Validity and reliability of the Dutch translation of the VISA-P questionnaire for patellar tendinopathy

Zwerver, Johannes; Kramer, Tamara; Akker‐Scheek, Inge van den

doi:10.1186/1471-2474-10-102

Cited by 76 publications

(121 citation statements)

References 13 publications

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“…This adaptation showed good psychometric properties in Spanish athletes, and that the scores of the groups were very similar to those obtained from subjects using other versions 12,28,29,37,39 of the same scale supports our findings.…”

Section: Discussionsupporting

confidence: 80%

“…As the authors suggested in the original publication, the VISA-P should not be considered a diagnostic tool, because there were no significant differences between the scores of athletes with tendinopathy and those of patients with other knee injuries. 12,28,29,39 In the study of VISA-P-Sp correlation with SF-36 components, participants with higher levels of symptoms had, as expected, a poorer quality of life related to health. This finding helps to confirm the external validity of the questionnaire and its adaptation.…”

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confidence: 99%

“…8 In 1998, the Victorian Institute of Sport Assessment (Australia) developed a brief self-administered questionnaire called the VISA-P, to assess the severity of symptoms in athletes with patellar tendinopathy. 37 Currently, it is the only specific scale for patellar tendinopathy and has been adapted for Swedish, 12 Italian, 29 Dutch, 39 and German 28 populations. The psychometric properties of these versions are summarized in TABLE 1.…”

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confidence: 99%

“…27 These results are similar to those of other versions. 12,28,39 To assess test-retest reliability, we used a large sample and a time interval of 7 to 10 days between applications. This time interval was sufficient for participants to forget their initial responses and for symptoms not to vary substantially.…”

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confidence: 99%

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Cross-cultural Adaptation of VISA-P Score for Patellar Tendinopathy in Spanish Population

Hernández-Sánchez¹,

Hidalgo²,

Gómez³

2011

Journal of Orthopaedic & Sports Physical Therapy

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P atellar tendinopathy is a common overuse injury in sports, particularly in athletes who participate in sports such as basketball, athletics, and volleyball, with a prevalence in male indoor volleyball players of approximately 50%. 26 In severe cases it may limit or even prevent participation in sports.22 Patellar tendinopathy is a noninflammatory condition. Histologically, patellar tendon biopsies from affected tissue reveal collagen degeneration and fibrotic scarring of the tendon. 19 These tendon T T STUDY DESIGN: Clinical measurement. T T OBJECTIVES:To adapt the VISA-P questionnaire into Spanish and to assess its psychometric properties. T T BACKGROUND:Health status questionnaires and scales to report outcomes are increasingly used in medical research and clinical practice. Validated versions of these tools are necessary to avoid bias during use in different languages and cultures. T T METHODS:We followed international recommendations to perform cross-cultural adaptation. The Spanish VISA-P (VISA-P-Sp) questionnaire and the Short Form (36) Health Survey (SF-36) were administered to 150 individuals: 40 healthy students, 40 professional players in sports requiring jumping, 40 athletes with patellar tendinopathy, and 30 athletes with knee injuries other than patellar tendinopathy. Participants were assessed at baseline and after 1 week. Athletes with tendinopathy also completed questionnaires and other knee measures (the Kujala Scoring Questionnaire and the Cincinnati Knee Rating Scale) after physiotherapy treatment, which consisted of rest, ice, eccentric exercise, electrotherapy, and manual therapy. T T RESULTS:The VISA-P-Sp showed high reliability for both temporal stability (intraclass correlation coefficient [ICC] = 0.994; 95% CI: 0.992, 0.996) and internal consistency (Cronbach α = 0.885).Based on a factor analysis, a 2-factor solution explained 76.1% of the variance. The VISA-P-Sp score in the tendinopathy group was significantly correlated with scores on other knee scales (Kujala score [Spearman rho = 0.897; P<.001] and Cincinnati scale [Spearman rho = 0.782, P<.001]) and with SF-36 physical components score (Spearman rho>0.6, P<.001). The standardized size effect was 1.14, and the standardized response mean was 1.17. T T CONCLUSION:The VISA-P-Sp questionnaire proved to be a valid and reliable instrument, sensitive to clinical changes and comparable to the original English-language version. J Orthop Sports Phys Ther 2011;41(8):581-591, Epub 12 July 2011. doi:10.2519/jospt.2011 Since its publication in 1998, the instrument has been increasingly used to assess changes in the severity of symptoms in athletes with patellar tendinopathy after therapeutic intervention. 7,9,15,18,21,38,40 Important advances in the understanding of tendon pathology and clinical trials conducted by several research groups have made the VISA-P a widely accepted and valuable tool of reference for the assessment of patellar tendinopathy. 22Data obtained with appropriate outcome measures allow an assessment of the clinical evolut...

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Section: Discussionsupporting

confidence: 80%

mentioning

confidence: 99%

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confidence: 99%

mentioning

confidence: 99%

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Cross-cultural Adaptation of VISA-P Score for Patellar Tendinopathy in Spanish Population

Hernández-Sánchez¹,

Hidalgo²,

Gómez³

2011

Journal of Orthopaedic & Sports Physical Therapy

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“…Interestingly, the original version of the VISA-P was not assessed in terms of internal consistency, but validations of this questionnaire in other languages had high Cronbach alpha values. 7,14,25 This acceptable internal consistency across different cultures may be an indication that the original VISA-P is well formulated and also has good internal consistency. The German version (Cronbach α = .88) 14 and the Swedish version (Cronbach α = .83) 7 had higher internal consistency than the Brazilian version; however, they are all well within the range considered acceptable.…”

Section: Discussionmentioning

confidence: 99%

Cross-cultural Adaptation and Measurement Properties of the Brazilian Portuguese Version of the Victorian Institute of Sport Assessment-Patella (VISA-P) Scale

Wageck¹,

Noronha²,

Lópes³

et al. 2013

J Orthop Sports Phys Ther

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Patellar tendinopathy is an injury related to structural damage in the distal and proximal regions of the patellar tendon. 22 This injury generally occurs in individuals who engage in sports and recreational activities that require sudden acceleration and deceleration, and in athletes who perform repetitive movements such as jumping, climbing, and kicking. These activities are known to have the potential to overload the extensor apparatus of the knee. 7,22 Lian et al, 13 in a study that included 612 athletes from different sports, reported a prevalence of patellar tendinopathy of 14.2%. This injury is twice as prevalent in men as it is in women 11 and keeps 33% of athletes away from their sports activities for more than 6 months, forcing 50% of these athletes into early retirement.2 Furthermore, it affects approximately 45% of volleyball athletes, as this is a sport with actions that involve several risk factors for patellar tendinopathy. 11Due to the high prevalence of patellar tendinopathy in athletes, early diagnosis and treatment are essential to avoid extended periods away from sports activities. Clinical instruments to determine the severity and the level of disability resulting from patellar tendinopathy are highly useful because they can assess the evolution of the condition and serve as T T BACKGROUND:It is important to objectively measure symptoms and functional limitations related to patellar tendinopathy using outcome measures that have been validated in the language of the target population. Cross-cultural adaptations are also useful to enhance the understanding of the measurement properties of an assessment tool, regardless of the target language. T T METHODS:The VISA-P questionnaire was translated into Brazilian Portuguese, culturally adapted, and titled VISA-P Brazil. It was then administered on 2 occasions with a 24-to 48-hour interval between them, and a third time after a month of physical therapy treatment. The following measurement properties were analyzed: internal consistency, test-retest reliability, agreement, construct validity, floor and ceiling effects, and responsiveness. T T RESULTS:The VISA-P Brazil had high internal consistency (Cronbach α = .76; if item deleted, Cronbach α = .69-.78), excellent reliability and agreement (intraclass correlation coefficient = 0.91; 95% confidence interval: 0.85, 0.95; standard error of measurement, 5.2 points; minimal detectable change at the 90% confidence level, 12.2 points), and good construct validity (Pearson r = 0.60 compared to Lysholm). No ceiling and floor effects were detected for the VISA-P Brazil, and the responsiveness, based on 32 patients receiving physical therapy intervention for 1 month, demonstrated a large effect size of 0.97 (95% confidence interval: 0.68, 1.25). T T CONCLUSION:The VISA-P Brazil is a reproducible and responsive tool and can be used in clinical practice and research to assess the severity of pain and disability of patients with patellar tendinopathy.

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Reliability of the Dutch translation of the Kujala Patellofemoral Score Questionnaire

Ummels

Lenssen

Barendrecht

et al. 2015

Physiotherapy Res Intl

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Objective. There are no Dutch language disease-specific questionnaires for patients with patellofemoral pain syndrome available that could help Dutch physiotherapists to assess and monitor these symptoms and functional limitations. The aim of this study was to translate the original disease-specific Kujala Patellofemoral Score into Dutch and evaluate its reliability. Methods. The questionnaire was translated from English into Dutch in accordance with internationally recommended guidelines. Reliability was determined in 50 stable subjects with an interval of 1 week. The patient inclusion criteria were age between 14 and 60 years; knowledge of the Dutch language; and the presence of at least three of the following symptoms: pain while taking the stairs, pain when squatting, pain when running, pain when cycling, pain when sitting with knees flexed for a prolonged period, grinding of the patella and a positive clinical patella test. The internal consistency, test-retest reliability, measurement error and limits of agreement were calculated. Results. Internal consistency was 0.78 for the first assessment and 0.80 for the second assessment. The intraclass correlation coefficient (ICC agreement ) between the first and second assessments was 0.98. The mean difference between the first and second measurements was 0.64, and standard deviation was 5.51. The standard error measurement was 3.9, and the smallest detectable change was 11. The Bland and Altman plot shows that the limits of agreement are À10.37 and 11.65. Conclusions. The results of the present study indicated that the test-retest reliability translated Dutch version of the Kujala Patellofemoral Score questionnaire is equivalent of the testretest original English language version and has good internal consistency. Trial registration NTR (TC = 3258).

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Validity and reliability of the Dutch translation of the VISA-P questionnaire for patellar tendinopathy

Cited by 76 publications

References 13 publications

Cross-cultural Adaptation of VISA-P Score for Patellar Tendinopathy in Spanish Population

Cross-cultural Adaptation of VISA-P Score for Patellar Tendinopathy in Spanish Population

Cross-cultural Adaptation and Measurement Properties of the Brazilian Portuguese Version of the Victorian Institute of Sport Assessment-Patella (VISA-P) Scale

Reliability of the Dutch translation of the Kujala Patellofemoral Score Questionnaire

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