acl injury in arabic

ACL injuries are one of the most common types of knee injuries, accounting for around 40% of all sports injuries. The LEFS was administered during the initial assessment, 24 to 48 hours following the initial assessment, and then at weekly intervals for 4 weeks. Purpose: To examine the measurement properties of the 15-item Arabic Lower Extremity Functional Scale (LEFS-Ar) in patients with lower extremity musculoskeletal disorders uate its psychometric properties in a cohort with an ACL injury. —Floyd J. Calvin, Pittsburgh Courier, 1931 1 1Floyd J. Calvin, “Rogers Back in U.S. with Startling Facts on Suppressed Race History: Says He Has Positive Proof That Christ Was a Negro,” Pittsburgh Courier, 31 October 1931. musculoskeletal disorders in the lower extremity. A type 2,1 intraclass correlation coefficient was used to estimate test-retest reliability. Many ACL tears we see only have problems ascending stairs, jogging, or walking downhill but can walk up hills and on flat roads without an increase in pain. ACL injured patients scored sig-, For contrasted-groups validity testing, Kruskal-Wallis test showed significant differences, stage, with a median score of 25.0 for “early”, 53.0 for “intermediate”, and 72.0 for “advanced”, internal consistency was 0.965, and the Cronbach alpha if item deleted (for each item) varied, total was 0.98 with the 95% confidence interval (CI) of 0.98 to, 0.99. The area, managed by long-term landlord The Howard de Walden Estate, brings together a community of world-renowned medical professionals. activity limitation due to lower extremity dysfunction). An anterior cruciate ligament (ACL) tear is an injury of the knee joint, and it usually happens while playing sports. A total of 160 patients with lower extremity dysfunctions participated in this study. Relative to each item of the questionnaire ceiling and, floor effects were considered to have occurred if at least 75% of the patients. Assess Health Care. The ACL prevents the femur from moving forwards during weight bearing. Domestic policy borrowing is of theoretical interest to the field of comparative education because it demands exploration of reciprocal cross-school attraction, a phenomenon that does not have much relevance at an international scale. J Orthop Sports Phys Ther. Terwee CB, Bot SDM, de Boer MR, van der Windt DAWM, Knol DL, https://doi.org/10.1016/j.jclinepi.2006.03.012. To register for your free visit, click here. tment. Recently, an Arabic version, suggested formal testing of the measurement properties of the tool before administration in, patients from different Arabic countries. Conclusion: Educ Psychol Meas. Results from his own empirical work using this model will be reported at a later date. An ACL injury is the overstretching or tearing of the ACL ligament. ACL rehabilitation progression criteria. The Cronbach’s alpha coefficient was employed to assess the internal consistency. Known groups validity and group differences were calculated using the Kruskal-Wallis test, with post hoc comparisons using the Mann-Whitney, multiple testing, resulting from the formula, dom effects model Intraclass Correlation Coefficient, type agreement (ICC, atic differences are considered to be part of the measurement error. © 2008-2021 ResearchGate GmbH. and a written report documenting the synthesis process. [, To aid in interpreting scores on LEFS-MSAr: a) normative scores of healthy, and “at risk” for an ACL injury individuals were presented, b) the, population of post-operative and conservatively managed patients was, divided into three groups (early, intermediate, and advanced) by the treating, physiotherapists using strict functional objective criteria (, individual scores were presented and compared to their group/functional, status, and c) we compared the scores of patients between two time points, following treatment of known efficacy. Methods: Materials and Methods: Patients with lower extremity musculoskeletal disorders (N = 116) completed the 15-item LEFS-Ar, Global Assessment of Function, RAND 36-item Health Survey, and Numeric Pain Rating Scale. 2010; 19(4):539–49. Qual Life Res. Qual Life Res. Thomas, Liji. Concurrent validity as assessed using the Schepsis score was almost perfect (rho = 0.947, P<.001). Content, https://doi.org/10.1371/journal.pone.0217791.t003, ACL patients–LEFS first assessment (n = 50), ACL patients–LEFS second assessment (n = 50), Convergent validity was assessed using IKDC as comparator in the Arabic version, while in the original version the, Abbreviations: LEFS, lower extremity functional scale; ACL, anterior cruciate ligament injury; ADL, Activities of, daily living; ICC, intraclass correlation coefficient; SEM, standard error of measurement; ES, effect size; SD, standard. Known group validity was demonstrated by significant differences between patients compared with the asymptomatic groups (P<.001). The 20-item questionnaire inquires as to the degree of difficulty of performance of, each of these activities on a 5-point Likert scale and a score of 80 represents an individual with, Despite that the number of available patient-reported outcome measures has increased dra-, matically over the past decades, most of these instruments are developed for English-speaking, patients. Following these changes, the steps 4, 5 and 6 of the translation, ) were repeatedly conducted as required. [. Forming Inferences about Some Intraclass Correlation Coefficients. Therefore the author of this, J. ACL injuries most commonly occur during sports that involve sudden stops or changes in direction, jumping and landing — such as soccer, basketball, football and downhill … Staging 12 live and online exhibitions, 110 conferences and reaching over 700,000 healthcare professionals, we are where the world of healthcare meets. Objective: The ACL keeps the knee stable. Level of evidence cultural adaptation to maintain the content validity of the instrument across different cultures. Adaptation and Validation of the Exercise-Induced Leg Pain Questionnaire for English- and Greek-. He is one of the few surgeons in India who practice All Inside ACL/PCL reconstruction with Fibre Tape internal bracing. Modern standard Arabic version of LEFS (LEFS-MSAr). Methods: A physical therapist will teach you exercises that you will perform either with continued supervision or at home. Lower Extremity Functional Scale (LEFS-MSAr). Methods The development of the scale followed specific guidelines, as well as de novo construction in three languages (Greek, English and German). The German LEFS was highly reliable (ICC 0.98) and internally consistent (CA 0.95). Informa PLC's registered office is 5 Howick Place, London SW1P 1WG. ference, a link between reproducibility and responsiveness. Examination of standardized residuals and modification indices pointed to areas of misfit within the model. However, at the final assessment 38 ACL patients were at the advanced (final) stage of. The ACL is a ligament connecting two bones, femur and tibia. J Formos Med Assoc. extremity functional scale modern standard Arabic version. BACKGROUND: Many primary studies have examined the measurement properties, such as reliability, validity, and sensitivity to change, of the Lower Extremity Functional Scale (LEFS) in different clinical populations. The authors, ] We tested the questionnaire in our institution, ] Therefore, the main objectives of this study were: i) to translate and, ] and the Consensus-based Standards for the selection of health status Measurement, ] developed in English language and was translated into modern standard, ] to ensure quality of the evaluation of the Arabic LEFS (LEFS-MSAr), ] The formula used to calculate the sample size [, ] The sample size was calculated to be 91; how-, 7.0 years) for the following reasons: i) a minimum number of 100, ] These participants were recruited through direct contact dur-, 2.5 (similarity) requires review for possible, ] by 10 native Arabic-speaking patients at various educational, 2.0 days in the presence of one of the investigators. (0%) or second assessment (0%), nor a ceiling effect (1.3% and 2.6%, respectively). Beaton DE, Boers M, Wells GA. 2012; 13:117. 2006; 59(1):45–52. PLoS ONE 14(6): access article distributed under the terms of the, permits unrestricted use, distribution, and, reproduction in any medium, provided the original, anonymized data are within the paper and its, The questionnaire presented excellent internal consistency (, change was 9.26 points; for responsiveness assessment: minimal clinically important differ-, ence was 9 points and presented moderate effect sizes (Glass’, Its unidimensionality was not confirmed and an exploratory factor analysis indicated a 2-fac-. An ACL injury is a tear or sprain of the anterior cruciate (KROO-she-ate) ligament (ACL) — one of the strong bands of tissue that help connect your thigh bone (femur) to your shinbone (tibia). 2002; 14(2):109–14. for the Translation and Cultural Adaptation Process for Patient-Reported Outcomes (PRO) Measures: report of the ISPOR Task Force for Translation and Cultural Adaptation. Br J Sports Med, 42, 394-412. An anterior cruciate ligament, or ACL, injury is a tear in one of the knee ligaments that joins the upper leg bone with the lower leg bone. instrument assessed their condition after completion of the questionnaire, judges (native Arabic-speaking patients) during the fifth step of translation, and another 8 judges (1 academic, 2 sport physicians, 2 physiotherapists, and, 3 professional athletes; all holding higher degrees in relevant areas) after the, pretesting process. El seguimiento clínico de la recuperación de lesiones deportivas es fundamental para un retorno deportivo seguro. A ligament is a tough, flexible band of tissue that holds bones and cartilage together. ruptura de ligamente en Commonly, those with an ACL tear feel a "pop" in the knee when they are injured. Other translations. The Lower Extremity Functional Scale evaluates the functional status of patients that have lower extremity conditions of musculoskeletal origin. We, expected a higher score at healthy and “at risk” groups compared to the, internal consistency and structural validity of the instrument where the scale, repeated administrations should be long enough that the respondents do not, recall their original responses, but short enough to ensure clinical stability of, the condition. The data was collected by documentary analysis and in-depth interviews. Significant changes over time were found. One change was required in the instructions for the patient using, meaning in Arabic of “do you or would you have any difficulty”. All asymptomatic individuals who met these criteria and assessed. the Middle East North Africa region population. Sample size estimation for the comparison of competing measures’ reliability coeffi-, Korakakis V, Malliaropoulos N, Baliotis K, Papadopoulou S, Padhiar N, Nauck T, et al. Not every person with an ACL rupture needs to have the ligament reconstructed. Results. The Lower Extremity Functional Scale evaluates the functional status of patients, lower extremity conditions of musculoskeletal origin. Methods: Research in Comparative and International Education. The relationship between self-report and perfor-, Naal F, Impellizzeri F, Torka S, Wellauer V, Leunig M, von Eisenhart-Rothe R. The German Lower, https://doi.org/10.1007/s11136-014-0777-6, Negahban H, Hessam M, Tabatabaei S, Salehi R, Sohani SM, Mehravar M. Reliability and validity of, Cacchio A, De Blasis E, Necozione S, Rosa F, Riddle DL, di Orio F, et al. 2001; 17(4):479–87. Curr Opin Rheumatol. Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria, McGraw KO, Wong SP. We aimed to cross-culturally adapt the Lower Extremity Functional Scale in modern standard Arabic that is widely used and understood in the Middle East and North Africa region, and assess its psychometric properties. understood across most of the Arabic speaking world. (Median = 50.5) to second (Median = 67.5) administration for this group (Z = -7.62, Based on a change score equal or larger to the MDC, LEFS-MSAr, 59.0% of the patients were rated as improved, while 41% were found with no, change. The Arabic Lower Extremity Functional Scale presented acceptable psychometric proper-, ties comparable to the original version. Only the official Arab Health registration forms can confirm your participation at the show. properties? ACL has two bundles anterior medial and posterior lateral. Whether in person or online we enable deeper learning, relationships and decisions. Assessing item content-relevance in sport psychology scale-con-, Irrgang JJ, Anderson AF, Boland AL, Harner CD, Kurosaka M, Neyret P, et al. ity, and the ceiling and floor effects. Description. Cultural differences are also said to contribute to this. Visitor enquiries The aim was to translate and cross-culturally adapt the Lower Extremity Functional Scale (LEFS) into Arabic language and to examine its measurement properties in patients with musculoskeletal disorders of the lower extremity. Scree plot of eigenvalues form the 20-item modern standard Arabic version of Lower Extremity Functional Scale (LEFS-MSAr). However, the CFA/EFA revealed a 2-factor structure that did not support, the hypothesized unidimensionality as previously reported. [, LEFS has been used infrequently in studies examining patients following Anterior, Ligament (ACL) reconstruction and its psychometric properties have not been determined in, Psychometric evaluation of Lower Extremity Functional Scale (LEFS) in Arabic-speaking athletes, cross-culturally adapt the LEFS for a wide spectrum of Arabic-speaking patients and ii) to eval-. Scale for assessing outcomes in traumatic injuries of lower extremities. A torn ACL is a common knee injury. Standard forward and backward translation followed by expert committee review, then preliminary testing was carried out to produce the final Arabic version of LEFS (LEFS-Ar). It causes leg pain and instability of the knee. Psychol, Beckerman H, Roebroeck ME, Lankhorst GJ, Becher JG, Bezemer PD, Verbeek ALM. LEFS has been validated in several musculoskeletal conditions and its context-dependent, measurement properties have been recently evaluated and summarized. and interpreted according to published recommendations (values of 0.20, ] Additionally, we estimated the magnitude of change (minimal clinically important, ] from the patients that were stable at the follow-up, ). Construct validity was proven by large to very large correlations (r = 0.52-0.91) with all other instruments in the expected directions. The pooled estimate of the MDC90 was 6 points and the minimal clinically important difference was 9 points in patients with lower extremity musculoskeletal conditions, which are indicative of true change and clinically meaningful change, respectively. We, expected at least 9-point increase for a true difference according to, previously published data from ACL patients. 2005; 57(2):154–62. Pearson correlations and one-way analyses of variance were used to examine construct validity. A hypothesized one-factor structure underlying the 20 items of the LEFS-Ar was examined using a confirmatory factor analysis. The FASH exhibited very good test–retest reliability (intraclass correlation coefficient=0.9, p<0.001), internal consistency (α=0.98) and responsiveness (3.81 and 5.23 using baseline and pooled SD, respectively; standardised response mean (SRD)=4.68). Conclusions: If it was an oversight, the patient was asked to respond to the item. The aims of this study were to translate and cross-culturally adapt the LEFS into simplified Chinese (SC-LEFS) and evaluate the psychometric properties in patients with knee osteoarthritis (OA).Methods Field AP. deviation; SRM, standardized response mean; GRI, Guyatt responsiveness index; SRD, smallest real difference; AUC. The Spanish lower extremity functional scale: A reliable, valid and responsive questionnaire to assess. Known group validity was demonstrated by significant differences between patients and controls (p<0.001). Dimensionality analysis revealed a 1-factor solution, explaining 83.8% of the total variance. rehabilitation where little further improvement is expected. and why educational ideas and practices move between schools of the same country. J Clin Epidemiol. It was expected based on published, injury, since one can reasonably expect patients to recover over time. J Orthop Sports Phys Ther. Both activities do not have a sufficiently detailed single word or, phrase in Arabic that is consistent across all Arabic speaking countries or in modern, Arabic. questionnaire group together in a consistent and scrutable way. Take advantage of discounted rates on travel and hotels and plan your trip in advance. The German LEFS proved to be a reliable, valid and responsive tool for the self-assessment of patients undergoing total hip or knee replacement. Disabil Rehabil. Item “c” asks about Arabic sitting on the floor and item, “f” asks about squatting. These fit statistics indicate that the data do fit the one-factor structure proposed in this study. Calculation of indices like MDC is, ] the MDC corresponding to 95% CIs is preferred. Background To our knowledge, there is no patient-reported functional scale specific for acute hamstring injuries. item-content relevance analysis (see content validity). The main causes of ACL injury are: Credits Rehab Station. 2014; 48(22):1607–12. الصليبي الأمامي ركبتك. Its unidimensionality was not confirmed and an exploratory factor analysis indicated a 2-factor solution explaining 78.1% of the variance. Item generation was accomplished by selecting three different sources of items: literature review, focus group and key informant interviews. Conference enquiries, Monday, 21 June: 10am – 6pm The ligament can also tear due to work injuries or automobile accidents. Items of the LEFS modified to suit for Arabic culture. This, area varies from 0.5 (the questionnaire does not discriminate more effectively than chance) to, During the steps of harmonization and validation of translation the native Arabic members of, the committee and individuals used for formal evaluation and cognitive debriefing revealed a, potential for 5 activities that were not entirely relevant to the Arabic culture and required mod-, ification. A team approach between physician and patient almost always leads to successful, satisfying results and a full return to activity. Studies have shown reinjury rates to be also higher among professional male football players in the Middle East. 0.50, and 0.80 or greater represent small, moderate and large responsiveness, respectively). Abbreviations: LEFS-MSAr, lower extremity functional scale modern, https://doi.org/10.1371/journal.pone.0217791.g006, LEFS has been demonstrated before exhibiting 3 factors in patients with hip and knee osteoar-, culoskeletal disorders of the lower extremity.

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