Abstract
Purpose
The anterior cruciate ligament-return to sports after injury (ACL-RSI) scale assesses the psychological impact of returning to sports (also referred to as psychological readiness) after ACL reconstruction. The aim of this study was to evaluate important measurement properties of the Japanese version of ACL-RSI scale.
Methods
Ninety-three participants who underwent ACL reconstruction filled out the Japanese version of ACL-RSI scale, the Tampa scale for kinesiophobia (TSK), the International Knee Documentation Committee-Subjective Knee Form (IKDC-SKF), and Knee injury and Osteoarthritis Outcome Score (KOOS). To assess test re-test reliability, 50 of the 93 participants re-answered the Japanese version of ACL-RSI scale within 10 days. Floor and ceiling effects, internal consistency, construct validity, and reliability of the Japanese version of ACL-RSI scale were analysed.
Results
There were no floor and ceiling effects. The Japanese version of ACL-RSI scale showed good internal consistency (Cronbach’s alpha = 0.912). It was positively correlated with total points of IKDC-SKF and the Lysholm score, and with the all sub-categories of the KOOS, and it was negatively correlated with the TSK. Reliability of the Japanese version of ACL-RSI scale was satisfactory.
Conclusion
The Japanese version of ACL-RSI scale has acceptable measurement properties. It can be a useful for evaluation of psychological readiness for return to sports in Japanese athletes who undergo primary ACL reconstruction. Information provided by the Japanese version of the ACL-RSI scale may also help to identify athletes who find return to sport a challenge, and guide conversations regarding treatment and rehabilitation plans.
Level of evidence
II.
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References
Ardern CL, Osterberg A, Tagesson S, Gauffin H, Webster KE, Kvist J (2014) The impact of psychological readiness to return to sport and recreational activities after anterior cruciate ligament reconstruction. Br J Sports Med 48:1613–1619
Ardern CL, Taylor NF, Feller JA, Webster KE (2013) A systematic review of the psychological factors associated with returning to sport following injury. Br J Sports Med 47:1120–1126
Ardern CL, Taylor NF, Feller JA, Webster KE (2012) Fear of re-injury in people who have returned to sport following anterior cruciate ligament reconstruction surgery. J Sci Med Sport 15:488–495
Ardern CL, Taylor NF, Feller JA, Whitehead TS, Webster KE (2013) Psychological responses matter in returning to preinjury level of sport after anterior cruciate ligament reconstruction surgery. Am J Sports Med 41:1549–1558
Ardern CL, Webster KE, Taylor NF, Feller JA (2011) Return to sport following anterior cruciate ligament reconstruction surgery: a systematic review and meta-analysis of the state of play. Br J Sports Med 45:596–606
Bohu Y, Klouche S, Lefevre N, Webster K, Herman S (2015) Translation, cross-cultural adaptation and validation of the French version of the Anterior Cruciate Ligament-Return to Sport after Injury (ACL-RSI) scale. Knee Surg Sports Traumatol Arthrosc 23:1192–1196
Chen T, Zhang P, Li Y, Webster K, Zhang J, Yao W et al (2017) Translation, cultural adaptation and validation of simplified Chinese version of the anterior cruciate ligament return to sport after injury (ACL-RSI) scale. PLoS ONE 12:e0183095
Cohen J (1992) A power primer. Psychol Bull 112:155–159
Collins NJ, Prinsen CA, Christensen R, Bartels EM, Terwee CB, Roos EM (2016) Knee Injury and Osteoarthritis Outcome Score (KOOS): systematic review and meta-analysis of measurement properties. Osteoarthr Cartil 24:1317–1329
Cozzi AL, Dunn KL, Harding JL, McLeod TCV, Bacon CEW (2015) Kinesiophobia after anterior cruciate ligament reconstruction in physically active individuals. J Sport Rehab 24:434–439
Damsgård E, Fors T, Anke A, Røe C (2007) The Tampa Scale of Kinesiophobia: a Rasch analysis of its properties in subjects with low back and more widespread pain. J Rehabil Med 39:672–678
Delincé P, Ghafil D (2012) Anterior cruciate ligament tears: conservative or surgical treatment? A critical review of the literature. Knee Surg Sports Traumatol Arthrosc 20:48–61
George SZ, Lentz TA, Zeppieri G, Lee D, Chmielewski TL (2012) Analysis of shortened versions of the tampa scale for kinesiophobia and pain catastrophizing scale for patients after anterior cruciate ligament reconstruction. Clin J Pain 28:73–80
Harput G, Tok D, Ulusoy B, Eraslan L, Yildiz TI, Turgut E et al (2017) Translation and cross-cultural adaptation of the anterior cruciate ligament-return to sport after injury (ACL-RSI) scale into Turkish. Knee Surg Sports Traumatol Arthrosc 25:159–164
Harris JD, Abrams GD, Bach BR, Williams D, Heidloff D, Bush-Joseph CA et al (2014) Return to sport after ACL reconstruction. Orthopedics 37:e103–108
Hirohata K, Aizawa J, Ohmi T, Ohji S, Yagishita K et al (2017) Development of the Japanese version of the anterior cruciate ligament-return to sports after injury scale. Phys Therapy Jpn 44:433–439
Irrgang JJ, Anderson AF, Boland AL, Harner CD, Kurosaka M, Neyret P et al (2001) Development and validation of the international knee documentation committee subjective knee form. Am J Sports Med 29:600–613
Jia ZY, Cui J, Wang W, Xue CC, Liu TZ, Huang X et al (2018) Translation and validation of the simplified Chinese version of the anterior cruciate ligament-return to sport after injury (ACL-RSI). Knee Surg Sports Traumatol Arthrosc 26:2997–3003
Karlsson J, Becker R (2015) Return to sports after ACL reconstruction: individual considerations. Knee Surg Sports Traumatol Arthrosc 23:1271–1272
Kikuchi N, Matsudaira K, Sawada T, Oka H (2015) Psychometric properties of the Japanese version of the Tampa Scale for Kinesiophobia (TSK-J) in patients with whiplash neck injury pain and/or low back pain. J Orthop Sci 20:985–992
Kori S (1990) Kinisophobia: a new view of chronic pain behavior. Pain Manage 3:35–43
Kvist J, Ek A, Sporrstedt K, Good L (2005) Fear of re-injury: a hindrance for returning to sports after anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc 13:393–397
Kvist J, Österberg A, Gauffin H, Tagesson S, Webster K, Ardern C (2013) Translation and measurement properties of the Swedish version of ACL-Return to Sports after Injury questionnaire. Scand J Med Sci Sports 23:568–575
Langford JL, Webster KE, Feller JA (2009) A prospective longitudinal study to assess psychological changes following anterior cruciate ligament reconstruction surgery. Br J Sports Med 43:377–381
Lentz TA, Zeppieri G, George SZ, Tillman SM, Moser MW, Farmer KW et al (2015) Comparison of physical impairment, functional, and psychosocial measures based on fear of reinjury/lack of confidence and return-to-sport status after ACL reconstruction. Am J Sports Med 43:345–353
McHorney CA, Tarlov AR (1995) Individual-patient monitoring in clinical practice: are available health status surveys adequate? Qual Life Res 4:293–307
Neblett R, Hartzell MM, Mayer TG, Bradford EM, Gatchel RJ (2016) Establishing clinically meaningful severity levels for the Tampa Scale for Kinesiophobia (TSK-13). Eur J Pain 20:701–710
Ra HJ, Kim HS, Choi JY, Ha JK, Kim JY, Kim JG (2014) Comparison of the ceiling effect in the Lysholm score and the IKDC subjective score for assessing functional outcome after ACL reconstruction. Knee 21:906–910
Roos EM, Roos HP, Lohmander LS, Ekdahl C, Beynnon BD (1998) Knee Injury and Osteoarthritis Outcome Score (KOOS)–development of a self-administered outcome measure. J Orthop Sports Phys Ther 28:88–96
Silva LO, Mendes LMR, Lima POP, Almeida GPL (2018) Translation, cross-adaptation and measurement properties of the Brazilian version of the ACL-RSI Scale and ACL-QoL Questionnaire in patients with anterior cruciate ligament reconstruction. Braz J Phys Ther 22:127–134
Slagers AJ, Reininga IHF, van den Akker-Scheek I (2017) The Dutch language anterior cruciate ligament return to sport after injury scale (ACL-RSI)—validity and reliability. J Sports Sci 35:393–401
te Wierike SC, van der Sluis A, van den Akker-Scheek I, Elferink-Gemser MT, Visscher C (2013) Psychosocial factors influencing the recovery of athletes with anterior cruciate ligament injury: a systematic review. Scand J Med Sci Sports 23:527–540
Tegner Y, Lysholm J (1985) Rating systems in the evaluation of knee ligament injuries. Clin Orthop Relat Res 198:43–49
Terwee CB, Bot SD, de Boer MR, van der Windt DA, Knol DL, Dekker J et al (2007) Quality criteria were proposed for measurement properties of health status questionnaires. J Clin Epidemiol 60:34–42
Tjong VK, Murnaghan ML, Nyhof-Young JM, Ogilvie-Harris DJ (2014) A qualitative investigation of the decision to return to sport after anterior cruciate ligament reconstruction: to play or not to play. Am J Sports Med 42:336–342
Webster KE, Feller JA, Lambros C (2008) Development and preliminary validation of a scale to measure the psychological impact of returning to sport following anterior cruciate ligament reconstruction surgery. Phys Ther Sport 9:9–15
Woby SR, Roach NK, Urmston M, Watson PJ (2005) Psychometric properties of the TSK-11: a shortened version of the Tampa Scale for Kinesiophobia. Pain 117:137–144
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This study was approved by the institutional review board of the Tokyo Medical and Dental University.
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Hirohata, K., Aizawa, J., Furuya, H. et al. The Japanese version of the anterior cruciate ligament-return to sport after injury (ACL-RSI) scale has acceptable validity and reliability. Knee Surg Sports Traumatol Arthrosc 28, 2519–2525 (2020). https://doi.org/10.1007/s00167-020-05849-1
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DOI: https://doi.org/10.1007/s00167-020-05849-1