Abstract

PurposeTo translate, cross-culturally adapt and validate the scale to Lithuanian.MethodsThe process of translation and cultural adaptation followed the recommendations of international guidelines. All included patients were after unilateral ACL reconstruction. Study participants completed Tegner Activity Scale, IKDC and ACL-RSI-Lt questionnaires. Reliability, construct validity and internal consistency were measured.ResultsStudy included sixty-five patients after ACL reconstruction: mean age 25.55 ± 6.77, mean height 180.91 ± 11.78 cm, mean weight 79.12 ± 14.88 kg and mean BMI 24.01 ± 2.90. The ACL-RSI-Lt showed excellent internal consistency (Cronbanch’s alpha 0.94). Scale scores were correlated with IKDC score (r = 0.637, p < 0.001) and IKDC subscales (r = 0.530–0.581, p < 0.001) and Tegner activity score (r = 0.303–0.493, p < 0.001). Tegner activity score before injury was significantly higher than after ACLR (6.95 ± 1.49 vs. 6.1 ± 1.37, p < 0.001).ConclusionsThe ACL-RSI is successfully translated into Lithuanian (ACL-RSI-Lt). It is valid and reliable scale to evaluate the psychological impact of returning to sports in Lithuanian patients after ACLR surgery.

Highlights

  • Anterior cruciate ligament (ACL) is the most common ligamentous injury sustained by professional athletes at all levels of play [1]

  • The ACL-RSI is successfully translated into Lithuanian (ACL-RSI-Lt)

  • It is valid and reliable scale to evaluate the psychological impact of returning to sports in Lithuanian patients after ACL reconstruction (ACLR) surgery

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Summary

Introduction

Anterior cruciate ligament (ACL) is the most common ligamentous injury sustained by professional athletes at all levels of play [1]. ACL reconstruction (ACLR) is the current clinical standard for patients with an ACL tear and considered to be at a high risk of knee instability [2]. An important objective of ACLR is to enable patients to return to their pre injury sport or recreational activity [3]. Mark et al found that 37.5% of young patients report that they feel fear to get second ACL injury [7]. Fear of reinjury is a powerful emotion that appears to play a role in return to sport and activity after ACLR [8]. It is becoming obvious that some athletes should require special intervention for fear of reinjury to improve function and complete a successful return to sport

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