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Título

Questionnaires for knee instability assessment in people with anterior cruciate ligament injury: a systematic review of original questionnaires and their translated versions

Resumo (máximo 3000 caracteres com espaço)

Purpose: To verify the quality of questionnaires/scales regarding knee instability caused by anterior cruciate
ligament (ACL) insufficiency and their translated versions.
Materials and methods: Searches were conducted on Web of Science, Pubmed, Medline, Cinahl, and
SportDiscuss. The COnsensus-based Standards for the selection of Health Measurement INstruments
(COSMIN) scale was used to assess the article’s quality; and the measurement properties of each questionnaire/
scale were also analysed.
Results: Searches identified 7703 studies and 29 were included in this review. Nine were articles reporting
the original development of a questionnaire/scale and 20 were translations. The original questionnaires/
scales were written in English or French and were translated into Brazilian Portuguese, Portuguese,
Dutch, Turkish, German, Korean, Italian, Arabic, Polish, French, and Chinese. The questionnaires/scales
with best overall quality were the Cincinatti Knee Rating System, the International Knee Documentation
Committee – Subjective Knee Form and the PPLP. The International Knee Documentation Committee
had positive results for internal consistency (Cronbach’s alpha 0.89–0.92); for reliability and agreement
(intraclass correlation coefficient (ICC) ranging from 0.88 to 0.99); and for construct validity (Pearson’s r
ranged from 0.1 to 0.85).
Conclusions: The International Knee Documentation Committee had the largest number of translated
versions and it was considered the best instrument assessed. Furthermore, The International Knee
Documentation Committee was considered to be easy to apply, short and accessible, thus it is the choice
of several clinicians and researchers.
IMPLICATIONS FOR REHABILITATION
Knee instability is one of the most important factors to be evaluated during rehabilitation of people
with anterior cruciate ligament injury in both surgical and non-surgical approach.
The use of questionnaires may provide a better overall functionality assessment of people with knee
instability from ACL injury.
To choose the most appropriate questionnaire, clinicians should consider their needs and should
consider validated questionnaires linked with adequate psychometric properties which guarantee the
original characteristics of a questionnaire and also guarantee reliable results.

Palavras-chave (máximo 3)

Questionnaire, Anterior Cruciate Ligament, Validity.

Área

Retorno ao Esporte