The Liverpool Elbow Score, patient-answered section: Cultural adaptation, validity and reliability of Turkish version

• Published in: Musculoskeletal science & practice Vol. 50; p. 102256
• Main Authors: Şavkın, Raziye, Büker, Nihal, Şimşek, Şule
• Format: Journal Article
• Language: English
• Published: Elsevier Ltd 01-12-2020
• Subjects: Elbow fracture; Liverpool elbow score; Outcome measures; Validation studies; Outcome measures; Liverpool elbow score; Elbow fracture; Validation studies
• ISSN: 2468-7812; 2468-7812
• DOI: 10.1016/j.msksp.2020.102256

The use of self-assessment questionnaires in addition to clinical evaluations is gradually increasing. Liverpool Elbow Scale (LES) is an elbow-specific outcome score that provides a comprehensive assessment of by both the clinicians and patients. However, it has not been adapted and validated to Turkish language.
To conduct the translation, cross-cultural adaptation and validation of Liverpool Elbow Score-patient answered outcome (LES-PAQ) into Turkish for patients with elbow fracture.
Study of diagnostic accuracy/assessment scale.
This study was carried out in three consecutive phases: translation, cross-cultural adaptation and validation. In the third phase, we used the Quick Disabilities of the Arm, Shoulder and Hand (Quick-DASH), Mayo Elbow Performance Score (MEPS) and 12-Item Short Form Survey (SF-12) physical health score.
Sixty-one patients were included for the analysis. Neither a ceiling nor a floor effect was observed. Cronbach's α coefficient was 0.89. Intraclass correlation coefficient was 0.94 (95% CI 0.89 to 0.96; p < 0.001). SEM was 0.28 and MDC95 was 0.79. The LES-PAQ showed a high negative correlation with the Quick-DASH (r = −0.72, p < 0.001) and high positive correlation with MEPS (r = 0.77, p < 0.001), and with SF-12 physical health subscale (r = 0.73, p < 0.001).
The Turkish version of the LES-PAQ is a reliable and valid tool for the assessment of the patients with elbow fracture.
•The Turkish version and validation of the LES-PAQ was conducted.•The Turkish version of the LES-PAQ is a feasible tool for clinical practice.•LES-PAQ is a reliable and valid tool and can be used for elbow fracture.•The correlation between the LES-PAQ and the Quick-DASH and MEPS were high.