Dutch Translation and Cross-cultural Adaptation of the Lysholm Score and Tegner Activity Scale for Patients With Anterior Cruciate Ligament Injuries

Abstract

Study Design Clinical measurement. Background The Lysholm score and Tegner activity scale are frequently used patient-reported instruments to determine the functional status and activity level after anterior cruciate ligament (ACL) reconstruction. Objectives To translate and cross-culturally adapt the Lysholm score and Tegner activity scale for use in the Dutch population and to evaluate the reliability and validity of these questionnaires in individuals after ACL reconstruction. Methods The translation and adaptation were conducted in several steps according to the guidelines in the literature. The measurement properties of the Lysholm score and Tegner activity scale (internal consistency, construct validity, and floor and ceiling effects) were tested in 96 patients. Reproducibility was tested in 69 patients with ACL injuries. On the first occasion, the International Knee Documentation Committee Subjective Knee Evaluation Form (IKDC) and RAND 36-Item Health Survey (RAND-36) were also administered. Results The Lysholm score and Tegner activity scale showed good test-retest reliability between repeated measures (intraclass correlation coefficient = 0.93 and 0.97, respectively) and reasonable to good internal consistency (Cronbach α = .70-.83). The Lysholm score had a very strong correlation with the IKDC (r = 0.83, P<.01) and moderate correlation with the RAND-36 (r = 0.55, P<.01). The Tegner activity scale had moderate correlations with both the IKDC (r = 0.42, P<.01) and RAND-36 (r = 0.48, P<.01). Conclusion The psychometric performance of the Lysholm score and the Tegner activity scale as outcome measures for Dutch patients after ACL reconstruction is acceptable. J Orthop Sports Phys Ther 2016;46(11):976-983. Epub 28 Sep 2016. doi:10.2519/jospt.2016.6566.

Efficacy of extracorporeal shock wave therapy for knee tendinopathies and other soft tissue disorders: a meta-analysis of randomized controlled trials

“…The risk of performance bias was considered high in 14 [ 16 , 17 , 51 – 53 , 80 – 82 , 85 , 88 – 92 ] and 16 [ 16 , 17 , 51 – 53 , 80 – 83 , 85 , 86 , 88 – 92 ] RCTs because participants and therapists were not blinded, respectively. One RCT applied ESWT immediately after ACL reconstruction surgery under the same anesthesia [ 86 ], which enabled masking of the group allocation to the patients while standard postoperative rehabilitation was performed [ 93 ]; however, because of the lack of information about whether the patients were blinded for group allocation in this RCT, its risk of bias was considered unclear.…”

Responsiveness of the anterior cruciate ligament – Return to Sports after Injury (ACL-RSI) and Injury – Psychological Readiness to Return to Sport (I-PRRS) scales

“…Patients were asked to score the activity level before the injury (retrospectively), the current level of activity and the desired level of activity. The TAS is found valid and reliable for assessing activity level in individuals with an ACL injury (Eshuis, Lentjes, Tegner, Wolterbeek, & Veen, 2016).…”

Measurement properties of the German version of the IKDC subjective knee form (IKDC-SKF)

“…Strong correlations overall and for each subgroup (≥ 0.6) were expected between the IKDC-SKF and SF-12 (PCS-12) as well as IKDC-SKF and Lysholm Score [ 4 , 13 , 16 , 23 ]. Weak to moderate correlations (0.1–0.49) were expected between the IKDC-SKF and Tegner Activity Scale [ 3 , 6 ]. Furthermore, we expected correlations of 0.1–0.29 for the IKDC-SKF and SF-12 (MCS-12) [ 13 , 16 ].…”