Cross-cultural adaptation, reliability and validity of the persian version of the functional assessment scale for acute hamstring injuries

Abstract Background The Functional Assessment Scale for Acute Hamstring Injuries (FASH) which measure symptom’s severity and impact on physical activity and sports ability in individuals with acute hamstring muscle injury, is not available in Persian. The aim of this study was to translate and cross...

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Main Authors: Mohammad Hadadi, Farzaneh Haghighat
Format: Article
Language:English
Published: BMC 2024-11-01
Series:Journal of Orthopaedic Surgery and Research
Subjects:
Online Access:https://doi.org/10.1186/s13018-024-05252-3
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author Mohammad Hadadi
Farzaneh Haghighat
author_facet Mohammad Hadadi
Farzaneh Haghighat
author_sort Mohammad Hadadi
collection DOAJ
description Abstract Background The Functional Assessment Scale for Acute Hamstring Injuries (FASH) which measure symptom’s severity and impact on physical activity and sports ability in individuals with acute hamstring muscle injury, is not available in Persian. The aim of this study was to translate and cross-culturally adapt the FASH questionnaire to Persian and to assess the psychometric properties of the translated version. Methods The Persian-translation and cross-cultural adaptation processes were based on World Health Organization method. A total of 160 participants compromising of four groups: (1) acute hamstring injury (N = 40), (2) other lower extremity injury (N = 40), (3) risk of acute injury (N = 40), and (4) healthy control (N = 40) were recruited to complete the Persian version of FASH (FASH-P) questionnaire twice with an interval of 48–60 h. The Short Form Health Survey (SF-36) and Lower Extremity Functional Scale (LEFS) were used to assess the criterion validity. Test-retest reliability, internal consistency, criterion validity, Dimensionality and floor/ceiling effects were evaluated to assess the FASH-P psychometric properties. Results The FASH questionnaire were translated to Persian without any major problems. The FASH-P showed excellent power of differentiation because the scores were significantly different among the four groups. Regarding psychometric performances, excellent test–retest reliability (Intraclass correlation coefficient of 0.997) and a high level of internal consistency (Cronbach’s alpha of 0.966) were observed. The FASH-P total score was significantly correlated with SF-36 and LEFS questionnaires representing an excellent criterion validity. No floor or ceiling effect were found for total score in Hamstring muscle injury group. Conclusions Due to the excellent psychometric performance, the FASH-P can be used as a reliable and valid tool for evaluating the severity of symptoms and sports ability in Persian-speaking patients with hamstring muscle injury.
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spelling doaj-art-93bfbbbd03224cbcab4307f7f237dbdc2025-08-20T02:49:16ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2024-11-011911910.1186/s13018-024-05252-3Cross-cultural adaptation, reliability and validity of the persian version of the functional assessment scale for acute hamstring injuriesMohammad Hadadi0Farzaneh Haghighat1Department of Orthotics and Prosthetics, School of Rehabilitation Sciences, Shiraz University of Medical SciencesOrthopedic & Rehabilitation Research Center, Shiraz University of Medical SciencesAbstract Background The Functional Assessment Scale for Acute Hamstring Injuries (FASH) which measure symptom’s severity and impact on physical activity and sports ability in individuals with acute hamstring muscle injury, is not available in Persian. The aim of this study was to translate and cross-culturally adapt the FASH questionnaire to Persian and to assess the psychometric properties of the translated version. Methods The Persian-translation and cross-cultural adaptation processes were based on World Health Organization method. A total of 160 participants compromising of four groups: (1) acute hamstring injury (N = 40), (2) other lower extremity injury (N = 40), (3) risk of acute injury (N = 40), and (4) healthy control (N = 40) were recruited to complete the Persian version of FASH (FASH-P) questionnaire twice with an interval of 48–60 h. The Short Form Health Survey (SF-36) and Lower Extremity Functional Scale (LEFS) were used to assess the criterion validity. Test-retest reliability, internal consistency, criterion validity, Dimensionality and floor/ceiling effects were evaluated to assess the FASH-P psychometric properties. Results The FASH questionnaire were translated to Persian without any major problems. The FASH-P showed excellent power of differentiation because the scores were significantly different among the four groups. Regarding psychometric performances, excellent test–retest reliability (Intraclass correlation coefficient of 0.997) and a high level of internal consistency (Cronbach’s alpha of 0.966) were observed. The FASH-P total score was significantly correlated with SF-36 and LEFS questionnaires representing an excellent criterion validity. No floor or ceiling effect were found for total score in Hamstring muscle injury group. Conclusions Due to the excellent psychometric performance, the FASH-P can be used as a reliable and valid tool for evaluating the severity of symptoms and sports ability in Persian-speaking patients with hamstring muscle injury.https://doi.org/10.1186/s13018-024-05252-3QuestionnaireHamstringAcute injuryValidityPsychometric propertiesReliability
spellingShingle Mohammad Hadadi
Farzaneh Haghighat
Cross-cultural adaptation, reliability and validity of the persian version of the functional assessment scale for acute hamstring injuries
Journal of Orthopaedic Surgery and Research
Questionnaire
Hamstring
Acute injury
Validity
Psychometric properties
Reliability
title Cross-cultural adaptation, reliability and validity of the persian version of the functional assessment scale for acute hamstring injuries
title_full Cross-cultural adaptation, reliability and validity of the persian version of the functional assessment scale for acute hamstring injuries
title_fullStr Cross-cultural adaptation, reliability and validity of the persian version of the functional assessment scale for acute hamstring injuries
title_full_unstemmed Cross-cultural adaptation, reliability and validity of the persian version of the functional assessment scale for acute hamstring injuries
title_short Cross-cultural adaptation, reliability and validity of the persian version of the functional assessment scale for acute hamstring injuries
title_sort cross cultural adaptation reliability and validity of the persian version of the functional assessment scale for acute hamstring injuries
topic Questionnaire
Hamstring
Acute injury
Validity
Psychometric properties
Reliability
url https://doi.org/10.1186/s13018-024-05252-3
work_keys_str_mv AT mohammadhadadi crossculturaladaptationreliabilityandvalidityofthepersianversionofthefunctionalassessmentscaleforacutehamstringinjuries
AT farzanehhaghighat crossculturaladaptationreliabilityandvalidityofthepersianversionofthefunctionalassessmentscaleforacutehamstringinjuries