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Journal of Orthopaedic Surgery and Research
Published in: Journal of Orthopaedic Surgery and Research 1/2019

Open Access 01-12-2019 | Shoulder Instability | Research article

Translation and validation of a Hebrew version of the Western Ontario Shoulder Instability index

Authors: Uri Gottlieb, Shmuel Springer

Published in: Journal of Orthopaedic Surgery and Research | Issue 1/2019

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Abstract

Background

The Western Ontario Shoulder Instability index (WOSI) is a questionnaire designed to measure health-related quality of life in patients with shoulder instability. The aim of the current study was to translate the WOSI into Hebrew and assess its psychometric properties.

Methods

The WOSI was translated into Hebrew according to World Health Organization guidelines. Twenty-five patients completed the WOSI and the Disabilities of Arm, Shoulder, and Hand (DASH) questionnaire 2 weeks and 2 months after surgical shoulder stabilization. Internal consistency (Cronbach’s α), criterion validity (Pearson’s correlation coefficient with DASH), responsiveness, and floor and ceiling effects were assessed.

Results

Cronbach’s α was 0.88–0.95 for total WOSI (range 0.68–0.95 for different sections). Strong correlation with DASH score (r = 0.76–0.84) indicated good criterion validity. Changes between baseline and follow-up for WOSI and DASH scores were moderately correlated (r = 0.68), suggesting moderate responsiveness. Some items demonstrated floor and ceiling effects, especially at baseline, but no floor or ceiling effects were observed for total WOSI or for the WOSI sections.

Conclusions

The results of the current study demonstrate that the Hebrew version of the WOSI is a valid instrument that can be used to assess disability in patients with shoulder instability. Additional studies are warranted to assess its psychometric properties among various subpopulations.

Trial registration

The study was pre-registered at the ClinicalTrials.gov website, registration number NCT02978365.
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Metadata
Title
Translation and validation of a Hebrew version of the Western Ontario Shoulder Instability index
Authors
Uri Gottlieb
Shmuel Springer
Publication date
01-12-2019
Publisher
BioMed Central
Published in
Journal of Orthopaedic Surgery and Research / Issue 1/2019
Electronic ISSN: 1749-799X
DOI
https://doi.org/10.1186/s13018-019-1289-4

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