PMID- 32850240
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20200928
IS  - 2168-8184 (Print)
IS  - 2168-8184 (Electronic)
IS  - 2168-8184 (Linking)
VI  - 12
IP  - 7
DP  - 2020 Jul 24
TI  - Cross-Cultural Adaptation of the Greek Versions of the Lysholm Knee Scoring Scale 
      and Tegner Activity Scale.
PG  - e9372
LID - 10.7759/cureus.9372 [doi]
LID - e9372
AB  - Purpose The Lysholm Knee Scoring Scale (LKSS) and the Tegner Activity Scale (TAS) 
      are widely used instruments for assessing knee function and activity level in 
      various knee pathologies, especially knee ligament injuries. The purpose of this 
      study was to translate and cross-culturally adapt the Greek versions of the 
      Lysholm Knee Scoring Scale (Gr-LKSS) and Tegner Activity Scale (Gr-TAS) and 
      assess their reliability and validity in Greek patients suffering from various 
      knee problems. Materials and methods Translation of the LKSS and TAS 
      questionnaires was done according to established international guidelines. 
      Fifty-five patients (32 males and 23 females; mean age: 24 +/-7 years; range: 17-54 
      years) with various knee pathologies completed the Gr-LKSS and Gr-TAS along with 
      the Greek versions of International Knee Documentation Committee (IKDC) 
      Subjective Knee Evaluation Form, the Knee Outcome Survey Activities of Daily 
      Living Scale (KOS-ADLS) and the Oxford Knee Score (OKS). Test-retest reliability 
      was evaluated with the intraclass correlation coefficient (ICC) in 53 (96%) 
      individuals, who completed the questionnaires again after 48-72 hours while 
      abstaining from all forms of treatment. Internal consistency for the Gr-LKSS was 
      measured using Cronbach's alpha and criterion-related validity was evaluated with 
      the Pearson's correlation coefficient (r) in relation to control questionnaires 
      (IKDC, KOS-ADLS, OKS). The distribution of floor and ceiling effects were also 
      determined. Results There were no problems during the forward-backward 
      translation and cultural adaptation of the Gr-LKSS and Gr-TAS. Criterion-related 
      validity was confirmed with moderate to high associations of Gr-LKSS and Gr-TAS 
      (after injury) with the IKDC and KOS-ADLS (Pearson's r ranging between 0.61-0.71 
      and 0.64-0.73, respectively). However, weak correlations were yielded between 
      both questionnaires with the OKS (r=0.14-0.19). The internal consistency for 
      Gr-LKSS was high (Cronbach's alpha: 0.779) and the test-retest reliability was 
      high for both questionnaires (Gr-LKSS: ICC=0.950; Gr-TAS before and after injury: 
      ICCs of 0.877 and 0.876, respectively). Conclusion The cultural adaptation and 
      validity of Gr-LKSS and Gr-TAS were successfully accomplished. These 
      questionnaires are recommended for use in the evaluation of soft tissue knee 
      disorders in both clinical practice and research.
CI  - Copyright (c) 2020, Panagopoulos et al.
FAU - Panagopoulos, Andreas
AU  - Panagopoulos A
AD  - Orthopaedics, University of Patras Medical School, Patras, GRC.
FAU - Billis, Evdokia
AU  - Billis E
AD  - Physiotherapy, University of Patras School of Health Rehabilitation Sciences, 
      Patras, GRC.
FAU - Floros, Georgios-Rafail
AU  - Floros GR
AD  - Orthopaedics, University of Patras, Patras, GRC.
FAU - Stavropoulos, Theodoros
AU  - Stavropoulos T
AD  - Orthopaedics, Universtity of Patras, Patras, GRC.
FAU - Kaparounaki, Evangelia
AU  - Kaparounaki E
AD  - Orthopaedics, University of Patras, Patras, GRC.
FAU - Moucho, Markela
AU  - Moucho M
AD  - Physiotherapy, University of Patras School of Health Rehabilitation Sciences, 
      Patras, GRC.
FAU - Paskou, Athanasia
AU  - Paskou A
AD  - Physiotherapy, University of Patras School of Health Rehabilitation Sciences, 
      Patras, GRC.
FAU - Tegner, Yelverton
AU  - Tegner Y
AD  - Health Sciences, Lulea University of Technology, Lulea, SWE.
LA  - eng
PT  - Journal Article
DEP - 20200724
PL  - United States
TA  - Cureus
JT  - Cureus
JID - 101596737
PMC - PMC7444989
OTO - NOTNLM
OT  - cultural adaptation
OT  - greek language
OT  - lysholm score
OT  - outcome assessment
OT  - questionnaire
OT  - tegner activity scale
OT  - translation
OT  - validity
COIS- The authors have declared that no competing interests exist.
EDAT- 2020/08/28 06:00
MHDA- 2020/08/28 06:01
PMCR- 2020/07/24
CRDT- 2020/08/28 06:00
PHST- 2020/08/28 06:00 [entrez]
PHST- 2020/08/28 06:00 [pubmed]
PHST- 2020/08/28 06:01 [medline]
PHST- 2020/07/24 00:00 [pmc-release]
AID - 10.7759/cureus.9372 [doi]
PST - epublish
SO  - Cureus. 2020 Jul 24;12(7):e9372. doi: 10.7759/cureus.9372.