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Related Experiment Video

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Author Spotlight: Exploring the Complexities of Achilles Tendon Injuries — Research and Future Directions
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Reliability and validation of the Dutch Achilles tendon Total Rupture Score.

K T M Opdam1, R Zwiers2, J I Wiegerinck2

  • 1Department of Orthopaedic Surgery, Orthopaedic Research Center Amsterdam, Academic Medical Center, University of Amsterdam, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands. k.t.opdam@amc.uva.nl.

Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA
|July 16, 2016
PubMed
Summary

The Dutch Achilles tendon Total Rupture Score (ATRS) demonstrates reliable and valid outcomes for assessing Achilles tendon ruptures. This validated tool is now available for use in the Dutch population for treatment evaluation and research.

Keywords:
ATRSAchilles tendon ruptureCross-culturalDutchPROMReliabilityValidity

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Area of Science:

  • Orthopedics
  • Sports Medicine
  • Rehabilitation Science

Background:

  • Patient-reported outcome measures (PROMs) are crucial for evaluating treatment effectiveness.
  • The Achilles tendon Total Rupture Score (ATRS) is a key PROM for assessing Achilles tendon ruptures.

Purpose of the Study:

  • To translate the ATRS into Dutch.
  • To evaluate the reliability and validity of the Dutch ATRS in the Dutch population.

Main Methods:

  • Forward-backward translation adhering to cross-cultural adaptation guidelines.
  • Reliability assessed via ICC, Cronbach's alpha, and MDC.
  • Construct validity evaluated using correlations with FAOS, VISA-A, and NRS pain scales.

Main Results:

  • Excellent test-retest reliability (ICC=0.852) and internal consistency (Cronbach's alpha=0.96).
  • Minimal Detectable Change (MDC) established at 30.2 (individual) and 3.5 (group).
  • Strong correlations observed with NRS pain during running (r=-0.746) and FAOS subscales (r=0.724-0.867).

Conclusions:

  • The Dutch ATRS is a reliable and valid instrument.
  • It is suitable for measuring treatment outcomes in Dutch patients with Achilles tendon ruptures.
  • The tool can be utilized for research purposes in the Dutch population.