SO, Akinbo SR, Ahmed UA. Physio- therapy in the management of total knee arthroplasty: a review. Nig Q J Hosp Med 2011;21:99-105.
2. Rosemann T, Laux G, Szecsenyi J. Osteoarthritis: quality of life, comorbidities, medication and health service utili- zation assessed in a large sample of primary care patients. J Orthop Surg Res 2007;2:12.
3. Bach CM, Nogler M, Steingruber IE, Ogon M, Wimmer C, Göbel G, et al. Scoring systems in total knee arthro- plasty. Clin Orthop Relat Res 2002;399:184-96.
4. van den Akker-Scheek I, van Raay JJ, Reininga IH, Bulstra SK, Zijlstra W, Stevens M. Reliability and concurrent va- lidity of the Dutch hip and knee replacement expectations surveys. BMC Musculoskelet Disord 2010;11:242.
5. American Society of Anesthesiologists (ASA) Physical Status Score [cited 2006 Feb 21]. Available at: http:// www.asahq.org/physicalstatus.htm.
6. Bellamy N. WOMAC Osteoarthritis Index: A Us- er’s Guide IX. Brisbane, Australia: The University of Queensland; 2008. p. 176.
7. Bourne RB, Chesworth BM, Davis AM, Mahomed NN, Charron KD. Patient satisfaction after total knee arthro- plasty: who is satisfied and who is not? Clin Orthop Relat Res 2010;468:57-63.
8. Bourne RB, McCalden RW, MacDonald SJ, Mokete L, Guerin J. Influence of patient factors on TKA out- comes at 5 to 11 years followup. Clin Orthop Relat Res 2007;464:27-31.

9. Chesworth BM, Mahomed NN, Bourne RB, Davis AM; OJRR Study Group. Willingness to go through surgery again validated the WOMAC clinically important dif- ference from THR/TKR surgery. J Clin Epidemiol 2008;61:907-18.
10. Escobar A, Quintana JM, Bilbao A, Aróstegui I, Lafuente I, Vidaurreta I. Responsiveness and clinically important differences for the WOMAC and SF-36 after total knee replacement. Osteoarthritis Cartilage 2007;15:273-80.
11. Kessler S, Käfer W. Comparative assessment of outcome in osteoarthritis of the knee: the utility of knee scores. Acta Chir Orthop Traumatol Cech 2007;74:332-5.
12. Higgins LD, Taylor MK, Park D, Ghodadra N, March- ant M, Pietrobon R, et al. Reliability and validity of the International Knee Documentation Committee (IKDC) Subjective Knee Form. Joint Bone Spine 2007;74:594-9.
13. Irrgang JJ, Anderson AF. Development and validation of health-related quality of life measures for the knee. Clin Orthop Relat Res 2002;402:95-109.
14. Ganz SB. Rehabilitation following total knee arthroplasty. In: Sculco TP, Martucci EA, editors. Knee arthroplasty. Wien: Springer; 2002. p. 231-9.
15. Słupik A, Białoszewski D. A comparative analysis of the clinical utility of the Staffelstein-score and the hospital for special surgery knee score (HSS) in monitoring physio- therapy of total knee replacement patients--preliminary study. Ortop Traumatol Rehabil 2009;11:37-45.
16. Ryd L, Kärrholm J, Ahlvin P. Knee scoring systems in gonarthrosis. Evaluation of interobserver variability and the envelope of bias. Score Group. Acta Orthop Scand 1997;68:41-5.
17. Ware JE Jr, Sherbourne CD. The MOS 36-item short- form health survey (SF-36). I. Conceptual framework and item selection. Med Care 1992;30:473-83.
18. Terwee CB, Bot SD, de Boer MR, van der Windt DA, Knol DL, Dekker J, et al. Quality criteria were proposed for measurement properties of health status question- naires. J Clin Epidemiol 2007;60:34-42.
19. Drake BG, Callahan CM, Dittus RS, Wright JG. Global rating systems used in assessing knee arthroplasty out- comes. J Arthroplasty 1994;9:409-17.
20. Beaton DE, Bombardier C, Guillemin F, Ferraz MB. Guidelines for the process of cross-cultural adapta- tion of self-report measures. Spine (Phila Pa 1976) 2000;25:3186-91.
21. Ware JE Jr, Keller SD, Gandek B, Brazier JE, Sullivan M. Evaluating translations of health status questionnaires. Methods from the IQOLA project. International Qual- ity of Life Assessment. Int J Technol Assess Health Care
22. Ranawat CS, Shine JJ. Duo-condylar total knee arthro- plasty. Clin Orthop Relat Res 1973;94:185-95.
23. Bergschmidt P, Lohmann C, Bader R, Finze S, Lukas C, Rüther W, et al. Preliminary clinical results of the Multi- gen Plus Total Knee System with a ceramic femoral com- ponent-A national duo-centre study. Eur Muscoskel Rev 2009;4:82-5.
24. Davies AP. Rating systems for total knee replacement. Knee 2002;9:261-6.
25. Insall JN, Ranawat CS, Aglietti P, Shine J. A comparison of four models of total knee-replacement prostheses. J Bone Joint Surg Am 1976;58:754-65.
26. Folstein MF, Folstein SE, McHugh PR. “Mini-mental state”. A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res 1975;12:189-98.
27. Güngen C, Ertan T, Eker E, Yaşar R, Engin F. Reliability and validity of the standardized Mini Mental State Ex- amination in the diagnosis of mild dementia in Turkish population. Turk Psikiyatri Derg 2002;13:273-81.
28. Leveille SG, Bean J, Bandeen-Roche K, Jones R, Hoch- berg M, Guralnik JM. Musculoskeletal pain and risk for falls in older disabled women living in the community. J Am Geriatr Soc 2002;50:671-8.
29. Bellamy N, Buchanan WW, Goldsmith CH, Campbell J, Stitt LW. Validation study of WOMAC: a health sta- tus instrument for measuring clinically important patient relevant outcomes to antirheumatic drug therapy in pa- tients with osteoarthritis of the hip or knee. J Rheumatol 1988;15:1833-40.
30. Roorda LD, Jones CA, Waltz M, Lankhorst GJ, Bouter LM, van der Eijken JW, et al. Satisfactory cross cultural equivalence of the Dutch WOMAC in patients with hip osteoarthritis waiting for arthroplasty. Ann Rheum Dis 2004;63:36-42.
31. Basaran S, Guzel R, Seydaoglu G, Guler-Uysal F. Validity, reliability, and comparison of the WOMAC osteoarthri- tis index and Lequesne algofunctional index in Turkish patients with hip or knee osteoarthritis. Clin Rheumatol 2010;29:749-56.
32. Haddad FS, Garbuz DS, Chambers GK, Jagpal TJ, Masri BA, Duncan CP. The expectations of patients undergoing revision hip arthroplasty. J Arthroplasty 2001;16:87-91.
33. Gross MM, Stevenson PJ, Charette SL, Pyka G, Marcus R. Effect of muscle strength and movement speed on the biomechanics of rising from a chair in healthy elderly and young women. Gait Posture 1998;8:175-185.
34. Unver B, Karatosun V, Bakirhan S. ABility to rise inde- pendently from a chair during 6-month follow-up after unilateral and bilateral total knee replacement. J Rehabil Med 2005;37:385-7.
35. Whitney SL, Wrisley DM, Marchetti GF, Gee MA, Red- fern MS, Furman JM. Clinical measurement of sit-to- stand performance in people with balance disorders: va- lidity of data for the Five-Times-Sit-to-Stand Test. Phys Ther 2005;85:1034-45.
36. Segura-Ortí E, Martínez-Olmos FJ. Test-retest reliability and minimal detectable change scores for sit-to-stand-to- sit tests, the six-minute walk test, the one-leg heel-rise test, and handgrip strength in people undergoing hemodialysis. Phys Ther 2011;91:1244-52.
37. Bohannon R. Measuring muscle strength in neurological disorders. Fizyoter Rehabil 2005;16:120-33.
38. Gill S, McBurney H. Reliability of performance-based measures in people awaiting joint replacement surgery of the hip or knee. Physiother Res Int 2008;13:141-52.
39. El O, Bircan C, Gulbahar S, Demiral Y, Sahin E, Baydar M, et al. The reliability and validity of the Turkish version of the Western Ontario Rotator Cuff Index. Rheumatol Int 2006;26:1101-8.
40. Lopes AD, Ciconelli RM, Carrera EF, Griffin S, Faloppa F, Dos Reis FB. Validity and reliability of the Western On- tario Rotator Cuff Index (WORC) for use in Brazil. Clin J Sport Med 2008;18:266-72.
41. Shrout PE, Fleiss JL. Intraclass correlations: uses in as- sessing rater reliability. Psychol Bull 1979;86:420-8.
42. Sezgin M, Incel NA, Serhan S, Camdeviren H, As I, Erdoğan C. Assessment of symptom severity and func- tional status in patients with carpal tunnel syndrome: reliability and functionality of the Turkish version of the Boston Questionnaire. Disabil Rehabil 2006;28:1281-5.
43. Stratford PW, Binkley J, Solomon P, Finch E, Gill C, Moreland J. Defining the minimum level of detectable change for the Roland-Morris questionnaire. Phys Ther 1996;76:359-68.
44. Altman DG. Practical Statistics for Medical Research. Vol. 12. CRC Press: Boca Raton, FL; 1990.
45. Polgar S, Shane AT. Introduction to research in the health sciences. 2nd ed. London: Churchill Livingstone; 1991.
46. Carey DG, Raymond RL, Duoos BA. Intra- and inter- observer reliability in selection of the heart rate deflec- tion point during incremental exercise: comparison to a computer-generated deflection point. J Sports Sci Med 2002;1:115-21.
47. Hamburg Institute of International Economics. Focus migration country profile – Turkey, No. 5, 2006. [cited 2010 Oct 5] Available at: http://www.focusmigration.de/ uploads/tx_wilpubdb/CP_05_Turkey.pdf.
48. Heras PC, Burke FD, Dias JJ, Bindra R. Outcome mea- surement in hand surgery: report of a consensus confer- ences. Br J Hand Ther 2003;8:70-80.
49. Hawker G, Wright J, Coyte P, Paul J, Dittus R, Croxford R, et al. Health-related quality of life after knee replace- ment. J Bone Joint Surg Am 1998;80:163-73.
50. König A, Kirschner S, Walther M, Eisert M, Eulert J. Hy- brid total knee arthroplasty. Arch Orthop Trauma Surg
51. Bergschmidt P, Bader R, Finze S, Ansorge S, Kundt G, Mittelmeier W. Bicondylar knee arthroplasty - influence of preoperative functional restriction on early functional postoperative outcome. [Article in German] Z Orthop Unfall 2008;146:344-51. [Abstract]
52. Bin SI, Nam TS. Early results of high-flex total knee ar- throplasty: comparison study at 1 year after surgery. Knee Surg Sports Traumatol Arthrosc 2007;15:350-5.
53. Yasuda K. Long-term clinical results of cruciate-retaining total knee arthroplasty using the alumina ceramic condylar prosthesis. Scientific Exhibit No. SE035, AAOS Meeting, San Francisco; 2004.
54. Briggs KK, Kocher MS, Rodkey WG, Steadman JR. Re- liability, validity, and responsiveness of the Lysholm knee score and Tegner activity scale for patients with meniscal injury of the knee. J Bone Joint Surg Am 2006;88:698- 705.
55. Evcik D, Ay S, Ege A, Turel A, Kavuncu V. Adaptation and validation of Turkish version of the Knee Outcome Survey-Activities for Daily Living Scale. Clin Orthop Relat Res 2009;467:2077-82.