Psychometric properties of the Spanish version of the Cumberland Ankle Instability Tool

Rodríguez-Fernández, Ángel Luis; Rebollo-Roldán, Jesús; Jiménez‐Rejano, José‐Jesús; Güeita‐Rodríguez, Javier

doi:10.3109/09638288.2014.984879

Cited by 17 publications

(10 citation statements)

References 28 publications

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“…Evaluation of content validity by a structured analytic method [25] added to the psychometric properties of CAIT, as to our knowledge this is reported first time since most of previous studies used floor and ceiling effects to examine this form of validity. [7, 9, 11, 13] The results also confirmed our hypothesis regarding the convergent validity of CAIT-Arab with the LEFS [26] scores presenting a moderate correlation as previously reported, probably because of a ceiling effect with the LEFS. [5] The ceiling effect of LEFS has been attributed to its insufficient sensitivity to identify problems related with CAI, as most of the tasks included in the scale are not sufficiently challenging for the lower leg.…”

Section: Discussionsupporting

confidence: 89%

Cross-cultural adaptation and psychometric properties’ evaluation of the modern standard Arabic version of Cumberland Ankle Instability Tool (CAIT) in professional athletes

et al. 2019

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Purpose To cross-culturally adapt the Cumberland Ankle Instability Tool into modern standard Arabic and to assess its psychometric properties. Method Cross-cultural adaptation followed a combination of guidelines and for psychometric evaluation a sample of 107 athletes as recruited. All recommended measurement properties by the Consensus-based Standards for the selection of health status Measurement Instruments were evaluated, including face, structural, convergent, and discriminant validity; reproducibility; distribution-based responsiveness, and interpretability. We also used a structured content analytic method to evaluate content validity. Results The tool presented excellent internal consistency (α = 0.92) and reliability (ICC 0.75–0.98), and good convergent validity compared with Lower Extremity Functional Scale (ρ = 0.67). For reproducibility testing: Minimal detectable change ranged from 0.41 to 6.0 points; for responsiveness assessment: the effect sizes were large (Glass’ Δ range 2.03–2.08, Cohen’s d range 2.22 to 2.53) and the Area under the Curve was 0.869. Its unidimensionality was proved by a 1-factor solution explaining 63.8% of the variance. Conclusion The Arabic version of Cumberland Ankle Instability Tool presented acceptable psychometric properties comparable to the original version. The questionnaire is understood across most of the Arabic speaking world and can be used in research and clinical practice to assess patients suffering from chronic ankle instability.

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Section: Discussionsupporting

confidence: 89%

Cross-cultural adaptation and psychometric properties’ evaluation of the modern standard Arabic version of Cumberland Ankle Instability Tool (CAIT) in professional athletes

et al. 2019

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“…The results showed a Cronbach’s α of 0.86, concluding the internal consistency was similar to other studies validating the CAIT, ranging from 0.77 to 0.88 [ 4 , 6 , 13 , 18 ]. As this was not highly correlated (Cronbach’s α 0.95), there is a low risk of items being redundant.…”

Section: Discussionsupporting

confidence: 84%

“…However, in the case of an individual measurement, the MDC was low (7.6 % of the maximal score), at a group level, only one point in score change is needed to indicate a change in patient complaints. No harmful effects by means of a ceiling and/or floor effects were shown in this study or previous studies [ 4 , 6 , 18 ].…”

Section: Discussionsupporting

confidence: 56%

The Cumberland Ankle Instability Tool (CAIT) in the Dutch population with and without complaints of ankle instability

Vuurberg

Kluit

Dijk

2016

Knee Surg Sports Traumatol Arthrosc

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PurposeTo develop a translated Dutch version of the Cumberland Ankle Instability Tool (CAIT) and test its psychometric properties in a Dutch population with foot and ankle complaints.MethodsThe CAIT was translated into the Dutch language using a forward–backward translation design. Of the 130 subsequent patients visiting the outpatient clinic for foot and ankle complaints who were asked to fill out a questionnaire containing the CAIT, the Foot and Ankle Outcome Score (FAOS), and the numeric rating scale (NRS) pain, 98 completed the questionnaire. After a 1-week period, patients were asked to fill out a second questionnaire online containing the CAIT and NRS pain. This second questionnaire was completed by 70 patients. With these data, the construct validity, test–retest reliability, internal consistency, measurement error, and ceiling and floor effects were assessed. Additionally, a cut-off value to discriminate between stable and unstable ankles, in patients with ankle complaints, was calculated.ResultsConstruct validity showed moderate correlations between the CAIT and FAOS subscales (Spearman’s correlation coefficient (SCC) = 0.36–0.43), and the NRS pain (SCC = −0.55). The cut-off value was found at 11.5 points of the total CAIT score (range 0–30). Test–retest reliability showed to be excellent with an intraclass correlation coefficient of 0.94. Internal consistency was high (Cronbach’s α = 0.86). No ceiling or floor effects were detected.ConclusionBased on the results, the Dutch version of the CAIT is a valid and reliable questionnaire to assess ankle instability in the Dutch population and is able to differentiate between a functionally unstable and stable ankle. The tool is the first suitable tool to objectify the severity of ankle instability specific complaints and assess change in the Dutch population. Level of evidence II.

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“…All subjects met the following inclusion criteria: (1) >18 years and (2) body mass index ≤30. Subjects from the FAI group met the following specific criteria: (1) at least one inversion ankle sprain with more than one day of interruption of physical activity or which needed weight‐bearing rest, (2) the last ankle sprain must have occurred at least 3 months prior to the study, (3) a score on the Spanish version of the Cumberland Ankle Instability Tool (CAIT‐Sv) [51,52] of ≤ 24, (4) a history of at least one giving‐way episode in the past 6 months, and (5) negative talar tilt test and anterior drawer test.…”

Section: Methodsmentioning

confidence: 99%

“…These inclusion and exclusion criteria were adapted from the consensus statement of Gribble et al [11]. The CAIT‐Sv had high levels of reliability, internal consistency and construct validity to use for research purposes [52]. The investigation was approved by the Experimentation Ethics Committee of the institution, and all participants signed the corresponding written informed consent form.…”

Section: Methodsmentioning

confidence: 99%

Strength‐Duration Curves of the Common Fibular Nerve Show Hypoexcitability in People With Functional Ankle Instability

Rodríguez-Fernández

Rebollo-Roldán

Jiménez‐Rejano

et al. 2015

PM&R

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Psychometric properties of the Spanish version of the Cumberland Ankle Instability Tool

Cited by 17 publications

References 28 publications

Cross-cultural adaptation and psychometric properties’ evaluation of the modern standard Arabic version of Cumberland Ankle Instability Tool (CAIT) in professional athletes

Cross-cultural adaptation and psychometric properties’ evaluation of the modern standard Arabic version of Cumberland Ankle Instability Tool (CAIT) in professional athletes

The Cumberland Ankle Instability Tool (CAIT) in the Dutch population with and without complaints of ankle instability

Strength‐Duration Curves of the Common Fibular Nerve Show Hypoexcitability in People With Functional Ankle Instability

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