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BMC Musculoskeletal Disorders
Published in: BMC Musculoskeletal Disorders 1/2020

Open Access 01-12-2020 | Research article

Adaptation and psychometric evaluation of the simplified Chinese version of the identification of functional ankle instability questionnaire in Chinese-speaking patients with chronic ankle instability disorders

Authors: Wei Wang, Jun Sheng, Yinchao Tang, Qingyun Xie, Meng Wei, Zhiqiang Li, Wei Zheng

Published in: BMC Musculoskeletal Disorders | Issue 1/2020

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Abstract

Background

The aims of this study were to adapt the Identification of Functional Ankle Instability (IdFAI) questionnaire into a simplified Chinese version and to assess its reliability, validity, and responsiveness in Chinese-speaking patients with chronic ankle instability (CAI) disorders.

Methods

The simplified Chinese version of the IdFAI (SC-IdFAI) questionnaire was developed with a five-step procedure involving cross-cultural translation and adaptation. Three questionnaires, including the SC-IdFAI, Medical Outcomes Study Short-Form 36 (SF-36), and Foot and Ankle Ability Measure (FAAM), were administered to the recruited patients. Then, the Cronbach’s alpha value, intraclass correlation coefficient (ICC), standard error of measurement (SEM), minimal detectable change (MDC), Spearman’s correlation coefficient (rs), effect size (ES), and standardized response mean (SRM) were calculated to evaluate the reliability, validity, and responsiveness of the SC-IdFAI questionnaire.

Results

A total of 131, 119, and 86 patients with CAI successfully completed the first, second, and third rounds of the questionnaires, respectively. Good or excellent internal consistency and test–retest reliability were found for the overall scale and subscales of the SC-IdFAI questionnaire. The values for the SEM (1.346) and MDC (3.73) were low, indicating that small clinical changes can be detected by the SC-IdFAI questionnaire. The correlations of the SC-IdFAI with FAAM and SF-36 were generally in agreement with the a priori hypotheses (85%, 34/40), suggesting the SC-IdFAI questionnaire has good construct validity. Moreover, the results suggest that the SC-IdFAI (ES = 1.123 and SRM = 1.554) has an acceptable level of responsiveness.

Conclusion

The SC-IdFAI scale may be an effective tool, and it is responsive, reliable and valid for the assessment of Chinese patients suffering from CAI.
Literature
1.
Baumhauer JF, O’ Brien T. Surgical considerations in the treatment of ankle instability. J Athl Train. 2002;37(4):458–62.PubMedPubMedCentral
2.
Jackson W, McGarvey W. Update on the treatment of chronic ankle instability and syndesmotic injuries. Ankle and foot. Curr Opin Orthopedics. 2006;17(2):97–102.CrossRef
3.
Thompson C, Schabrun S, Romero R, Bialocerkowski A, van Dieen J, Marshall P. Factors contributing to chronic ankle instability: a systematic review and meta-analysis of systematic reviews. Sports Med. 2018;48:189–205.PubMedCrossRef
4.
Arnold BL, De La Motte S, Linens S, Ross SE. Ankle instability is associated with balance impairments: a meta-analysis. Med Sci Sports Exerc. 2009;41(5):1048e1062.CrossRef
5.
Verhagen RA, de Keizer G, van Dijk CN. Long-term followup of inversion trauma of the ankle. Arch Orthopaedic Trauma Surg. 1995;114(2):92–6.CrossRef
6.
Guillemin F, Bombardier C, Beaton D. Cross-cultural adaptation of health-related quality of life measures: literature review and proposed guidelines. J Clin Epidemiol. 1993;46:1417–32.PubMedCrossRef
7.
Guyatt GH, Feeny DH, Patrick DL. Measuring healthrelated quality of life. Ann Intern Med. 1993;118(8):622–9.PubMedCrossRef
8.
De Noronha M, Refshauge KM, Kilbreath SL, Figueiredo VG. Cross-cultural adaptation of the Brazilian-Portuguese version of the Cumberland ankle instability tool (CAIT). Disabil Rehabil. 2008;30(26):1959–65.PubMedCrossRef
9.
Kirkley A, Griffin S, McLintock H, et al. The development and evaluation of a disease-specific quality of life measurement tool for shoulder instability. The Western Ontario shoulder instability index (WOSI). Am J Sports Med. 1998;26:764–72.PubMedCrossRef
10.
Martin RL, Irrgang JJ, Burdett RG, et al. Evidence of validity for the foot and ankle ability measure (FAAM). Foot Ankle Int. 2005;26:968–83.PubMedCrossRef
11.
Martinez BR, Lopes Sauers AD, Ferreira CL, de Castro LL, Gama Turchetto PC, Docherty CL, Yi LC. Translation, cross-cultural adaptation, and measurement properties of the Brazilian version of the identification of functional ankle instability (IdFAI) questionnaire. Phys Ther Sport. 2018;29:1–8.PubMedCrossRef
12.
Yeung MS, Chan KM, So CH, Yuan WY. An epidemiological survey on ankle sprain. Brit J Sport Med. 1994;28(2):112–6.CrossRef
13.
Mineta S, Inami T, Fukano M, Hoshiba T, Masuda Y, Yoshimura A, Kumai T, Hirose N. The reliability, and discriminative ability of the identification of functional ankle instability questionnaire, Japanese version. Phys Ther Sport. 2019;35:1–6.PubMedCrossRef
14.
Donahue M, Simon J, Docherty CL. Reliability and validity of a new questionnaire created to establish the presence of functional ankle instability: the IdFAI. Athl Train Sports Health Care. 2013;5:38–43.CrossRef
15.
Kunugi S, Masunari A, Noh B, Mori T, Yoshida N, Miyakawa S. Cross-cultural adaptation, reliability, and validity of the Japanese version of the Cumberland ankle instability tool. Disabil Rehabil. 2017;39(1):50–8.PubMedCrossRef
16.
Freedman KB, Back S, Bernstein J. Sample size and statistical power of randomized, controlled trials in orthopaedics. J Bone Joint Surg Br. 2001;83:397–402.PubMedCrossRef
17.
18.
Zheng W, Li J, Zhao J, Liu D, Weidong X. Development of a valid simplified Chinese version of the Oxford hip score in patients with hip osteoarthritis. Clin OrthopRelat Res. 2014;472:1545–51.CrossRef
19.
Mohamadi S, Dadgoo M, Ebrahimi I, Salavati M, Saeedi A, Valiollahi B. Translation, cross-cultural adaptation, reliability, and validity of the identification of functional ankle instability questionnaire in Persian speaking participants with a history of ankle sprain. Disabil Rehabil. 2019;41(16):1931–6.PubMedCrossRef
20.
Ko J, Rosen AB, Brown CN. Cross-cultural adaptation, reliability, and validation of the Korean version of the identification functional ankle instability (IdFAI). DisabilRehabil. 2018;40(26):3185–90.
21.
Fennig CD, Simons GF, Lewis MP, editors. Ethnologue: languages of Asia. 18th ed. Dallas: SIL International; 2015.
22.
23.
Beaton DE, Bombardier C, Guillemin F, Ferraz MB. Guidelines for the process of cross-cultural adaptation of selfreport measures. Spine. 2000;25:3186–91.PubMedCrossRef
24.
Terwee CB, Bot SD, de Boer MR, van der Windt DA, Knol DL, Dekker J, Bouter LM, de Vet HC. Quality criteria were proposed for measurement properties of health status questionnaires. J Clin Epidemiol. 2007;60:34–42.PubMedCrossRef
25.
Carcia CR, Martin RL, Drouin JM. Validity of the foot and ankle ability measure in athletes with chronic ankle instability. J Athl Train. 2008;43(2):179–83.PubMedPubMedCentralCrossRef
26.
Brazier JE, Harper R, Jones NM, O’Cathain A, Thomas KJ, Usherwood T, et al. Validating the SF-36 health survey questionnaire: new outcome measure for primary care. BMJ. 1992;305:160–4.PubMedPubMedCentralCrossRef
27.
González-Sánchez M, Li GZ, Ruiz Muñoz M, Cuesta-Vargas AI. Foot and ankle ability measure to measure functional limitations in patients with foot and ankle disorders: a Chinese cross-cultural adaptation and validation. DisabilRehabil. 2017;39(21):2182–9.
28.
Li L, Wang HM, Shen Y. Chinese SF-36 health survey: translation, cultural adaptation, validation, and normalisation. J Epidemiol Community Health. 2003;57:259–63.PubMedPubMedCentralCrossRef
29.
Mokkink LB, Terwee CB, Patrick DL, Alonso J, Stratford PW, Knol DL, Bouter LM, de Vet HC. The COSMIN study reached international consensus on taxonomy, terminology, and definitions of measurement properties for health-related patient-reported outcomes. J Clin Epidemiol. 2010;63(7):737–45.PubMedCrossRef
30.
Eechaute C, Vaes P, Van Aerschot L, Asman S, Duquet W. The clinimetric qualities of patient-assessed instruments for measuring chronic ankle instability: a systematic review. BMC MusculoskeletDisord. 2007;8:6.CrossRef
31.
Lohr KN, Aaronson NK, Alonso J, Burnam MA, Patrick DL, Perrin EB, Roberts JS. Evaluating quality-of-life and health status instruments: development of scientific review criteria. Clin Ther. 1996;18(5):979–92.PubMedCrossRef
32.
Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics. 1977;33(1):159–74.PubMedCrossRef
33.
Tak I, Tijssen M, Schamp T, Sierevelt I, Thorborg K, Kerkhoffs G, Stubbe J, van Beijsterveldt AM, Haverkamp D. The Dutch hip and groin outcome score: cross-cultural adaptation and validation according to the COSMIN checklist. J Orthop Sports Phys Ther. 2018;48(4):299–306.PubMedCrossRef
34.
Weir JP. Quantifying test-retest reliability using the intraclass correlation coefficient and the SEM. J Strength Cond Res. 2005;19(1):231–40.PubMed
35.
Bland JM, Altman DG. Measuring agreement in method comparison studies. Stat Methods Med Res. 1999;8:135–60.PubMedCrossRef
36.
Mokkink LB, Terwee CB, Knol DL, Stratford PW, Alonso J, Patrick DL, Bouter LM, de Vet HC. The COSMIN checklist for evaluating the methodological quality of studies on measurement properties: a clarification of its content. BMC Med Res Methodol. 2010;10:22.PubMedPubMedCentralCrossRef
37.
Coste J, Fermanian J, Venot A. Methodological and statistical problems in the construction of composite measurement scales: a survey of six medical and epidemiological journals. Stat Med. 1995;14:331–45.PubMedCrossRef
38.
Wang W, Liu L, Chang X, Jia ZY, Zhao JZ, Xu WD. Cross-cultural translation of the Lysholm knee score in Chinese and its validation in patients with anterior cruciate ligament injury. BMC Musculoskelet Disord. 2016;17(1):436.PubMedPubMedCentralCrossRef
39.
Hall EA, Docherty CL, Simon J, Kingma JJ, Klossner JC. Strength-training protocols to improve deficits in participants with chronic ankle instability: a randomized controlled trial. J Athl Train. 2015;50(1):36–44.PubMedPubMedCentralCrossRef
40.
Smith BI, Docherty CL, Simon J, Klossner J, Schrader J. Ankle strength and force sense after a progressive, 6-week strength-training program in people with functional ankle instability. J Athl Train. 2012;47(3):282–8.PubMedPubMedCentralCrossRef
41.
Hoch MC, Gaven SL, Weinhandl JT. Kinematic predictors of star excursion balance test performance in individuals with chronic ankle instability. Clin Biomech (Bristol, Avon). 2016;35:37–41.CrossRef
42.
Terrier R, Degache F, Fourchet F, Gojanovic B, Forestier N. Assessment of evertor weakness in patients with chronic ankle instability: Functional versus isokinetic testing. Clin Biomech (Bristol, Avon). 2017;41:54–9.CrossRef
43.
Husted JA, Cook RJ, Farewell VT, Gladman D. Methods for assessing responsiveness: a critical review and recommendations. J Clin Epidemiol. 2000;53:459–68.PubMedCrossRef
44.
Cohen J. Applied multiple regression/correlation analysis for the behavioral sciences. Hillsdale: Lawrence Erlbaum Associates; 1983.
45.
Hershkovich O, Tenenbaum S, Gordon B, Bruck N, Thein R, Derazne E, Tzur D, Shamiss A, Afek A. A large-scale study on epidemiology and risk factors for chronic ankle instability in young adults. J Foot Ankle Surg. 2015;54(2):183–7.PubMedCrossRef
Metadata
Title
Adaptation and psychometric evaluation of the simplified Chinese version of the identification of functional ankle instability questionnaire in Chinese-speaking patients with chronic ankle instability disorders
Authors
Wei Wang
Jun Sheng
Yinchao Tang
Qingyun Xie
Meng Wei
Zhiqiang Li
Wei Zheng
Publication date
01-12-2020
Publisher
BioMed Central
Published in
BMC Musculoskeletal Disorders / Issue 1/2020
Electronic ISSN: 1471-2474
DOI
https://doi.org/10.1186/s12891-020-03314-1

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