Abstract
Background: The Tegner activity scale is a patient-reported questionnaire that is frequently used to measure activity levels in patients with anterior cruciate ligament reconstruction (ACLR). The purpose of this study was to translate, cross-culturally adapt, and validate the Tegner activity scale into Arabic. Methods: The Tegner activity scale–Arabic version (TAS-Ar) was forward and backward translated, cross-culturally adapted, and validated according to established guidelines. Seventy-five patients who underwent ACLR were instructed to complete the TAS-Ar, the International Knee Documentation Committee (IKDC) subjective knee evaluation form, and the Knee Injury and Osteoarthritis Outcome Score (KOOS) scale. The test-retest reliability of the TAS-Ar was assessed in 39 patients. Statistical tests were conducted to test the reliability and construct validity of the TAS-Ar. Results: The TAS-Ar showed excellent test-retest reliability, with intraclass correlation coefficients of 0.836 (p < 0.001). The TAS-Ar was significantly correlated with the IKDC (Spearman’s rho = 0.476, p < 0.001), all KOOS subscales (Spearman’s rho = 0.195–0.497, p < 0.05), and the KOOS total score (Spearman’s rho = 0.469, p < 0.001). Conclusions: The Arabic version of the Tegner activity scale is a reliable and valid measure that can be used to evaluate the activity level of Arabic-speaking patients following ACLR.
Highlights
Anterior cruciate ligament (ACL) rupture is a common sport-related knee injury that affects young individuals in Saudi Arabia [1]
ACL rupture can significantly decrease the stability of the knee joint and the ability to return to work/sport activities [2]
The final translated version of the Tegner activity scale–Arabic version (TAS-Ar) was clear and easy to understand; no specific cultural adaptations were recommended during the translation process (Table 1)
Summary
Anterior cruciate ligament (ACL) rupture is a common sport-related knee injury that affects young individuals in Saudi Arabia [1]. Many patients choose to undergo ACL reconstruction (ACLR) with the goal of restoring normal knee function and subsequently returning to the pre-injury level of sport activities [3]. To determine the outcome after ACLR, it is important for surgeons and rehabilitation specialists to measure the level of work/sport activities of patients before ACL injury and after reconstruction [4]. To assess work/sport activities, Tegner and Lysholm [5] developed a patient-reported questionnaire known as the Tegner activity scale (TAS). The Tegner activity scale is a patient-reported questionnaire that is frequently used to measure activity levels in patients with anterior cruciate ligament reconstruction (ACLR). The purpose of this study was to translate, cross-culturally adapt, and validate the Tegner activity scale into Arabic. Statistical tests were conducted to test the reliability and construct validity of the TAS-Ar
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