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Hadi WISB, Mohamed MNAB, Ahmad Shushami AHB, Abdul Karim SB. Malay Translation and Validation of the Oslo Sports Trauma Research Center Questionnaire on Health Problems. Orthop J Sports Med 2024; 12:23259671241263355. [PMID: 39131092 PMCID: PMC11307332 DOI: 10.1177/23259671241263355] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/23/2023] [Accepted: 01/10/2024] [Indexed: 08/13/2024] Open
Abstract
Background The Oslo Sports Trauma Research Center Questionnaire on Health Problems (OSTRC-H) is a proven surveillance method to register acute injury, overuse injury, or illness in athletes. However, it has not yet been translated into Malay. Purpose To translate, culturally adapt, and validate the OSTRC-H into Malay using internationally established guidelines. Study Design Cohort study (diagnosis); Level of evidence, 3. Methods The Malay translation of the OSTRC-H (OSTRC-H.M) was distributed to 54 elite (ie, professional) and recreational athletes. Face validity, content validity, and construct validity were assessed for the validity measurement properties, while test-retest and internal consistency were used for reliability measurement properties. Results The content validity index was satisfactory at 0.93. The OSTRC-H.M showed good internal consistency, with a Cronbach α value of .84. Confirmatory factor analysis showed a good model for construct validity, with values of 0.99 and 0.04 for comparative fit index and root mean square error of approximation, respectively. Per-item intraclass correlation coefficients (ICCs) for test-retest reliability ranged from 0.55 to 0.80. The overall test-retest reliability of the questionnaire was good (ICC, 0.8; 95% CI, 0.63-0.88; P < .001). Conclusion The OSTRC-H.M was found to be valid and reliable and therefore acceptable for application among Malay-speaking athletes.
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Lau R, Mukherjee S. Development and validation of an overuse injury questionnaire for youth athletes: The Youth Overuse Injury Questionnaire. Phys Ther Sport 2024; 67:47-53. [PMID: 38547723 DOI: 10.1016/j.ptsp.2024.03.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2024] [Revised: 03/02/2024] [Accepted: 03/10/2024] [Indexed: 06/10/2024]
Abstract
OBJECTIVE To develop and validate the Youth Overuse Injury Questionnaire (YOvIQ). DESIGN A cross-sectional study. SETTING Online platforms. PARTICIPANTS Two content experts (in sports injury epidemiology and in sports science and medicine) and seven end-users (youth volleyball athletes) provided feedback during development of the YOvIQ. 227 competitive youth athletes across 14 different sports assessed the psychometric properties of the YOvIQ. MAIN OUTCOME MEASURES Participants completed both YOvIQ and the Oslo Sports Trauma Research Centre Overuse Injury Questionnaire (OSTRC-O2) for anatomical areas of the shoulder, elbow, lower back, knee, and ankle/foot. Validity was assessed via convergent validity. Reliability was assessed using internal consistency estimation and interclass correlation coefficient. RESULTS Following feedback from content experts, examples and quantitative symbolization were added to the options in YOvIQ, with positive feedback from end-users. Convergent validity between YOvIQ and the OSTRC-O2 was demonstrated with non-significant differences (P ≥ .05) and significant correlations (P < 0.001) for prevalence and severity scores. YOvIQ demonstrated internal consistency for prevalence (Cronbach's alpha coefficient >0.70) and moderate-to-good reliability for severity scores (ICC: 0.51 to 0.88) for shoulder, lower back, and knee. CONCLUSIONS The YOvIQ is a valid and reliable instrument to identify overuse injuries to the shoulder, lower back, and knee in youth athletes.
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Affiliation(s)
- Rachel Lau
- Physical Education and Sport Science Academic Group, National Institute of Education, Nanyang Technological University, Singapore
| | - Swarup Mukherjee
- Physical Education and Sport Science Academic Group, National Institute of Education, Nanyang Technological University, Singapore.
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Mashimo S, Hogan T, Nishida S, Watanabe Y, Matsuki Y, Suhara H, Yoshida N. Influence of Surveillance Methods in the Detection of Sports Injuries and Illnesses. Int J Sports Phys Ther 2022; 17:1119-1127. [PMID: 36237647 PMCID: PMC9528695 DOI: 10.26603/001c.37852] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2022] [Accepted: 07/24/2022] [Indexed: 11/05/2022] Open
Abstract
Background Epidemiological data on sports injuries and illnesses depend on the surveillance methodology and the definition of the health problems. The effect of different surveillance methods on the data collection has been investigated for overuse injuries, but not for other health problems such as traumatic injuries and illnesses. Purpose The purpose of this study was to investigate the new surveillance method developed by the Oslo Sports Trauma Research Center (OSTRC), which is based on any complaint definition (new method), to identify health problems compared with the traditional surveillance method, which is based on time loss definition. Study design Descriptive epidemiology study. Methods A total of 62 Japanese athletes were prospectively followed-up for 18 weeks to assess differences in health problems identified by both new and traditional methods. Every week, the athletes completed the Japanese version of the OSTRC questionnaire (OSTRC-H2.JP), whereas the teams' athletic trainers registered health problems with a time loss definition. The numbers of health problems identified via each surveillance method were calculated and compared with each other to assess any differences between their results. Results The average weekly response rate to the OSTRC-H2.JP was 82.1% (95% CI, 79.8-84.3). This new method recorded 3.1 times more health problems (3.1 times more injuries and 2.8 times more illnesses) than the traditional method. The difference between both surveillance methods' counts was greater for overuse injuries (5.3 times) than for traumatic injuries (2.5 times). Conclusions This study found that the new method captured more than three times as many health problems as the traditional method. In particular, the difference between both methods' counts was greater for overuse injuries than for traumatic injuries. Level of evidence 2b.
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Affiliation(s)
- Sonoko Mashimo
- Institute for Liberal Arts and Sciences, Osaka Electro-Communication University
| | - Takaaki Hogan
- Media Communication Center, Osaka Electro-Communication University
| | - Satoru Nishida
- Faculty of Sports and Health Science, Fukuoka University
| | - Yumi Watanabe
- Department of Physical Therapy, Riseisha College of Medicine and Sport
| | - Yuya Matsuki
- Department of Health and Sports Sciences, Faculty of Health and Medical Sciences, Kyoto University of Advanced Science
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Mashimo S, Ogaki R, Suhara H, Yoshida N. Sports Injury Surveillance Systems and Guidelines in Japan: A Systematic Review. Int J Sports Med 2022; 43:1163-1172. [PMID: 35472823 DOI: 10.1055/a-1836-0526] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
This systematic review aimed to identify sports injury surveillance systems (ISSs) and injury surveillance guidelines (ISGs) developed and currently used in Japan. Additionally, the extent to which ISSs and ISGs developed overseas are employed in Japan was also examined. A systematic search of electronic databases was performed in March 2021. Prospective studies that investigated sports injuries and targeted Japanese athletes or sports in Japan were included to identify the following: (1) details of the ISSs or ISGs developed among sports in Japan, and (2) characteristics of studies focusing on sports in Japan employing ISSs or ISGs developed overseas and the method of use. A total of five ISSs developed among sports in Japan were included, most of which were based on insurance benefits or condolence payment systems. In total, 23 studies used ISSs or ISGs developed overseas, more than half of which were used as a resource for the development of other data collection tools or methods, indicating that the definition of injury and/or classification of items are modified based on the needs among sports in Japan. This review highlights the necessity of establishing club-based or organisational ISSs and ISGs that are appropriate for sports in Japan.
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Hausken-Sutter SE, Schubring A, Grau S, Af Gennäs KB, Barker-Ruchti N. Methodological implications of adapting and applying a web-based questionnaire on health problems to adolescent football players. BMC Med Res Methodol 2021; 21:252. [PMID: 34781894 PMCID: PMC8594195 DOI: 10.1186/s12874-021-01406-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2021] [Accepted: 09/20/2021] [Indexed: 02/07/2023] Open
Abstract
BACKGROUND The Oslo Sport Trauma Research Centre Questionnaire on Health Problems (OSTRC-H) has become a popular tool to monitor health status in athletes. Originally developed for adult athletes, the tool is today also being used in adolescent athletes. However, little is known on the suitability of the questionnaire for the adolescent age group and the methodological implications of applying the tool to prospectively monitor illness and injury. To address this gap in methodological knowledge, the aim of this study is to outline and discuss the adaption and application process of the OSTRC-H to adolescent football players. METHOD The adaption process included a slightly modified back-translation method to translate the questionnaire. The application process included a web-based version of the Swedish OSTRC-H sent out once a week over 23 weeks to 115 adolescent football players aged 10-19 attending two football schools in Sweden. The response rate and prevalence of health problems over 23 weeks were calculated as feasibility indicators. Additionally, comprehensibility questions were added to the questionnaire in the end of the study. RESULT No major disagreement was found between the original and translated versions of the questionnaire. However, significant changes to the wording of the questions and answer categories were necessary to adapt it to adolescents. A visual body figure was also added. The average weekly response rate was 38% (SD 13.5). To increase this rate, questionnaire data was gathered retrospectively through telephone and email contact with the participants and their parents, elevating the response rate to 53% (SD 15.5). The adolescents experienced the questionnaire as easy to understand and to cover all relevant health problems. CONCLUSION Our study demonstrates the importance of adapting the questionnaire to the adolescent target group through translation, pre-tests, adjustments of wording and the facilitation of answering the questionnaire using a visual body figure. The study further shows the importance of keeping close and personal contact with the participants, their parents, teachers, and coaches throughout data collection. Future studies should take into account the age group and study context when adapting and applying the OSTRC-H to adolescents.
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Affiliation(s)
- Solveig E Hausken-Sutter
- Department of Food and Nutrition, and Sport Science, University of Gothenburg, Box 300, SE405 30, Gothenburg, Sweden.
| | - Astrid Schubring
- Department of Food and Nutrition, and Sport Science, University of Gothenburg, Box 300, SE405 30, Gothenburg, Sweden
| | - Stefan Grau
- Department of Food and Nutrition, and Sport Science, University of Gothenburg, Box 300, SE405 30, Gothenburg, Sweden
| | | | - Natalie Barker-Ruchti
- Department of Food and Nutrition, and Sport Science, University of Gothenburg, Box 300, SE405 30, Gothenburg, Sweden.,School of Health Sciences, Örebro University, Örebro, Sweden
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Pimenta RM, Hespanhol L, Lopes AD. Brazilian version of the OSTRC Questionnaire on health problems (OSTRC-BR): translation, cross-cultural adaptation and measurement properties. Braz J Phys Ther 2021; 25:785-793. [PMID: 34301472 DOI: 10.1016/j.bjpt.2021.06.010] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/24/2020] [Revised: 05/29/2021] [Accepted: 06/30/2021] [Indexed: 11/17/2022] Open
Abstract
BACKGROUND The Oslo Sports Trauma Research Center - Questionnaire on Health Problems (OSTRC-QHP) has been shown to be a valid and reliable questionnaire for monitoring athletes with acute, overuse, and illness problems. OBJECTIVES To translate and cross-culturally adapt the OSTRC-QHP into Brazilian-Portuguese (OSTRC-BR), and investigate the measurement properties of this version. METHODS The original (Norwegian) questionnaire was translated and culturally adapted following existing guidelines. Measurement properties of the OSTRC-BR were investigated in 134 athletes followed for 13 weeks. Reliability was analyzed via internal consistency and test-retest reliability. Responsiveness was assessed by effect size (ES) estimations, correlation of the OSTRC-BR severity score with the Global Perceived Effect scale (GPE) and the Numeric Pain Rating Scale (NPRS), and by the Receiver Operating Characteristic (ROC) Curve test based on the area under the curve (AUC). RESULTS The OSTRC-QHP has been translated and cross-culturally adapted successfully. The Cronbach's alpha was 0.93 (95% CI: 0.92, 0.94). Intrarater reliability (ICC2,1) of 0.96 (95% CI: 0.94, 0.98) was classified as excellent. ES estimation showed large effects (1.14 to 1.39). OSTRC-BR correlation was moderate (0.58 to 0.72) with the GPE and substantial (0.84 to 0.89) with the NPRS. The AUC values were above 0.70 when analysing all types of health problems. CONCLUSIONS The OSTRC-BR presented adequate measurement properties. The OSTRC-BR is a valid, reliable, responsive, and, therefore, an adequate tool for monitoring Brazilian athletes from different sports during training and competitions.
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Affiliation(s)
- Rafael Mirante Pimenta
- Masters and Doctoral Programs in Physical Therapy, Universidade Cidade de São Paulo (UNICID), São Paulo, SP, Brazil.
| | - Luiz Hespanhol
- Masters and Doctoral Programs in Physical Therapy, Universidade Cidade de São Paulo (UNICID), São Paulo, SP, Brazil; Department of Public and Occupational Health (DPOH), Amsterdam Public Health Research Institute (APH), Amsterdam Universities Medical Centers, location VU University Medical Center Amsterdam (VUmc), Amsterdam, the Netherlands; Amsterdam Collaboration on Health and Safety in Sports (ACHSS), Amsterdam Movement Sciences, Amsterdam Universities Medical Centers, location VU University Medical Center Amsterdam (VUmc), Amsterdam, the Netherlands
| | - Alexandre Dias Lopes
- Department of Physical Therapy, Movement and Rehabilitation Sciences, Northeastern University, Boston, MA, United States of America
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Mashimo S, Yoshida N, Hogan T, Takegami A, Nishida S, Nagano Y. An update of the Japanese Oslo Sports Trauma Research Center questionnaires on overuse injuries and health problems. PLoS One 2021; 16:e0249685. [PMID: 33793679 PMCID: PMC8016239 DOI: 10.1371/journal.pone.0249685] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/25/2020] [Accepted: 03/22/2021] [Indexed: 11/19/2022] Open
Abstract
Monitoring the health of athletes is important for their protection, and questionnaires such as those produced by the Oslo Sports Trauma Research Center (OSTRC) are a valuable tool in this process. In 2020, several changes were made to the OSTRC questionnaires (OSTRC-O, OSTRC-H), including changes to the wording, structure, and logic of the original questionnaires. In the present study, the Japanese versions of the OSTRC questionnaires (OSTRC-O.JP, OSTRC-H.JP) were revised to meet the requirements of the updated versions and to analyse new and previously collected data to illustrate the impact of the changes on Japanese athletes. Proposed changes were categorized as minor or more substantial; minor changes were effected to the questionnaire instructions and to the wording of all four questions, and more substantial changes were made to the wording of question 2. The updated questionnaires also included changes to questionnaire logic and answer categories. To assess the consequences of the changes to the wording of question 2, 101 athletes were asked to complete the OSTRC-H.JP, which included both the original and updated versions of question 2, over 10 consecutive weeks. We calculated the number of health problems identified when new gatekeeper logic was and was not applied, using 1585 OSTRC-H.JP responses to assess the consequences of the changes to the questionnaire logic. The kappa coefficient, which measures the level of agreement between the responses to question 2 of the original and updated versions, was high. By applying gatekeeper logic, there was a remarkable reduction in the number of injuries and illnesses among all health problems but less reduction in substantial health problems and time loss health problems. These changes will make it easier for Japanese athletes to complete the questionnaires and improve the quality of collected data.
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Affiliation(s)
- Sonoko Mashimo
- Institute for Liberal Arts and Sciences, Osaka Electro-Communication University, Neyagawa, Osaka, Japan
- * E-mail:
| | - Naruto Yoshida
- Faculty of Health Care, Teikyo Heisei University, Toshima, Tokyo, Japan
| | - Takaaki Hogan
- Media Communication Center, Osaka Electro-Communication University, Neyagawa, Osaka, Japan
| | - Ayaka Takegami
- Graduate School of Comprehensive Human Sciences, University of Tsukuba, Tsukuba, Ibaraki, Japan
| | - Satoru Nishida
- Faculty of Sports and Health Science, Fukuoka University, Fukuoka, Fukuoka, Japan
| | - Yasuharu Nagano
- Department of Sports and Health Science, Japan Women’s College of Physical Education, Setagaya, Tokyo, Japan
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