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STarT MSK tool: Translation, adaptation and validation in Hebrew.

Noa Ben Ami1, Jonathan Hill2, Tamar Pincus3

  • 1Department of Physiotherapy, Ariel University, Ariel, Israel.

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|December 4, 2021
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Summary

The Keele STarT MSK Tool, a validated instrument for musculoskeletal pain, has been successfully translated and validated for Hebrew speakers in Israel. This tool effectively stratifies patients into low, medium, and high-risk prognostic groups for tailored care.

Keywords:
Keele STarT MSK screening toolmusculoskeletal paintranslationvalidation

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Area of Science:

  • Musculoskeletal health
  • Clinical assessment tools
  • Health services research

Background:

  • The Keele STarT MSK Tool stratifies musculoskeletal patients into prognostic groups for risk-based care.
  • The tool demonstrates strong predictive and discriminative capabilities in existing validation studies.

Purpose of the Study:

  • To translate and validate the STarT MSK Tool into a Hebrew version.
  • To assess the utility of the Hebrew STarT MSK among Israeli individuals experiencing musculoskeletal pain.

Main Methods:

  • A cross-sectional study with a nested prospective sub-sample was conducted.
  • The STarT MSK underwent forward and backward translation following established guidelines for cultural adaptation.
  • 153 adults with musculoskeletal pain completed the Hebrew STarT MSK, alongside established measures for validity testing (SF-12, HADS, FABQ, NPRS).

Main Results:

  • The Hebrew translation demonstrated excellent test-retest reliability (ICC=0.92) and acceptable internal consistency (α=0.612).
  • Correlation analyses between the STarT MSK total score and validation measures were significant, supporting the tool's validity.
  • The STarT MSK successfully discriminated between low-, medium-, and high-risk patient groups.

Conclusions:

  • The Hebrew version of the STarT MSK Tool is a valid and reliable instrument for use in Israel.
  • This validated tool enables effective risk stratification for musculoskeletal pain patients in the Israeli population.