ABSTRACT
OBJECTIVES: To compare responsiveness for the two region specific questionnaires Shoulder Disability Questionnaire (SDQ) and Shoulder Pain Disability Index (SPADI) and the disease specific Western Ontario Rotator Cuff (WORC) index in subacromial impingement syndrome (SIS) receiving physical therapy or subacromial corticosteroid injection. MATERIAL AND METHODS: Sixty-four patients with SIS diagnosed participated in this study. All the patients were provided either physical therapy or subacromial corticosteroid injection treatment. The SDQ, the SPADI and WORC index were assessed both at the beginning and after the 3rd month of treatment. The responsiveness of the three questionnaires was compared by using the effect size (ES), the standardized responsiveness mean (SRM) and Guyatt's method. RESULTS: For both treatment groups there was no statistical difference observed between the pre- and post treatment measurement results versus improvement differences (p> 0.05). SDQ (ES=0.94; SRM=1.14; Guyatt value=0.95), SPADI (ES=1.55; SRM=2.14; Guyatt value=1.08), WORC index (ES=1.37; SRM=1.70; Guyatt value=1.15) were highly responsive for SIS. CONCLUSIONS: The SDQ, the SPADI and the WORC index are suitable for measuring changes in patients with SIS. Of these three indices, the SDQ and the SPADI are more suitable for a rapid assessment whereas the WORC index is better in cases where a more detailed assessment including the psychological impact created by the functional status needs to be assessed.
Subject(s)
Disability Evaluation , Shoulder Impingement Syndrome/diagnosis , Shoulder Impingement Syndrome/rehabilitation , Surveys and Questionnaires , Adrenal Cortex Hormones/administration & dosage , Adrenal Cortex Hormones/therapeutic use , Female , Follow-Up Studies , Humans , Injections, Intra-Articular , Male , Middle Aged , Outcome Assessment, Health Care , Physical Therapy Modalities , Treatment OutcomeABSTRACT
OBJECTIVE: The purpose of this study was to develop a Turkish version of the mini Osteoporosis Quality of Life Questionnaire (mini-OQLQ), and assess its reliability and validity. MATERIAL AND METHOD: Sixty-four women with postmenopausal osteoporosis were included in the study. Patients who were diagnosed with secondary osteoporosis through clinical and laboratory examinations were excluded from the study. After translation process, the Turkish version of the scale was applied to each participant twice with an interval of 2 weeks. For reliability study, internal consistency (Cronbach's α) of mini-OQLQ total score and test-retest intraclass correlation coefficient (ICC) were calculated. Validation study was assessed by correlating the scale with QUALEFFO 41. RESULTS: The mean age at menopause and age of patients were 45.61 ± 6.04 and 59.91 ± 8.69 years, respectively. Cronbach's α of the Turkish version of the mini-OQLQ was 0.898. The test-retest reliability (ICC) of the Turkish version of the mini-OQLQ was determined as 0.81 for the total score, and ranged between 0.71 and 0.84 for individual items. In terms of validity, the Turkish version of mini-OQLQ showed significant negative correlation with QUALEFFO 41 (r= -0.756; p < 0.0001). CONCLUSION: The Turkish version of the mini-OQLQ was found to be reliable and valid in the evaluation of life quality of patients with postmenopausal osteoporosis.
Subject(s)
Language , Osteoporosis, Postmenopausal/physiopathology , Osteoporosis, Postmenopausal/psychology , Quality of Life/psychology , Surveys and Questionnaires , Activities of Daily Living/psychology , Aged , Female , Fractures, Bone/etiology , Humans , Lumbar Vertebrae/injuries , Middle Aged , Motor Activity/physiology , Osteoporosis, Postmenopausal/complications , Reproducibility of Results , TurkeyABSTRACT
BACKGROUND AND AIMS: The aim of this study was to develop a Turkish version of the Nottingham Extended Activities of Daily Living Scale (NEADLS) and to assess its reliability and validity. METHODS: Sixty healthy volunteers over 67 years old were included in the study. After translation, the Turkish version of the scale was filled in by each participant over a period of 2 weeks. Reliability was assessed by internal consistency, test-retest intraclass correlation coefficient (ICC) and Spearman's correlation. Converging validity was determined correlating the scale with the Modified Barthel Index (MBI). RESULTS: The mean age of participants was 77+/-5.67 years. In the reliability studies, internal consistency within the subsections and items of the NEADLS was good and very good, with Cronbach's alpha values ranging between 0.84-0.93 and 0.74-0.97 respectively. The Cronbach's alpha for the total NEADLS score was also determined as 0.97. Test-retest intraclass correlation coefficients, determined as 0.97 in total score, ranged from 0.84-0.97 between items. The converging validity study for the NEADLS total score was correlated with the MBI and the r value was found statistically significant (r=0.84, p<0.0001). CONCLUSIONS: The Turkish version of the NEADLS is a reliable and valid scale and can be used in activities of daily living assessment of Turkish elderly persons.
Subject(s)
Activities of Daily Living , Geriatric Assessment/methods , Aged , Aged, 80 and over , Disability Evaluation , Female , Humans , Male , Reproducibility of Results , TurkeyABSTRACT
OBJECTIVES: The purpose of this study was to develop a Turkish version of the Berg Balance Scale (BBS) and assess its reliability and validity. MATERIALS AND METHOD: Sixty healthy volunteers older than 65 years were included in to the study. Subjects who had lower extremity amputation, or were armchair or bedridden were excluded. After translation process, the Turkish version of the scale was administered to each participant twice with an interval of 2 weeks. The intraclass correlation coefficient (ICC) was calculated to assess intra- and inter-observer reliability. Chronbach alpha was calculated to evaluate internal consistency of the total BBS score. Interclass correlation coefficient was calcuated to examine test-retest reliability. Convergent validity was assessed by correlating the scale with Modified Barthel Index (MBI) and Timed Up and Go Test (TUG). Construct validity was assessed with factor analysis. RESULTS: The mean age in years of the participants were 77.00+/-5.67 (range: 67-92 yrs). The ICC for intra- and inter- observer reliability was 0.98 (p<0.0001) and 0.97 (p<0.0001), respectively. Chronbach alpha of the Turkish version of the BBS was 0.98. The test-retest reliability (ICC) of the Turkish version of the BBS was determined as 0.98 for the total score, and ranged from 0.86-0.99 for individual items. In terms of validity, the Turkish version of the BBS was correlated with the MBI (in positive direction) and TUG (in negative direction) (r=0.67 p<0.0001; r=-0.75 p<0.0001, respectively). CONCLUSION: The Turkish version of the BBS is a reliable and valid scale to be used in balance assessment of Turkish older adults.
