ArticleOrthopaedic journal of sports medicine2025
Translation and Psychometric Evaluation of the Thai Version of the Short Anterior Cruciate Ligament-Return to Sport After Injury Scale.
Article in Orthopaedic journal of sports medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: The Anterior Cruciate Ligament-Return to Sport after Injury (ACL-RSI) scale measures psychological readiness to return to sport after an anterior cruciate ligament (ACL) injury or ACL reconstruction (ACLR). The 6-item short version of this scale has demonstrated psychometric properties similar to those of the original 12-item version. Purpose: To translate the short ACL-RSI scale into Thai and assess its psychometric properties via the COSMIN (COnsensus-based Standards for the selection of health Measurement INstruments) checklist. Study Design: Cohort study (Diagnosis); Level of evidence, 3. Methods: This prospective cohort study was conducted from August 2022 to April 2024. The Thai version of the short ACL-RSI scale was translated according to international guidelines. A psychometric evaluation was performed on athletes aged 18 to 50 years who had undergone ACLR at 6 months to 5 years prior. Participants completed the study questionnaires at baseline and 2 weeks later. The construct validity of the Thai version of the short ACL-RSI scale was evaluated by testing predefined hypotheses regarding its associations with other assessment tools. Reliability was assessed using internal consistency, test-retest reliability, and measurement error. Interpretability was assessed based on floor and ceiling effects and the minimal important change. Results: The short ACL-RSI scale was successfully translated into Thai. A total of 142 participants (mean age, 30.7 ± 8.9 years; 83.1% male) were included. Overall, 8 of 9 (88.9%) predefined hypotheses were confirmed, supporting good construct validity. The scale demonstrated good internal consistency (Cronbach alpha = 0.88) and test-retest reliability (intraclass correlation coefficient = 0.79). No floor or ceiling effects were observed. The minimal important change, which was calculated via a distribution-based method, was 9.2 points. Conclusion: The study demonstrated that the Thai version of the short ACL-RSI scale is a valid and reliable tool for assessing psychological readiness to return to sport after ACLR.
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