Cross-cultural Adaptation and Measurement Properties of an Italian Version of the Western Ontario Shoulder Instability Index (WOSI)

被引：32

作者：

Cacchio, Angelo ^{[1
]}

Paoloni, Marco ^{[2
]}

Griffin, Sharon H. ^{[3
]}

Rosa, Francesco ^{[4
,5
]}

Properzi, Gianfranco ^{[1
]}

Padua, Luca ^{[6
,7
]}

Padua, Roberto ^{[7
]}

Carnelli, Franco ^{[5
]}

Calvisi, Vittorio ^{[4
]}

Santilli, Valter ^{[2
]}

机构：

[1] Univ Aquila, Sch Med, Dept Hlth Sci Phys & Rehabil Med, I-67100 Laquila, Italy

[2] Sapienza Univ Rome, Sch Med, Dept Phys & Rehabil Med, Rome, Italy

[3] Univ Western Ontario, Ctr 3M, Fowler Kennedy Sport Med Clin, London, ON, Canada

[4] Univ Aquila, Sch Med, Dept Hlth Sci, I-67100 Laquila, Italy

[5] IRCCS Multimed, Milan, Italy

[6] Univ Cattolica Sacro Cuore, Inst Neurol, Dept Neurosci, Rome, Italy

[7] Don Carlo Gnocchi Onlus Fdn, Milan, Italy

来源：

JOURNAL OF ORTHOPAEDIC & SPORTS PHYSICAL THERAPY | 2012年 / 42卷 / 06期

关键词：

outcome measures; shoulder dislocation; shoulder questionnaire; HEALTH-STATUS MEASURES; CLINICALLY IMPORTANT DIFFERENCE; ANTERIOR DISLOCATION; BACK-PAIN; RESPONSIVENESS; VALIDATION; SF-36; QUESTIONNAIRE; RELIABILITY; DISABILITY;

D O I：

10.2519/jospt.2012.3827

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

STUDY DESIGN: Clinical measurement study. OBJECTIVES: To translate and cross-culturally adapt the Western Ontario Shoulder Instability Index (WOSI) into Italian, and to evaluate its measurement properties in patients with shoulder instability secondary to a first-time traumatic anterior dislocation. BACKGROUND: The WOSI was developed for English-speaking patients. To date, no Italian version of the WOSI exists. METHODS: The WOSI was cross-culturally adapted to Italian according to established guidelines. Sixty-four (16 women, 48 men) patients with unilateral shoulder anterior instability were prospectively recruited for the purposes of this study. Internal consistency, test-retest reliability, construct validity, and responsiveness of the WOSI were evaluated. RESULTS: The Italian version of the WOSI showed a high degree of internal consistency, with a Cronbach alpha of .93 (95% confidence interval [CI]: 0.91, 0.96). The test-retest reliability was high for both short-term (3 days, 64 patients) and medium-term (14 weeks, 20 patients) test-retest, with intraclass correlation coefficients of 0.95 (95% CI: 0.90, 0.97) and 0.92 (95% CI: 0.89, 0.95), respectively. The WOSI was more closely correlated to the Disabilities of the Arm, Shoulder and Hand questionnaire than to the Medical Outcomes Study 36-Item Short-Form Health Survey (r = 0.794 and 0.113, respectively). The receiver-operating-characteristic curve analysis revealed that the WOSI was more responsive than the Disabilities of the Arm, Shoulder and Hand questionnaire (P =. 03), with an area under the curve of 0.90 (95% CI: 0.78, 0.97) for the WOSI and 0.76 (95% CI: 0.61, 0.88) for the Disabilities of the Arm, Shoulder and Hand questionnaire. CONCLUSION: The Italian version of the WOSI is a valid, reliable, and responsive tool that can be used to measure function in Italian-speaking patients with shoulder instability due to a first-time traumatic anterior dislocation. J Orthop Sports Phys Ther 2012;42(6):559-567, Epub 8 March 2012. doi:10.2519/jospt.2012.3827

引用

页码：559 / 567

页数：9

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