Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
BMC Sports Science, Medicine and Rehabilitation
Published in: BMC Sports Science, Medicine and Rehabilitation 1/2016

Open Access 01-12-2016 | Research article

Development of the Brazilian Portuguese version of the Achilles Tendon Total Rupture Score (ATRS BrP): a cross-cultural adaptation with reliability and construct validity evaluation

Authors: Roberto Zambelli, Rafael Z. Pinto, João Murilo Brandão Magalhães, Fernando Araujo Silva Lopes, Rodrigo Simões Castilho, Daniel Baumfeld, Thiago Ribeiro Teles dos Santos, Nicola Maffulli

Published in: BMC Sports Science, Medicine and Rehabilitation | Issue 1/2016

Login to get access

Abstract

Background

There is a need for a patient-relevant instrument to evaluate outcome after treatment in patients with a total Achilles tendon rupture. The purpose of this study was to undertake a cross-cultural adaptation of the Achilles Tendon Total Rupture Score (ATRS) into Brazilian Portuguese, determining the test-retest reliability and construct validity of the instrument.

Methods

A five-step approach was used in the cross-cultural adaptation process: initial translation (two bilingual Brazilian translators), synthesis of translation, back-translation (two native English language translators), consensus version and evaluation (expert committee), and testing phase. A total of 46 patients were recruited to evaluate the test-retest reproducibility and construct validity of the Brazilian Portuguese version of the ATRS. Test-retest reproducibility was performed by assessing each participant on two separate occasions. The construct validity was determined by the correlation index between the ATRS and the Orthopedic American Foot and Ankle Society (AOFAS) questionnaires.

Results

The final version of the Brazilian Portuguese ATRS had the same number of questions as the original ATRS. For the reliability analysis, an ICC(2,1) of 0.93 (95 % CI: 0.88 to 0.96) with SEM of 1.56 points and MDC of 4.32 was observed, indicating excellent reliability. The construct validity showed excellent correlation with R = 0.76 (95 % CI: 0.52 to 0.89, P < 0.001).

Conclusion

The ATRS was successfully cross-culturally validated into Brazilian Portuguese. This version was a reliable and valid measure of function in patients who suffered complete rupture of the Achilles Tendon.
Appendix
Available only for authorised users
Literature
1.
2.
3.
Ibrahim T, Beiri A, Azzabi M, Best AJ, Taylor GJ, Menon DK. Reliability and Validity of the Subjective Component of the American Orthopaedic Foot and Ankle Society Clinical Rating Scales. J Foot Ankle Surg. 2007;46(2):65–74.CrossRefPubMed
4.
Beaton D, Bombardier C, Guillemin F, Ferraz MB. Guidelines for the Process of Cross-Cultural Adaptation of Self-Report Measures. Spine. 2000;25(24):3186–91.CrossRefPubMed
5.
Taylor MK, Pietrobon R, Menezes A, Olson SA, Pan D, Bathia N, Vellis RF, Kume P, Higgins LD. Cross-Cultural Adaptation and Validation of the Brazilian Portuguese Version of the Short Musculoskeletal Function Assessment Questionnaire: The SMFA-BR. J Bone Joint Surg Am. 2005;87(4):788–94.CrossRefPubMed
6.
7.
Lantto I, Heikkinen J, Flinkkilä T, Ohtonen P, Leppilahti J. Epidemiology of Achilles tendon ruptures: Increasing incidence over a 33-year period. Scand J Med Sci Sports. 2015;25:e133–8.CrossRefPubMed
8.
Suchak AA, Bostick G, Reid D, Blitz S, Jomha N. The incidence of Achilles tendon rupture in Edmonton. Canada Foot Ankle Int. 2005;26(11):932–6.PubMed
9.
Gwynne-Jones DP, Sims M, Handcock D. Epidemiology and outcomes of acute Achilles tendon rupture with operative or nonoperative treatment using an identical functional bracing protocol. Foot Ankle Int. 2011;32(4):337–43. doi:10.​3113/​FAI.​2011.​0337.CrossRefPubMed
10.
Helander KN, Thomee R, Silbernagel KG, Thomee P, Faxen E, Eriksson BI, Karlsson J. The Achilles tendon Total Rupture Score (ARTS). Am J Sports Med. 2007;35(3):421–7.CrossRef
11.
Mattila VM, Huttunen TT, Haapasalo H, et al. Declining incidence of surgery for Achilles tendon rupture follows publication of major RCTs: evidence-influenced change evident using the Finnish registry study. Br J Sports Med. 2015;49:1084–6.CrossRefPubMed
12.
13.
14.
15.
16.
Carmont MR, Silbernagel KG, Nilsson-Helander K, Mei-Dan O, Karlsson J, Maffulli N. Cross cultural adaptation of the Achilles tendon Total Rupture Score with reliability, validity and responsiveness evaluation. Knee Surg Sports Traumatol Arthrosc. 2013;21(6):1356–60. doi:10.​1007/​s00167-012-2146-8.CrossRefPubMed
17.
Kearney RS, Achten J, Lamb SE, Parsons N, Costa ML. The Achilles tendon total rupture score: a study of responsiveness, internal consistency and convergent validity on patients with acute Achilles tendon ruptures. Health Qual Life Outcomes. 2012. doi:10.​1186/​1477-7525-10-24.PubMedPubMedCentral
18.
Hendrieson WD, Russel IJ, Prihoda TJ, Jacobson JM, Rogan A, Bishop GD, Castillo R. Development and initial validation of a dual-language English-Spanish format for the arthritis impact measurement scales. Arthritis Rheum. 1989;32(9):1153–9.CrossRef
19.
Ferreira AFB, Laurindo IMM, Rodrigues PT, Ferraz MB, Kowalski SC, Tanaka C. Brazilian Version of the foot health status questionnaire (FHSQ-BR): Cross-cultural adaptation and evaluation of measurement properties. Clinics. 2008;63(5):595–600.CrossRefPubMedPubMedCentral
20.
Shumaker S, Berzon R. The International Assessment of Health-Related Quality of Life: Theory, Translation, Measurement and Analysis. Oxford: Rapid Communication of Oxford; 1995.
21.
Portney LG, Watkins MP. Foundations of clinical research applications to practice. New Jersey: Prentice-Hal; 2000.
22.
Rohner-Spengler M, Mannion AF, Babst R. Reliability and minimal detectable change for the figure-of-eight-20 method of measurement of ankle edema. J Orthop Sports Phys Ther. 2007;37:199–205.CrossRefPubMed
23.
24.
Fleiss JL. The design and analysis of clinical experiments. New York: Wiley; 1986.
25.
Walter SD, Eliasziw M, Donner A. Sample size and optimal designs for reliability studies. Stat Med. 1998;17(1):101–10.CrossRefPubMed
Metadata
Title
Development of the Brazilian Portuguese version of the Achilles Tendon Total Rupture Score (ATRS BrP): a cross-cultural adaptation with reliability and construct validity evaluation
Authors
Roberto Zambelli
Rafael Z. Pinto
João Murilo Brandão Magalhães
Fernando Araujo Silva Lopes
Rodrigo Simões Castilho
Daniel Baumfeld
Thiago Ribeiro Teles dos Santos
Nicola Maffulli
Publication date
01-12-2016
Publisher
BioMed Central
Published in
BMC Sports Science, Medicine and Rehabilitation / Issue 1/2016
Electronic ISSN: 2052-1847
DOI
https://doi.org/10.1186/s13102-016-0034-0

Other articles of this Issue 1/2016

BMC Sports Science, Medicine and Rehabilitation 1/2016 Go to the issue

Research article

The association between generalized joint hypermobility and active horizontal shoulder abduction in 10–15 year old competitive swimmers

Research article

Pedometer use and self-determined motivation for walking in a cardiac telerehabilitation program: a qualitative study

Research article

A systematic review of financial incentives given in the healthcare setting; do they effectively improve physical activity levels?

Research article

Physical inactivity among physiotherapy undergraduates: exploring the knowledge-practice gap

Research article

Pre-pubertal males practising Taekwondo exhibit favourable postural and neuromuscular performance

Technical advance

Criterion validity and reliability of a smartphone delivered sub-maximal fitness test for people with type 2 diabetes