Abstract
Aim: The aim of this study was to evaluate the validation and verification of the Nottingham Clavicle Score (NCS) in the Turkish population.
Methods: Sixty-eight patients (12 females, 56 males; mean age: 37.1±13.3 years) who underwent surgery due to clavicle fracture or acromioclavicular separation were included in the study. The Turkish version of the NCS (NCS-Tr) was designed in accordance with the stages recommended by Beaton et al. Each patient completed the NCS-Tr twice at 7 to 10-day intervals to evaluate the test-retest reliability based on the interrater correlation coefficient, and Cronbach’s alpha was evaluated for internal consistency. Additionally, the Oxford Shoulder Score (OSS), Disabilities of the Arm, Shoulder, and Hand (DASH), Constant-Murley Score (CMS), and Short Form-36 (SF-36) Health Survey tests were completed by each participant to assess the correlation with the NCS-Tr.
Results: The main score of the NCS-Tr was 79.71 ± 20.37. The other mean scores of CMS, OSS, and DASH were 84.14 ± 21.47, 38.34 ± 12.43, and 17.84 ± 22.47 respectively. The translation and adaptation of the NCS-Tr for a Turkish context required no major cultural adaptation. Internal consistency was high (Cronbach’s alpha: 0.933). Test-retest reproducibility was excellent (q=0.941, p<0.001).
Conclusion: The NCS-Tr is a valid, reliable, shoulder-specific scale in the assessment of patient-reported outcome measures for the functional assessment of Turkish patients undergoing surgery due to clavicle fractures or acromioclavicular joint separation.
Keywords
Patient-reported outcome measures clavicle fracture acromioclavicular separation Turkish validation
References
- 1. Lowry KJ, Brox WT, Naas PL, Tubb CC, Muschler GF, Dunn W. Musculoskeletal-based patient-reported outcome performance measures: Where have we been, where are we going. J Am Acad Orthop Surg. 2019;27(13):e589-95. doi: 10.5435/JAAOS-D-18-00429
- 2. Dawson J, Doll H, Fitzpatrick R, Jenkinson C, Carr AJ. The routine use of patient-reported outcome measures in healthcare settings. BMJ. 2010;340:c186. doi: 10.1136/bmj.c186.
- 3. Charles ER, Kumar V, Blacknall J, Edwards K, Geoghegan JM, Manning PA, et al. A validation of the Nottingham Clavicle Score: a clavicle, acromioclavicular joint and sternoclavicular joint-specific patient-reported outcome measure. J Shoulder Elbow Surg. 2017;26(10):1732-9. doi: 10.1016/j.jse.2017.03.036.
- 4. Van der Linde JA, van Kampen DA, van Beers LW, van Deurzen DF, Terwee CB, Willems WJ. The Oxford Shoulder Instability Score; validation in Dutch and first-time assessment of its smallest detectable change. J Orthop Surg Res. 2015;10:146. doi: 10.1186/s13018-015-0286-5.
- 5. Atroshi I, Gummesson C, Andersson B, Dahlgren E, Johansson A. The Disabilities of the Arm, Shoulder, and Hand (DASH) outcome questionnaire: reliability and validity of the Swedish version evaluated in 176 patients. Acta Orthop Scand. 2000;71(6):613-8. doi: 10.1080/000164700317362262.
- 6. Constant CR, Murley AH. A clinical method of functional assessment of the shoulder. Clin Orthop Relat Res. 1987;(214):160-4. PMID: 3791738.
- 7. Beaton DE, Bombardier C, Guillemin F, Ferraz MB. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine (Phila Pa 1976). 2000;25(24):3186-91. doi: 10.1097/00007632-200012150-00014. 8. Düger T, Yakut E, Öksüz Ç, Yörükan S, Bilgütay BS, Çiğdem A et al. Reliability and validity of Turkish version of the disabilities of the arm, shoulder and hand (DASH) questionnaire. Fizyoterapi Rehabilitasyon. 2006;17(3):99-107
- 9. Demiral Y, Ergor G, Unal B, Semin S, Akvardar Y, Kivircik B, et al. Normative data and discriminative properties of short form 36 (SF-36) in Turkish urban population. BMC Public Health. 2006;6:247. doi: 10.1186/1471-2458-6-247.
- 10. Tuğay U, Tuğay N, Gelecek N, Özkan M. Oxford Shoulder Score: cross-cultural adaptation and validation of the Turkish version. Arch Orthop Trauma Surg. 2011;131(5):687-94. doi: 10.1007/s00402-010-1242-9.
- 11. Çelik D. Turkish version of the modified Constant-Murley score and standardized test protocol: reliability and validity. Acta Orthop Traumatol Turc. 2016;50(1):69-75. doi: 10.3944/AOTT.2016.14.0354.
- 12. Basar S, Gunaydin G, Hazar Kanik Z, Sozlu U, Alkan ZB, Pala OO, et al. Western Ontario Shoulder Instability Index: cross-cultural adaptation and validation of the Turkish version. Rheumatol Int. 2017;37(9):1559-1565. doi: 10.1007/s00296-017-3716-3.
- 13. Sonmezer E, Yosmaoglu HB, Doğan CD. The reliability and validity of the Turkish version of the oxford shoulder instability score. Disabil Rehabil. 2020;42(2):261-266. doi: 10.1080/09638288.2018.1497717.
- 14. Hou J, Li Q, Yu M, Li F, Tang Y, Long Y, et al. Validation of a Mobile Version of the American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form: An Observational Randomized Crossover Trial. JMIR Mhealth Uhealth. 2020;17;8(7):e16758. doi: 10.2196/16758.
- 15. Zinbarg RE, Revelle W, Yovel I, Li W. Cronbach’s α, Revelle’s β, and McDonald’s ω H: Their relations with each other and two alternative conceptualizations of reliability. Psychometrika 2005;70(1):123-33. doi: 10.1007/s11336-003-0974-7
- 16. Vascellari A, Schiavetti S, Rebuzzi E, Coletti N. Translation, cross-cultural adaptation and validation of the Italian version of the Nottingham Clavicle Score (NCS). Arch Orthop Trauma Surg. 2015;135(11):1561-6. doi: 10.1007/s00402-015-2301-z.
Abstract
Amaç: Bu çalışmanın amacı Nottingham Klavikula Skorunun (NCS) geçerliliğini ve doğrulamasını Türk popülasyonunda değerlendirmektir.
Yöntemler: Çalışmaya klavikula kırığı veya akromiyoklaviküler ayrılma nedeniyle ameliyat edilen 68 hasta (12 kadın, 56 erkek; ort. yaş: 37.1±13.3) dahil edildi. NCS'nin Türkçe versiyonu (NCS-Tr), Beaton ve arkadaşları tarafından önerilen aşamalara uygun olarak tasarlanmıştır. Her hasta, ölçekler arası korelasyon katsayısına dayalı test-tekrar test güvenilirliğini değerlendirmek için NCS-Tr'yi 7 ila 10 günlük aralıklarla iki kez tamamladı ve iç tutarlılık için Cronbach alfa değerlendirildi. Ayrıca Oxford Omuz Skoru (OSS), Kol, Omuz ve El Disabilities (DASH), Constant-Murley Skoru (CMS) ve Short Form-36 (SF-36) Sağlık Anketi testleri her katılımcı tarafından dolduruldu. NCS-Tr ile korelasyonu değerlendirin.
Bulgular: NCS-Tr ana puanı 79.71 ± 20.37 idi. Diğer ortalama CMS, OSS ve DASH puanları sırasıyla 84,14 ± 21,47, 38,34 ± 12,43 ve 17,84 ± 22,47 idi. NCS-Tr'nin Türkçe bağlamına çevrilmesi ve uyarlanması büyük bir kültürel uyarlama gerektirmedi. İç tutarlılık yüksekti (Cronbach alfa: 0.933). Test-tekrar test tekrarlanabilirliği mükemmeldi (q=0.941, p<0.001).
Sonuç: NCS-Tr, köprücük kemiği kırığı veya akromioklaviküler eklem ayrılması nedeniyle ameliyat olan Türk hastalarının fonksiyonel değerlendirmesi için hasta tarafından bildirilen sonuç ölçütlerinin değerlendirilmesinde geçerli, güvenilir, omuza özgü bir ölçektir.
Keywords
Hasta tarafından bildirilen sonuç ölçütleri klavikula kırığı akromiyoklaviküler ayrılma Türkçe doğrulama
References
- 1. Lowry KJ, Brox WT, Naas PL, Tubb CC, Muschler GF, Dunn W. Musculoskeletal-based patient-reported outcome performance measures: Where have we been, where are we going. J Am Acad Orthop Surg. 2019;27(13):e589-95. doi: 10.5435/JAAOS-D-18-00429
- 2. Dawson J, Doll H, Fitzpatrick R, Jenkinson C, Carr AJ. The routine use of patient-reported outcome measures in healthcare settings. BMJ. 2010;340:c186. doi: 10.1136/bmj.c186.
- 3. Charles ER, Kumar V, Blacknall J, Edwards K, Geoghegan JM, Manning PA, et al. A validation of the Nottingham Clavicle Score: a clavicle, acromioclavicular joint and sternoclavicular joint-specific patient-reported outcome measure. J Shoulder Elbow Surg. 2017;26(10):1732-9. doi: 10.1016/j.jse.2017.03.036.
- 4. Van der Linde JA, van Kampen DA, van Beers LW, van Deurzen DF, Terwee CB, Willems WJ. The Oxford Shoulder Instability Score; validation in Dutch and first-time assessment of its smallest detectable change. J Orthop Surg Res. 2015;10:146. doi: 10.1186/s13018-015-0286-5.
- 5. Atroshi I, Gummesson C, Andersson B, Dahlgren E, Johansson A. The Disabilities of the Arm, Shoulder, and Hand (DASH) outcome questionnaire: reliability and validity of the Swedish version evaluated in 176 patients. Acta Orthop Scand. 2000;71(6):613-8. doi: 10.1080/000164700317362262.
- 6. Constant CR, Murley AH. A clinical method of functional assessment of the shoulder. Clin Orthop Relat Res. 1987;(214):160-4. PMID: 3791738.
- 7. Beaton DE, Bombardier C, Guillemin F, Ferraz MB. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine (Phila Pa 1976). 2000;25(24):3186-91. doi: 10.1097/00007632-200012150-00014. 8. Düger T, Yakut E, Öksüz Ç, Yörükan S, Bilgütay BS, Çiğdem A et al. Reliability and validity of Turkish version of the disabilities of the arm, shoulder and hand (DASH) questionnaire. Fizyoterapi Rehabilitasyon. 2006;17(3):99-107
- 9. Demiral Y, Ergor G, Unal B, Semin S, Akvardar Y, Kivircik B, et al. Normative data and discriminative properties of short form 36 (SF-36) in Turkish urban population. BMC Public Health. 2006;6:247. doi: 10.1186/1471-2458-6-247.
- 10. Tuğay U, Tuğay N, Gelecek N, Özkan M. Oxford Shoulder Score: cross-cultural adaptation and validation of the Turkish version. Arch Orthop Trauma Surg. 2011;131(5):687-94. doi: 10.1007/s00402-010-1242-9.
- 11. Çelik D. Turkish version of the modified Constant-Murley score and standardized test protocol: reliability and validity. Acta Orthop Traumatol Turc. 2016;50(1):69-75. doi: 10.3944/AOTT.2016.14.0354.
- 12. Basar S, Gunaydin G, Hazar Kanik Z, Sozlu U, Alkan ZB, Pala OO, et al. Western Ontario Shoulder Instability Index: cross-cultural adaptation and validation of the Turkish version. Rheumatol Int. 2017;37(9):1559-1565. doi: 10.1007/s00296-017-3716-3.
- 13. Sonmezer E, Yosmaoglu HB, Doğan CD. The reliability and validity of the Turkish version of the oxford shoulder instability score. Disabil Rehabil. 2020;42(2):261-266. doi: 10.1080/09638288.2018.1497717.
- 14. Hou J, Li Q, Yu M, Li F, Tang Y, Long Y, et al. Validation of a Mobile Version of the American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form: An Observational Randomized Crossover Trial. JMIR Mhealth Uhealth. 2020;17;8(7):e16758. doi: 10.2196/16758.
- 15. Zinbarg RE, Revelle W, Yovel I, Li W. Cronbach’s α, Revelle’s β, and McDonald’s ω H: Their relations with each other and two alternative conceptualizations of reliability. Psychometrika 2005;70(1):123-33. doi: 10.1007/s11336-003-0974-7
- 16. Vascellari A, Schiavetti S, Rebuzzi E, Coletti N. Translation, cross-cultural adaptation and validation of the Italian version of the Nottingham Clavicle Score (NCS). Arch Orthop Trauma Surg. 2015;135(11):1561-6. doi: 10.1007/s00402-015-2301-z.
Details
| Primary Language | English |
|---|---|
| Subjects | Surgery |
| Journal Section | Research Article |
| Authors | |
| Early Pub Date | May 28, 2023 |
| Publication Date | June 21, 2023 |
| Submission Date | April 26, 2023 |
| Acceptance Date | May 7, 2023 |
| Published in Issue | Year 2023 Volume: 7 Issue: 1 |
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