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

Abstract

Purpose To translate, cross-culturally adapt and validate the scale to Lithuanian. Methods The process of translation and cultural adaptation followed the recommendations of international guidelines. All included patients were after unilateral ACL reconstruction. Study participants completed Tegner Activity Scale, IKDC and ACL-RSI-Lt questionnaires. Reliability, construct validity and internal consistency were measured. Results Study included sixty-five patients after ACL reconstruction: mean age 25.55 ± 6.77, mean height 180.91 ± 11.78 cm, mean weight 79.12 ± 14.88 kg and mean BMI 24.01 ± 2.90. The ACL-RSI-Lt showed excellent internal consistency (Cronbanch’s alpha 0.94). Scale scores were correlated with IKDC score (r = 0.637, p < 0.001) and IKDC subscales (r = 0.530–0.581, p < 0.001) and Tegner activity score (r = 0.303–0.493, p < 0.001). Tegner activity score before injury was significantly higher than after ACLR (6.95 ± 1.49 vs. 6.1 ± 1.37, p < 0.001). Conclusions The ACL-RSI is successfully translated into Lithuanian (ACL-RSI-Lt). It is valid and reliable scale to evaluate the psychological impact of returning to sports in Lithuanian patients after ACLR surgery.

Translation, cross-cultural adaptation, and validation of the Italian version of the anterior cruciate ligament–return to sport after injury (ACL-RSI) scale and its integration into the K-STARTS test

“…The IKDC-SKF was developed to measure symptoms and limitations in daily activities and sports, and to only partially evaluate psychological factors related to returning to sports. The correlation between the ACL-RSI-It and IKDC-SKF was medium ( r = 0.41, p < 0.01); this result is similar to those seen for previously published translations into other languages [ 17 , 39 – 42 , 44 , 45 ].…”

“…The ACL-RSI-It showed excellent internal consistency (Cronbach’s α = 0.963) based on the correlation among the 12 items considered, and its α value was comparable to those of the other versions of the ACL-RSI in other languages: English (0.96) [ 20 ], Swedish (0.95) [ 38 ], French (0.96) [ 39 ], Dutch (0.94) [ 40 ], Turkish (0.86) [ 17 ], Chinese (0.94) [ 41 ], Lithuanian (0.94) [ 42 ], Spanish (0.9) [ 43 ], Japanese (0.91) [ 44 ], and Norwegian (0.95) [ 45 ]. Another Italian group validated an Italian version of the ACL-RSI during the period of the present study.…”

Cross-Cultural Adaptation and Validation of the Romanian Marx Activity Rating Scale for Anterior Cruciate Ligament Reconstruction

“…It is also not specific to ACL and does not take in consideration the anxiety of future trauma, such as the anterior cruciate ligament-return to sport after injury questionnaire (ACL-RSI). This is one of the most used instruments in evaluating the psychological readiness of athletes for returning to sport after ACL reconstruction [23]. This 12-item questionnaire is significantly longer and emphasizes a single dimension, although a shorter version has also been proposed [24].…”

“…It is focused on fear of reinjury, fear of repeating surgery, negative emotions, shifts in priority and individual personalities. While we acknowledge its usefulness, in our study we aimed to focus on an activity tool with wider applicability [23,24].…”

Eight-Months After Anterior Cruciate Ligament Reconstruction: Is It Time to Return to Physical Activity?

“…It evaluates emotions, performance and risk. Additionally, this questionnaire was translated and adapted into Lithuanian (Salatkaitė, Šiupšinskas, & Gudas, 2019). The FMS comprises seven fundamental movement patterns (deep squat, hurdle step, in-line lunge, shoulder mobility, active straight leg rise, trunk stability push-up, and rotary stability), which require balance between mobility and stability.…”