Cross-cultural adaptation, translation, and validation of the functional assessment scale for acute hamstring injuries (FASH) questionnaire for French-speaking patients
[en] Study design: This consisted of a translation and validation study.
Background: Acute hamstring injury is a frequent muscle strain in sports that require high explosive
strength, impulsion or running phases. Therefore, the Functional Assessment Scale for Hamstring Injury
questionnaire was developed to assess pain, physical activity level and ability to perform various exercises
in patients with hamstring injuries. The Functional Assessment Scale for Hamstring Injury questionnaire is
currently available in English, German, and Greek.
Objectives: The goal of this study was to provide a cross-culturally adapted French-translation of the
FASH questionnaire and to assess its psychometric performance.
Methods: The French-translation and cross-cultural adaptation process were based on international
recommendations, following six rigorous steps: (a) two initial translations from English to French; (b)
synthesis of the two translations; (c) back-translations; (d) comparisons between the back-translations and
the original questionnaire by an expert committee; (e) pretest; and (f) approval of the final French version
of the Functional Assessment Scale for Hamstring Injury questionnaire. To validate this French version, 116
subjects (17 pathological patients, 19 patients with other muscle injury, 40 athletes at risk, and 40 healthy
control athletes) were recruited to complete the Functional Assessment Scale for Hamstring Injury questionnaire.
The Short Form Health Survey (SF-36) was used as a comparative questionnaire. The psychometric
properties of the questionnaire were evaluated by determining the test-retest reliability after a 48–60-h
interval, internal consistency, construct validity, and floor/ceiling effects.
Results: All of the items of the Functional Assessment Scale for Hamstring Injury questionnaire were
translated without any major difficulties. The questionnaire showed excellent discriminative power by
obtaining significantly different scores from the four groups (p¼0.01). Regarding psychometric performances,
the test–retest reliability was excellent (IntraClass Coefficient Correlation of 0.997). Very high
internal consistency was also observed (Cronbach’s alpha of 0.969). Correlations with the physical health
subscales of the SF-36 were significant and considered to be strong, indicating an excellent convergent
validity. The other subscales of the SF-36 (mental health) were weakly correlated with the FASH, reflecting
good divergent validity. No floor or ceiling effects were observed.
Conclusion: The French-translation of the Functional Assessment Scale for Hamstring Injury questionnaire
and its cross-cultural adaptation can be considered to be successful. Functional Assessment Scale for
Hamstring Injury-French questionnaire is now a reliable and valid tool for patients suffering from acute
hamstring injury, and its application in clinical practice is particularly relevant.
IMPLICATIONS FOR REHABILITATION
The FASH-F can be considered to be discriminant, reliable and valid for the evaluation of the severity
of symptoms and sports ability in individuals with hamstring injuries.
FASH-F is now a reliable and valid tool for French-speaking patients suffering from acute hamstring
injury, and its application in clinical practice is particularly relevant.
A limitation of our study could be that the distribution between the different study groups was not
homogeneous implying that our findings may not be fully representative of the general population.
Disciplines :
Orthopedics, rehabilitation & sports medicine
Author, co-author :
Locquet, Médéa ; Université de Liège - ULiège > Département des sciences de la santé publique > Epidémiologie clinique
Willems, Tom
Specque, Clément
Beaudart, Charlotte ; Université de Liège - ULiège > Département des sciences de la santé publique > Santé publique, Epidémiologie et Economie de la santé
Bruyère, Olivier ; Université de Liège - ULiège > Département des sciences de la santé publique > Santé publique, Epidémiologie et Economie de la santé
Van Beveren, Julien
Dardenne, Nadia ; Université de Liège - ULiège > Département des sciences de la santé publique > Biostatistique
Reginster, Jean-Yves ; Université de Liège - ULiège > Département des sciences de la santé publique > Santé publique, Epidémiologie et Economie de la santé
Kaux, Jean-François ; Université de Liège - ULiège > Département des sciences de la motricité > Médecine physique, réadaptation et traumatologie du sport
Language :
English
Title :
Cross-cultural adaptation, translation, and validation of the functional assessment scale for acute hamstring injuries (FASH) questionnaire for French-speaking patients
Croisier J-L, Ganteaume S, Binet J, et al. Strength imbalances and prevention of hamstring injury in professional soccer players. Am J Sports Med. 2008;36:1469–1475.
Croisier J-L. Factors associated with recurrent hamstring injuries. Sport Med. 2004;34:681–695.
Freckleton G, Pizzari T. Risk factors for hamstring muscle strain injury in sport: a systematic review and meta-analysis. Br J Sport Med. 2013;47:351–358.
Petersen J, Hölmich P. Evidence based prevention of hamstring injuries in sport. Br J Sport Med. 2005;39:319–323.
Gabbe BJ, Finch CF, Bennell KL, et al. Risk factors for hamstring injuries in community level Australian football. Br J Sport Med. 2005;39:106–110.
Gabbe BJ, Bennell KL, Finch CF, et al. Predictors of hamstring injury at the elite level of Australian football. Scand J Med Sci Sports. 2006;16:7–13.
Cacchio A, De Paulis F, Maffulli N. Development and validation of a new visa questionnaire (VISA-H) for patients with proximal hamstring tendinopathy. Br J Sports Med. 2014;48:448–452.
Malliaropoulos N, Korakakis V, Christodoulou D, et al. Development and validation of a questionnaire (FASH—Functional Assessment Scale for Acute Hamstring Injuries): to measure the severity and impact of symptoms on function and sports ability in patients with acute hamstring injuries. Br J Sports Med. 2014;48:1607–1612.
Lohrer H, Nauck T, Korakakis V, et al. Validation of the FASH (Functional Assessment Scale for Acute Hamstring Injuries) questionnaire for German-speaking football players. J Orthop Surg Res. 2016;11:130.
Beaton DE, Bombardier C, Guillemin F, et al. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine (Phila Pa 1976). 2000;25:3186–3191.
Malliaropoulos N, Papacostas E, Kiritsi O, et al. Posterior thigh muscle injuries in elite track and field athletes. Am J Sports Med. 2010;38:1813–1819.
Brazier JE, Harper R, Jones NM, et al. Validating the SF-36 health survey questionnaire: new outcome measure for primary care. BMJ. 1992;305:160–164.
Bartko JJ. The intraclass correlation coefficient as a measure of reliability. Psychol Rep. 1966;19:3–11.
Tavakol M, Dennick R. Making sense of Cronbach’s alpha. Int J Med Educ. 2011;2:53–55.
Taylor R. Interpretation of the correlation coefficient: a basic review. J Diagn Med Sonogr. 1990;6:35–39.
Estimation des francophones - Organisation internationale de la Francophonie [Internet]. 2017 [cited 2017 Dec 21]. Available from: https://www.francophonie.org/Estimation-des-francophones.html
Garrett WE. Muscle strain injuries. Am J Sports Med. 1996;24:S2–S8.
Woods C, Hawkins RD, Maltby S, et al. The Football Association Medical Research Programme: an audit of injuries in professional football–analysis of hamstring injuries. Br J Sports Med. 2004;38:36–41.
Bland JM, Altman DG. Cronbach’s alpha. BMJ. 1997;314:572.
DeVellis RF. Scale development: theory and applications. Thousand Oaks (CA): Sage Publications; 2003. 171 p.