Abstract
BackgroundThe original version of Victorian Institute of Sport Assessment-Patella Questionnaire (VISA-P) is developed in English, and aimed to assess the severity of patellar tendinopathy symptoms. Before used in China, it should be translated to Chinese version.ObjectivesOur aim is to make a translation/cross-culturally adaption for the VISA-P into simplified Chinese version (VISA-PC). And primarily validate the VISA-PC in Chinese speaking population.MethodsThe translation process of VISA-P questionnaire into simplified Chinese version (VISP-PC) followed the International recognized guideline. Cross-cultural adaptation was carried out with a clinical measurement study. A total of 128 projects which consisted 33 healthy students, 39 patients with patellar tendinopathy and 56 military students (receive military training as at-risk population) were included into this study. Internal consistency was evaluated with Cronbach’s alpha, and test-retest reliability was assessed with intraclass correlation coefficients (ICCs). Construct validity and floor and ceiling effects were also tested.ResultsThe scores were 95.84 ± 5.97 of healthy group, 91.87 ± 9.03 of at-risk group, 62.49 ± 11.39 of pathological group. There is no ceiling and floor effect of VISA-PC. The Cronbach’s alpha (0.895) and ICC (0.986) values showed good internal consistency and reliability. There were high correlations between VISA-PC and Kujala patellofemoral score (r = 0.721). VISA-PC score also had good correlation with the relevant SF-36 items.ConclusionThe VISA-PC was well translated into simplified Chinese version (VISA-PC), which is reliable and valid for Chinese-speaking patients with patellar tendinopathy.Level of evidenceII.
Highlights
Patellar tendinopathy is the most common overuse injury of the knee [12]
The VISA-P into simplified Chinese (VISA-PC) was well translated into simplified Chinese version (VISA-PC), which is reliable and valid for Chinese-speaking patients with patellar tendinopathy
Translation and cultural adaptation No major problems were revealed during the forward and back-translations of Victorian Institute of Sport Assessment-Patella Questionnaire (VISA-P)
Summary
Patellar tendinopathy is the most common overuse injury of the knee [12]. The major cause of the injury is repetitive and continuous stress on patellar and quadriceps [29]. The tendinopathy is a kind of non-inflammatory injury, which causes fibrotic scarring and collagen degeneration of the tendon [13]. The present diagnosis instruments are physical examination and ultrasound, and magnetic resonance imaging (MRI) is another. There is poor correlation between clinical symptoms and imaging results [5, 14]. Valid and reliable tools are needed to evaluate symptoms severity, physical function, and treatment effects. The original version of Victorian Institute of Sport Assessment-Patella Questionnaire (VISA-P) is developed in English, and aimed to assess the severity of patellar tendinopathy symptoms. Before used in China, it should be translated to Chinese version
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