Cross-cultural adaptation of the Victorian institute of sports assessment - Hamstrings (VISA-H) questionnaire for Spanish speaking athletes with proximal hamstring tendinopathy

• Published in: Physical therapy in sport Vol. 51; pp. 50 - 57
• Main Authors: De-la-Cruz-Torres, Blanca, Maffulli, Nicola, Hernández-Sánchez, Sergio
• Format: Journal Article
• Language: English
• Published: Kidlington Elsevier Ltd 01.09.2021; Elsevier Limited
• Subjects: Adaptation; Edema; Magnetic resonance imaging; Pain; Patient-reported outcome measure; Patients; Physical therapy; Proximal hamstring tendinopathy; Quantitative psychology; Questionnaires; Running; Spanish; Sports injuries; Sports medicine; Tendons; Translations; Ultrasonic imaging; Validation; Validity; Validation; Spanish; Proximal hamstring tendinopathy; Patient-reported outcome measure
• ISSN: 1466-853X; 1873-1600
• DOI: 10.1016/j.ptsp.2021.06.009

To cross-culturally adapt and validate the Victorian Institute of Sports Assessment – Hamstrings (VISA-H) scale into Spanish. Clinical measurement study (psychometric analysis). Sports clubs and physiotherapy clinics. The Spanish version of the VISA-H (VISA-H-Sp) scale was administered to 101 subjects: 50 healthy runners and 51 patients with a clinical diagnosis of PHT. The Victorian Institute of Sports Assessment – Hamstrings. Cronbach's alpha for the VISA-H-Sp was >0.8. The ICC 2,1 was 0.993 (95%CI 0.991–0.995). In the exploratory factor analysis, a one-factor solution explained 72.1% of the total variance. Athletes with PHT scored significantly lower in the VISA-H-Sp than healthy subjects (P < 0.001). The VISA-H-Sp score results in the PHT group showed significant correlations with SF-36 physical components (Spearman r’>0.6; P < 0.001), and low or non-significant association with psychological dimensions. The standard error of measurement was 1.45 whereas the minimal detectable change was 4.02 points. The responsiveness indicators included an effect size of 2.75, and a standardised response mean of 3.1 at discharge. The VISA-H-Sp shows adequate psychometric properties for assessing the severity of symptoms in Spanish-speaking athletes who suffer from PHT. •The Spanish version of the VISA-H scale has shown adequate psychometric properties in the validation study.•This condition-specific PROM can be used to assess subjective clinical outcomes in Spanish-speaking runners with PHT.•The VISA-H-Sp is useful to monitor clinical changes during rehabilitation process.