01-12-2015 | Original Article
Reliability, validity, and responsiveness of the Japanese version of the Patient-Specific Functional Scale in patients with neck pain
Published in: European Spine Journal | Issue 12/2015
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Purpose
The aims of this study were to translate and culturally adapt the Patient-Specific Functional Scale (PSFS) and validate the Japanese version of the PSFS (PSFS-J) in outpatients with neck pain.
Methods
The PSFS was translated and adapted into Japanese in accordance with the published guidelines. A total of 103 outpatients with neck pain were recruited for this study. Psychometric evaluation included test–retest reliability, convergent validity by comparing the PSFS-J to the Neck Disability Index (NDI), patient’s global impression of change (PGIC), and responsiveness (unpaired t test, minimal detectable change).
Results
The intraclass correlation coefficient for test–retest reliability was 0.98 (95 % confidence interval = 0.95–0.99). The Pearson correlation coefficient with the NDI was −0.35. The Spearman correlation coefficient showed a strong relationship between the change score in the PSFS-J and PGIC (−0.70). The analysis of responsiveness was calculated with the unpaired t test showing a significant difference between the stable and improved patients (P < 0.01). The minimal detectable change was calculated as 0.64.
Conclusions
The Japanese version of the PSFS is a valid, reliable, and responsive instrument to assess Japanese outpatients with neck pain.