Cross-Cultural Adaptation, Validation, and Test-Retest Reliability of the Greek Version of the Victorian Institute of Sport Assessment for Gluteal Tendinopathy Questionnaire (VISA-G)
Purpose: The Victorian Institute of Sport Assessment-Gluteal (VISA-G) questionnaire is a widely used outcome measure for patients with Greater trochanteric pain syndrome (GTPS) that is available in different languages. Our purpose was to develop the Greek version of the VISA-G (VISA-G-Gr) and evaluate its psychometric properties including test-retest reliability and validity in a cohort of patients with GTPS. Methods: For the translation and cross-cultural adaptation process we followed the best available published guidelines and recommendations. Eighty patients with GTPS completed the VISA-G-Gr on two occasions (2 - 7 days) to evaluate test-retest reliability. In the first visit participants also completed the Greek versions of the Lower Extremity Functional Scale (LEFS) and the Modified Harris Hip Score (m-HHS) to assess convergent validity. Results: During translation and cross-cultural adaption, we needed to make some Minor wording adaptations to the questionnaire. The VISA-G-Gr was found to be reliable (intraclass correlation coefficient: 0.96, 95% confidence interval: 0.94 - 0.97) with a small measurement error (standard error of measurement: 3.9%, minimal detectable change: 9.1%). The questionnaire showed a strong correlation with the LEFS (0.81) and m-HHS (0.85). Conclusions: The VISA-G-Gr can be used as a reliable and valid patient reported outcome measure to evaluate the functional status of patients with GTPS.
References
[1]
Fearon, A.M., Scarvell, J.M., Neeman, T., Cook, J.L., Cormick, W. and Smith, P.N. (2012) Greater Trochanteric Pain Syndrome: Defining the Clinical Syndrome. BritishJournalofSportsMedicine, 47, 649-653. https://doi.org/10.1136/bjsports-2012-091565
[2]
Fearon, A.M., Cook, J.L., Scarvell, J.M., Neeman, T., Cormick, W. and Smith, P.N. (2014) Greater Trochanteric Pain Syndrome Negatively Affects Work, Physical Activity and Quality of Life: A Case Control Study. TheJournalofArthroplasty, 29, 383-386. https://doi.org/10.1016/j.arth.2012.10.016
[3]
Lall, A.C., Schwarzman, G.R., Battaglia, M.R., Chen, S.L., Maldonado, D.R. and Domb, B.G. (2019) Greater Trochanteric Pain Syndrome: An Intraoperative Endoscopic Classification System with Pearls to Surgical Techniques and Rehabilitation Protocols. ArthroscopyTechniques, 8, e889-e903. https://doi.org/10.1016/j.eats.2019.04.004
[4]
Torres, A., Fernández-Fairen, M. and Sueiro-Fernández, J. (2017) Greater Trochanteric Pain Syndrome and Gluteus Medius and Minimus Tendinosis: Nonsurgical Treatment. PainManagement, 8, 45-55. https://doi.org/10.2217/pmt-2017-0033
Lievense, A., Bierma-Zeinstra, S., Schouten, B., Bohnen, A., Verhaar, J. and Koes, B. (2005) Prognosis of Trochanteric Pain in Primary Care. British Journal of General Practice, 55, 199-204.
[7]
Barratt, P.A., Brookes, N. and Newson, A. (2016) Conservative Treatments for Greater Trochanteric Pain Syndrome: A Systematic Review. British Journal of Sports Medicine, 51, 97-104. https://doi.org/10.1136/bjsports-2015-095858
[8]
Kjeldsen, T., Hvidt, K.J., Bohn, M.B., Mygind-Klavsen, B., Lind, M., Semciw, A.I., etal. (2024) Exercise Compared to a Control Condition or Other Conservative Treatment Options in Patients with Greater Trochanteric Pain Syndrome: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Physiotherapy, 123, 69-80. https://doi.org/10.1016/j.physio.2024.01.001
[9]
Fearon, A.M., Ganderton, C., Scarvell, J.M., Smith, P.N., Neeman, T., Nash, C., etal. (2015) Development and Validation of a VISA Tendinopathy Questionnaire for Greater Trochanteric Pain Syndrome, the VISA-G. ManualTherapy, 20, 805-813. https://doi.org/10.1016/j.math.2015.03.009
[10]
Ebert, J.R., Fearon, A.M., Smith, A. and Janes, G.C. (2019) Responsiveness of the Victorian Institute for Sport Assessment for Gluteal Tendinopathy (VISA-G), Modified Harris Hip and Oxford Hip Scores in Patients Undergoing Hip Abductor Tendon Repair. MusculoskeletalScienceandPractice, 43, 1-5. https://doi.org/10.1016/j.msksp.2019.05.005
[11]
Sveinall, H., Wenstad, P.K., Fearon, A.M., Skyttemyr, G., Thornes, E., Skaara, H.E., etal. (2023) The Reliability and Validity of the Norwegian Version of the Victorian Institute of Sports Assessment for Gluteal Tendinopathy Questionnaire (VISA-G-Norwegian) for Patients with Greater Trochanteric Pain Syndrome. BMCMusculoskeletalDisorders, 24, Article No. 769. https://doi.org/10.1186/s12891-023-06901-0
[12]
Beaton, D.E., Bombardier, C., Guillemin, F. and Ferraz, M.B. (2000) Guidelines for the Process of Cross-Cultural Adaptation of Self-Report Measures. Spine, 25, 3186-3191. https://doi.org/10.1097/00007632-200012150-00014
[13]
Wild, D., Grove, A., Martin, M., Eremenco, S., McElroy, S., Verjee-Lorenz, A., etal. (2005) Principles of Good Practice for the Translation and Cultural Adaptation Process for Patient-Reported Outcomes (PRO) Measures: Report of the ISPOR Task Force for Translation and Cultural Adaptation. ValueinHealth, 8, 94-104. https://doi.org/10.1111/j.1524-4733.2005.04054.x
[14]
Karanasios, S., Korakakis, V., Diochnou, A., Oikonomou, G., Gedikoglou, I.A. and Gioftsos, G. (2022) Cross Cultural Adaptation and Validation of the Greek Version of the Western Ontario Rotator Cuff (WORC) Index. DisabilityandRehabilitation, 45, 2175-2184. https://doi.org/10.1080/09638288.2022.2083704
[15]
Karanasios, S., Kampourakis, G., Ntoulaveris, I., Kouvaras, K., Lignos, I., Diamantopoulos, N., et al. (2023) Cross-Cultural Adaptation, Reliability, and Validity of the Greek Version of the Upper Extremity Functional Index. Cureus, 15, e33381. https://doi.org/10.7759/cureus.33381
[16]
Karanasios, S., Mavridis, I., Paraskevopoulos, E., Sotiralis, Y., Diamantopoulos, N. and Gioftsos, G. (2024) The Western Ontario Shoulder Instability Index (WOSI) Was Successfully Translated to the Greek Language. JournalofHandTherapy, 37, 157-160. https://doi.org/10.1016/j.jht.2023.05.002
[17]
Grimaldi, A., Mellor, R., Hodges, P., Bennell, K., Wajswelner, H. and Vicenzino, B. (2015) Gluteal Tendinopathy: A Review of Mechanisms, Assessment and Management. SportsMedicine, 45, 1107-1119. https://doi.org/10.1007/s40279-015-0336-5
[18]
French, H.P., Grimaldi, A., Woodley, S., O’Connor, L. and Fearon, A. (2019) An International Survey of Current Physiotherapy Practice in Diagnosis and Knowledge Translation of Greater Trochanteric Pain Syndrome (GTPS). MusculoskeletalScienceandPractice, 43, 122-126. https://doi.org/10.1016/j.msksp.2019.06.002
[19]
Bothorel, H., Pernoud, A. and Christofilopoulos, P. (2024) Translation and Cross-Cultural Adaptation into French of the Harris Hip Score and the Modified Harris Hip Score. PatientRelatedOutcomeMeasures, 15, 81-91. https://doi.org/10.2147/prom.s439707
[20]
Stasi, S., Papathanasiou, G., Diochnou, A., Polikreti, B., Chalimourdas, A. and Macheras, G.A. (2020) Modified Harris Hip Score as Patient-Reported Outcome Measure in Osteoarthritic Patients: Psychometric Properties of the Greek Version. HIP International, 31, 516-525. https://doi.org/10.1177/1120700020901682
[21]
Binkley, J.M., Stratford, P.W., Lott, S.A. and Riddle, D.L. (1999) The Lower Extremity Functional Scale (LEFS): Scale Development, Measurement Properties, and Clinical Application. Physical Therapy, 79, 371-383. https://doi.org/10.1093/ptj/79.4.371
[22]
Stasi, S., Papathanasiou, G., Chronopoulos, E., Galanos, A., Papaioannou, N.A. and Triantafyllopoulos, I.K. (2018) Association between Abductor Muscle Strength and Functional Outcomes in Hip-Fractured Patients: a cross-Sectional Study. Journal of Musculoskeletal Neuronal Interactions, 18, 530-542.
[23]
Polit, D.F., Beck, C.T. and Owen, S.V. (2007) Is the CVI an Acceptable Indicator of Content Validity? Appraisal and Recommendations. ResearchinNursing&Health, 30, 459-467. https://doi.org/10.1002/nur.20199
[24]
Adler, L.A., Sutton, V.K., Moore, R.J., Dietrich, A.P., Reimherr, F.W., Sangal, R.B., etal. (2006) Quality of Life Assessment in Adult Patients with Attention-Deficit/Hyperactivity Disorder Treated with Atomoxetine. JournalofClinicalPsychopharmacology, 26, 648-652. https://doi.org/10.1097/01.jcp.0000239797.21826.70
[25]
Aiken, L.R. (1985) Three Coefficients for Analyzing the Reliability and Validity of Ratings. EducationalandPsychologicalMeasurement, 45, 131-142. https://doi.org/10.1177/0013164485451012
[26]
Paiva, E.B., Azevedo, D.C., Pereira, A.L., Garcia, A.N. and Percope de Andrade, M.A. (2021) Translation, Cross-Cultural Adaptation and Validation of the Brazilian Portuguese Version of the Victorian Institute of Sports Assessment for Gluteal Tendinopathy Patient Reported-Outcome Measure (VISA-G.BR). MusculoskeletalScienceandPractice, 52, Article 102341. https://doi.org/10.1016/j.msksp.2021.102341
[27]
Jorgensen, J.E., Fearon, A.M., Mølgaard, C.M., Kristinsson, J. and Andreasen, J. (2020) Translation, Validation and Test-Retest Reliability of the VISA-G Patient-Reported Outcome Tool into Danish (VISA-G.DK). PeerJ, 8, e8724. https://doi.org/10.7717/peerj.8724
[28]
Van Quickenborne, D., Van Der Straeten, C., Burssens, A. and Audenaert, E. (2024) Victorian Institute of Sport Assessment Questionnaire Specifically Tailored for Greater Trochanteric Pain Syndrome for the Dutch Population. JournalofHipPreservationSurgery, 11, 257-262. https://doi.org/10.1093/jhps/hnae026
[29]
Beaudart, C., Gillier, M., Bornheim, S., Van Beveren, J., Bruyère, O. and Kaux, J. (2020) French Translation and Validation of the Victorian Institute of Sports Assessment for Gluteal Tendinopathy Questionnaire. PM&R, 13, 137-143. https://doi.org/10.1002/pmrj.12391
[30]
Minetto, M.A., Busso, C., Giannini, A., Meiburger, K., Massazza, G. and Maffulli, N. (2021) Cross-Cultural Adaptation and Validation of the Victorian Institute of Sports Assessment for Gluteal Tendinopathy Questionnaire in Italian and Investigation of the Association between Tendinopathy-Related Disability and Pain. EuropeanJournalofPhysicalandRehabilitationMedicine, 56, 764-770. https://doi.org/10.23736/s1973-9087.20.06209-7
[31]
Roškar, S., Rojc, M., Podovšovnik, E. and Trebše, R. (2023) Psychometric Characteristics, Cross-Cultural Adaptation and Validation of the Slovenian Version of the Victorian Institute of Sports Assessments for Gluteal Tendinopathy Questionnaire (VISA-G). SlovenianJournalofPublicHealth, 62, 167-172. https://doi.org/10.2478/sjph-2023-0024
[32]
Citaker, S., Arikan, H., Maras, G., Ayas, I. and Yazgan-Dagli, B. (2022) Translation, Reliability, and Validity of the Turkish Version of the Victorian Institute of Sports Assessment for Gluteal Tendinopathy (VISA-G) Questionnaire in Individuals with Greater Trochanteric Pain Syndrome. PhysiotherapyTheoryandPractice, 40, 617-624. https://doi.org/10.1080/09593985.2022.2127139
[33]
Prinsen, C.A.C., Mokkink, L.B., Bouter, L.M., Alonso, J., Patrick, D.L., de Vet, H.C.W., etal. (2018) COSMIN Guideline for Systematic Reviews of Patient-Reported Outcome Measures. QualityofLifeResearch, 27, 1147-1157. https://doi.org/10.1007/s11136-018-1798-3
[34]
Terwee, C.B., Bot, S.D.M., de Boer, M.R., van der Windt, D.A.W.M., Knol, D.L., Dekker, J., etal. (2007) Quality Criteria Were Proposed for Measurement Properties of Health Status Questionnaires. JournalofClinicalEpidemiology, 60, 34-42. https://doi.org/10.1016/j.jclinepi.2006.03.012
[35]
Sperber, A.D. (2004) Translation and Validation of Study Instruments for Cross-Cultural Research. Gastroenterology, 126, S124-S128. https://doi.org/10.1053/j.gastro.2003.10.016
[36]
Marx, R.G., Menezes, A., Horovitz, L., Jones, E.C. and Warren, R.F. (2003) A Comparison of Two Time Intervals for Test-Retest Reliability of Health Status Instruments. JournalofClinicalEpidemiology, 56, 730-735. https://doi.org/10.1016/s0895-4356(03)00084-2
