Yıl: 2023 Cilt: 53 Sayı: 5 Sayfa Aralığı: 1120 - 1126 Metin Dili: İngilizce DOI: 10.55730/1300-0144.5677 İndeks Tarihi: 24-11-2023

Rasch analysis, reliability, and validity of the Turkish version of the Lumbar Spine Instability Questionnaire

Öz:
Background/aim: Lumbar instability is an important condition that can be seen frequently in people with low back pain, affecting both the progression and the choice of appropriate exercise. The Lumbar Spine Instability Questionnaire (LSIQ) is a simple and low-cost tool for evaluating disturbed back stability in people with low back pain. The aim of this study is to develop the Turkish version of the LSIQ (LSIQ-T) and to evaluate its psychometric properties using the Rasch model. Materials and methods: One hundred participants with chronic low back pain completed the LSIQ-T. The LSIQ-T was repeated for 30 participants after 1 week to establish its test–retest reliability. While internal and external construct validity were investigated using Rasch analysis and the Spearman correlation coefficient, respectively, reliability was evaluated in terms of internal consistency by Cron- bach’s alpha and the Person Separation Index (PSI). Results: All items of the LSIQ-T were found to fit the Rasch model (chi-square: 34.07 (df = 15), p = 0.0033). The internal construct validity was good, the overall mean item fit residual was 0 (SD: 0.765), and the mean person fit residual was 0.322 (SD: 1.123). Internal consistency reliability was low with a PSI of 0.63 although Cronbach’s alpha was acceptable (0.68). When the test–retest reliability was examined via differential item functioning (DIF) by time, none of the items showed DIF. Conclusion: The LSIQ-T is a valid unidimensional scale for the Turkish population. Although the LSIQ-T had low internal consistency, it demonstrated unidimensionality and is appropriate for use. Therefore, the LSIQ-T can be used in clinical practice and scientific re- search.
Anahtar Kelime: Low back pain cross-cultural adaptation back instability Rasch model validity

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Hartvigsen J, Hancock M, Kongsted A, Louw Q, Ferreira M et al. What low back pain is and why we need to pay attention. Lancet 2018; 391 (10137): 2356-2367. https://doi.org/10.1016/ S0140-6736(18)30480-X
  • 2. Nagi SZ, Riley LE, Newby LG. A social epidemiology of back pain in a general population. Journal of Chronic Diseases 1973; 26 (12): 769-779. https://doi.org/10.1016/0021- 9681(73)90012-X
  • 3. Nachemson AL. Advances in low-back pain. Clinical Orthopaedics and Related Research 1985; (200): 266-278. https://doi.org/10.1097/00003086-198511000-00031
  • 4. Panjabi MM. Clinical spinal instability and low back pain. Journal of Electromyography and Kinesiology 2003; 13 (4): 371-379. https://doi.org/10.1016/S1050-6411(03)00044-0
  • 5. Chatprem T, Puntumetakul R, Boucaut R, Wanpen S, Chatchawan U. A screening tool for patients with lumbar instability: a criteria-related validity of Thai version. Spine 2020; 45 (21): E1431-E1438. https://doi.org/10.1097/ BRS.0000000000003606
  • 6. Tang S, Qian X, Zhang Y, Liu Y. Treating low back pain resulted from lumbar degenerative instability using Chinese Tuina combined with core stability exercises: a randomized controlled trial. Complementary Therapies in Medicine 2016; 25: 45-50. https://doi.org/10.1016/j.ctim.2016.01.001
  • 7. Panjabi MM. The stabilizing system of the spine. Part I. Function, dysfunction, adaptation, and enhancement. Journal of Spinal Disorders 1992; 5 (4): 383-389. https://doi. org/10.1097/00002517-199212000-00001
  • 8. Saragiotto BT, Maher CG, New CH, Catley M, Hancock MJ et al. Clinimetric testing of the Lumbar Spine Instability Questionnaire. Journal of Orthopaedic & Sports Physical Therapy 2018; 48 (12): 915-922. https://doi.org/10.2519/ jospt.2018.7866
  • 9. Ferrari S, Manni T, Bonetti F, Villafañe JH, Vanti C. A literature review of clinical tests for lumbar instability in low back pain: validity and applicability in clinical practice. Chiropractic & Manual Therapies 2015; 23 (1): 14. https://doi.org/10.1186/ s12998-015-0058-7
  • 10. Cook C, Brismée JM, Sizer PS. Subjective and objective descriptors of clinical lumbar spine instability: a Delphi study. Manual Therapy 2006; 11 (1): 11-21. https://doi.org/10.1016/j. math.2005.01.002
  • 11. Macedo LG, Latimer J, Maher CG, Hodges PW, McAuley JH et al. Effect of motor control exercises versus graded activity in patients with chronic nonspecific low back pain: a randomized controlled trial. Physical Therapy 2012; 92 (3): 363-377. https:// doi.org/10.2522/ptj.20110290
  • 12. Macedo LG, Maher CG, Hancock MJ, Kamper SJ, McAuley JH et al. Predicting response to motor control exercises and graded activity for patients with low back pain: preplanned secondary analysis of a randomized controlled trial. Physical Therapy 2014; 94 (11): 1543-1554. https://doi.org/10.2522/ ptj.20140014
  • 13. Araujo AC, Costa LDCM, de Oliveira CBS, Morelhão PK, de Faria Negrão Filho R et al. Measurement properties of the Brazilian-Portuguese version of the Lumbar Spine Instability Questionnaire. Spine 2017; 42 (13): E810-E814. https://doi. org/10.1097/BRS.0000000000001977
  • 14. Krantz R, Rasmussen-Barr E. The Swedish version of the Lumbar Spine Instability Questionnaire: a clinimetric study of validity and reliability. Physiotherapy Theory and Practice 2023; 39 (1): 154-162. https://doi.org/10.1080/09593985.2021 .1999353
  • 15. Beaton D, Bombardier C, Guillemin F, Ferraz M. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine 2000; 25 (24): 3186-3191. https://doi. org/10.1097/00007632-200012150-00014
  • 16. Beaton D, Bombardier C, Guillemin F, Ferraz M. Recommendations for the Cross-Cultural Adaptation of Health Status Measures. New York, NY, USA: American Academy of Orthopaedic Surgeons; 2002.
  • 17. Küçükdeveci AA, Tennant A, Elhan AH, Niyazoğlu H. Validation of the Turkish version of the Roland-Morris Disability Questionnaire for use in low back pain. Spine 2001; 26 (24): 2738-2743. https://doi.org/10.1097/00007632- 200112150-00024
  • 18. Süren M, Okan I, Gökbakan AM, Kaya Z, Erkorkmaz Ü et al. Factors associated with the pain Catastrophizing Scale and validation in a sample of the Turkish population. Turkish Journal of Medical Sciences 2014; 44 (1): 104-108. https://doi. org/10.3906/sag-1206-67
  • 19. Hisli N. Beck Depresyon Envanterinin üniversite öğrencileri için geçerliği, güvenirliği. Türk Psikoloji Dergisi 1989; 7 (23): 3-13 (in Turkish).
  • 20. Andrich D. Rasch Models for Measurement. Thousand Oaks, CA, USA: SAGE Publications; 1988. https://doi. org/10.4135/9781412985598
  • 21. Elhan AH, Öztuna D, Kutlay Ş, Küçükdeveci AA, Tennant A. An initial application of computerized adaptive testing (CAT) for measuring disability in patients with low back pain. BMC Musculoskeletal Disorders 2008; 9 (1): 166. https://doi. org/10.1186/1471-2474-9-166
  • 22. Marais I, Andrich D. Formalizing dimension and response violations of local independence in the tridimensional Rasch model. Journal of Applied Measurement 2008; 9 (3): 200-215. 23. Cronbach LJ. Coefficient alpha and the internal structure of tests. Psychometrika 1951; 16 (3): 297-334. https://doi. org/10.1007/BF02310555
  • 24. Fisher W. Reliability statistics. Rasch Measurement Transactions 1992; 6 (3): 238.
  • 25. Andrich D, Sheridan B, Luo G. Rasch Unidimensional Measurement Models. Perth, Australia: RUMM Laboratory; 2003.
  • 26. Janssens W, Wijnen K, De Pelsmacker P, Van Kenhove P. Marketing Research with SPSS. Harlow, UK: Prentice Hall Financial Times; 2008.
  • 27. Günaydın G, Günaydın OE, Yakut H. Turkish version, validity and reliability of the Lumbar Spine Instability Questionnaire. Turkish Neurosurgery 2022; 32 (3): 466-470. https://doi. org/10.5137/1019-5149.JTN.35997-21.1
  • 28. Macedo LG, Kuspinar A, Roduta Roberts M, Maher CG. A Rasch analysis of the lumbar spine instability questionnaire. Physiotherapy Theory and Practice 2021; 37 (7): 844-851. https://doi.org/10.1080/09593985.2019.1642429
APA Erol E, Apaydın U, yildiz r, yildiz a, Erturan S, Gokmen D, Akkoyun Sert Ö, ÜNÜVAR B, Gerçek H, Elbasan B (2023). Rasch analysis, reliability, and validity of the Turkish version of the Lumbar Spine Instability Questionnaire. , 1120 - 1126. 10.55730/1300-0144.5677
Chicago Erol Erkan,Apaydın Umut,yildiz ramazan,yildiz ayse,Erturan Sinem,Gokmen Derya,Akkoyun Sert Özlem,ÜNÜVAR Bayram Sönmez,Gerçek Hasan,Elbasan Bulent Rasch analysis, reliability, and validity of the Turkish version of the Lumbar Spine Instability Questionnaire. (2023): 1120 - 1126. 10.55730/1300-0144.5677
MLA Erol Erkan,Apaydın Umut,yildiz ramazan,yildiz ayse,Erturan Sinem,Gokmen Derya,Akkoyun Sert Özlem,ÜNÜVAR Bayram Sönmez,Gerçek Hasan,Elbasan Bulent Rasch analysis, reliability, and validity of the Turkish version of the Lumbar Spine Instability Questionnaire. , 2023, ss.1120 - 1126. 10.55730/1300-0144.5677
AMA Erol E,Apaydın U,yildiz r,yildiz a,Erturan S,Gokmen D,Akkoyun Sert Ö,ÜNÜVAR B,Gerçek H,Elbasan B Rasch analysis, reliability, and validity of the Turkish version of the Lumbar Spine Instability Questionnaire. . 2023; 1120 - 1126. 10.55730/1300-0144.5677
Vancouver Erol E,Apaydın U,yildiz r,yildiz a,Erturan S,Gokmen D,Akkoyun Sert Ö,ÜNÜVAR B,Gerçek H,Elbasan B Rasch analysis, reliability, and validity of the Turkish version of the Lumbar Spine Instability Questionnaire. . 2023; 1120 - 1126. 10.55730/1300-0144.5677
IEEE Erol E,Apaydın U,yildiz r,yildiz a,Erturan S,Gokmen D,Akkoyun Sert Ö,ÜNÜVAR B,Gerçek H,Elbasan B "Rasch analysis, reliability, and validity of the Turkish version of the Lumbar Spine Instability Questionnaire." , ss.1120 - 1126, 2023. 10.55730/1300-0144.5677
ISNAD Erol, Erkan vd. "Rasch analysis, reliability, and validity of the Turkish version of the Lumbar Spine Instability Questionnaire". (2023), 1120-1126. https://doi.org/10.55730/1300-0144.5677
APA Erol E, Apaydın U, yildiz r, yildiz a, Erturan S, Gokmen D, Akkoyun Sert Ö, ÜNÜVAR B, Gerçek H, Elbasan B (2023). Rasch analysis, reliability, and validity of the Turkish version of the Lumbar Spine Instability Questionnaire. Turkish Journal of Medical Sciences, 53(5), 1120 - 1126. 10.55730/1300-0144.5677
Chicago Erol Erkan,Apaydın Umut,yildiz ramazan,yildiz ayse,Erturan Sinem,Gokmen Derya,Akkoyun Sert Özlem,ÜNÜVAR Bayram Sönmez,Gerçek Hasan,Elbasan Bulent Rasch analysis, reliability, and validity of the Turkish version of the Lumbar Spine Instability Questionnaire. Turkish Journal of Medical Sciences 53, no.5 (2023): 1120 - 1126. 10.55730/1300-0144.5677
MLA Erol Erkan,Apaydın Umut,yildiz ramazan,yildiz ayse,Erturan Sinem,Gokmen Derya,Akkoyun Sert Özlem,ÜNÜVAR Bayram Sönmez,Gerçek Hasan,Elbasan Bulent Rasch analysis, reliability, and validity of the Turkish version of the Lumbar Spine Instability Questionnaire. Turkish Journal of Medical Sciences, vol.53, no.5, 2023, ss.1120 - 1126. 10.55730/1300-0144.5677
AMA Erol E,Apaydın U,yildiz r,yildiz a,Erturan S,Gokmen D,Akkoyun Sert Ö,ÜNÜVAR B,Gerçek H,Elbasan B Rasch analysis, reliability, and validity of the Turkish version of the Lumbar Spine Instability Questionnaire. Turkish Journal of Medical Sciences. 2023; 53(5): 1120 - 1126. 10.55730/1300-0144.5677
Vancouver Erol E,Apaydın U,yildiz r,yildiz a,Erturan S,Gokmen D,Akkoyun Sert Ö,ÜNÜVAR B,Gerçek H,Elbasan B Rasch analysis, reliability, and validity of the Turkish version of the Lumbar Spine Instability Questionnaire. Turkish Journal of Medical Sciences. 2023; 53(5): 1120 - 1126. 10.55730/1300-0144.5677
IEEE Erol E,Apaydın U,yildiz r,yildiz a,Erturan S,Gokmen D,Akkoyun Sert Ö,ÜNÜVAR B,Gerçek H,Elbasan B "Rasch analysis, reliability, and validity of the Turkish version of the Lumbar Spine Instability Questionnaire." Turkish Journal of Medical Sciences, 53, ss.1120 - 1126, 2023. 10.55730/1300-0144.5677
ISNAD Erol, Erkan vd. "Rasch analysis, reliability, and validity of the Turkish version of the Lumbar Spine Instability Questionnaire". Turkish Journal of Medical Sciences 53/5 (2023), 1120-1126. https://doi.org/10.55730/1300-0144.5677