Evidence map›Paper›PMID 40980557›Full record

ArticleOrthopaedic journal of sports medicine2025

Translation and Validation of the Spanish Version of the Norwich Patellofemoral Instability (NPI) Score.

Juan Pablo Martinez-Cano, Alejandro Gallego, Sebastian Mejia, Giovani Gravini, David Portilla, Maria Camila Gómez-Ayala

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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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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Juan Pablo Martinez-CanoFundación Valle del Lili, Departamento de Ortopedia, Cali, Valle del Cauca, Colombia.ORCID https://orcid.org/0000-0002-6228-0621
Alejandro GallegoFundación Valle del Lili, Centro de Investigaciones Clínicas, Cali, Valle del Cauca, Colombia.
Sebastian MejiaHospital Universitario de la Samaritana, Bogotá, Colombia.
Giovani GraviniHospital Universitario Infantil de San José, Bogotá, Colombia.
David PortillaFundación Universitaria de Ciencias de la Salud, Bogotá, Colombia.
Maria Camila Gómez-AyalaFundación Valle del Lili, Centro de Investigaciones Clínicas, Cali, Valle del Cauca, Colombia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The Norwich Patellofemoral Instability (NPI) score is a disease-specific questionnaire for patients with this condition; however, it has not been validated in Spanish-speaking patients. Purpose: To (1) translate the NPI score into Spanish and validate its psychometric properties and (2) to correlate it with the Spanish versions of the Kujala score and the Banff Patellofemoral Instability Instrument (BPII) 2.0. Study Design: Cohort study (Diagnosis); Level of evidence, 2. Methods: The translation and validation of the NPI score into Spanish were conducted following the Consensus-Based Standards for the Selection of Health Measurement Instruments guidelines. This included forward and backward translations, conciliation, and a pilot study in 5 patients. Internal consistency was evaluated using the Cronbach alpha and test-retest reliability using intraclass correlation coefficients (ICCs). Pearson correlation coefficients were used to calculate the correlation of the NPI score with Kujala and BPII scores. Results: The study included 58 voluntary participants, predominantly female (71%), with a mean ± SD age of 17.4 ± 6.6 years. The Spanish version of the NPI showed high internal consistency (Cronbach alpha, .93) and an ICC of 0.88 (95% CI, 0.80-0.92). Additionally, it exhibited a moderate negative correlation with the Kujala score (-0.57), and high negative correlation with the BPII score (-0.70). There was no ceiling or floor effect. Conclusion: Our study demonstrated that the Spanish version of the NPI score has high internal consistency and test-retest reliability, enabling its use in Spanish-speaking patients with patellar instability. It also demonstrated high correlation with another disease-specific score for patellofemoral instability (BPII 2.0) and moderate correlation with the Kujala score.

Indexed as

patellapatellar dislocationpatellofemoral jointpatient-reported outcome measuretranslation

Identifiers

PMID40980557
PMCPMC12446835

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