Thai version of the Survey Instrument for Natural History, Aetiology and Prevalence of Patellofemoral Pain: Cross-cultural validation and test-retest reliability

Abstract

Background/objective: The Survey Instrument for Natural History, Aetiology and Prevalence of Patellofemoral Pain (SNAPPS) is a self-report questionnaire which is a specifically designed measurement instrument to identify patellofemoral pain. It has reported high sensitivity, specificity and test-retest reliability to discriminate between people with knee pain, with or without patellofemoral pain. SNAPPS hasn't been studied in Thailand; therefore, the aim of this study was to cross-culturally adapt the questionnaire into Thai. MethodThis study was separated into two phases: cross-cultural adaptation and test-retest reliability. The Survey Instrument for Natural History, Aetiology and Prevalence of Patellofemoral Pain was translated into Thai following the guidelines for the cross cultural adaptation of self-report measures including six steps. Thirty four knee pain patients performed the test-retest reliability of the final version of this questionnaire. They were clinically diagnosed with patellofemoral pain by a physical therapist. They were asked to complete the questionnaire twice; with the 1st session and 2nd session having a 30 min break between. The intraclass correlation coefficient (ICC3, 1) method was used to determine test-retest reliability. The correlation of SNAPPS and VAS-U, VAS-W, VAS-S, VAS- J, VAS- R, and VAS- SQ were analyzed by Pearson correlation. ResultsThe thirty-four participants (19 males, 15 females; with ages ranging 19–24 years) with patellofemoral pain were assessed twice with a 30 min break between the two sessions. The total scores of section 2 and 4 of the questionnaire indicated very strong test-retest reliability, ranging from 0.83 to 0.954 and the total score was ICC 0.91. Moreover, the Survey Instrument for Natural History, Aetiology and Prevalence of Patellofemoral Pain had a correlation with intensity of pain during ascending and descending stairs. ConclusionThe Thai version of the Survey Instrument for Natural History, Aetiology and Prevalence of Patellofemoral Pain can be used to assess patellofemoral pain in young Thai patients.