The Turkish Version of the WUSPI

Shoulder Pain Clinical Trial

Official title:

Validity and Reliability of the Turkish Version of Wheelchair User's Shoulder Pain Index

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04954053
• Other study ID #: Gazi Uni
• Status: Completed
• Start date: February 5, 2017
• Est. completion date: July 13, 2017

Study information

• Verified date: June 2021
• Source: Gazi University
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational [Patient Registry]

Clinical Trial Summary

Wheelchair users frequently experience shoulder pain. It has been determined that in our country, the subjective assessment methods that will help to determine and monitor shoulder pain severity of wheelchair users are limited. The purpose of this study is to adapt the original English version of the Wheelchair Users Shoulder Pain Index into Turkish and to assess its validity and reliability.

Firstly, the original English version of WUSPI was translated into Turkish and culturally adapted, then applied to 100 wheelchair users to investigate the validity of the scale. The reliability of the scale was assessed by internal consistency and test-retest analysis and found a high internal consistency. Validation of WUSPI-Tr was assessed by the concurrent validity method. To establish concurrent validity, WUSPI scores were compared to SPADI and ASES scores by Spearman correlation analysis. There was a positively excellent correlation with SPADI and, negatively excellent correlation with ASES. As a result, it is determined tath the Turkish version of WUSPI-Tr is a valid and reliable tool.

Description:

The original version of WUSPI was translated into Turkish via multistep translation rules. It is culturally adapted into Turkish. The semantic equivalence of the new scale was evaluated and the Turkish version of the WUSPI (WUSPI-Tr) has been created. It is applied to 100 wheelchair users to investigate the validity of the scale. People who are at least for 1 year using a manual wheelchair as their primary means of mobility, cognitively unimpaired, literate, and older than 18 years are included in this study. The reliability of the scale was assessed by internal consistency and test-retest analysis. As a result of the analysis, the Cronbach Alfa value was calculated as 0.894, and WUSPI-Tr was found to have high internal consistency. The WUSPI-Tr questionnaire was re-administered to 50 participants for 7 to 14 days for the test-retest method and the results were compared with the Interclass Correlation Coefficient (ICC) method. WUSPI has been found to have high reliability (0.997). Validation of WUSPI-Tr was assessed by the concurrent validity method. To establish concurrent validity, WUSPI scores were compared to SPADI and ASES scores by Spearman correlation analysis. The correlation coefficient of WUSPI-Tr with SPADI is 0.931 and with ASES was -0.812. These results show that there was a positively excellent correlation with SPADI and, negatively excellent correlation with ASES (p < 0,001). As a result, the Turkish version of WUSPI-Tr is a valid and reliable tool.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 100
• Est. completion date: July 13, 2017
• Est. primary completion date: April 26, 2017
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 65 Years

Eligibility

Inclusion Criteria:

• accepting the participation

• using manual wheelchairs as the primary mobility tool for more than a year

Exclusion Criteria:

• being illiterate,

• having cognitive impairment

Related Conditions & MeSH terms

• Shoulder Pain

Locations

Country	Name	City	State
Turkey	Gazi University Faculty of Health Sciences Physioteraphy and Rehabilitation Department	Ankara	Çankaya

Sponsors (1)

Lead Sponsor	Collaborator
Gazi University

Country where clinical trial is conducted

Turkey, 

References & Publications (8)

Beaton DE, Bombardier C, Guillemin F, Ferraz MB. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine (Phila Pa 1976). 2000 Dec 15;25(24):3186-91. Review. — View Citation

Curtis KA, Black K. Shoulder pain in female wheelchair basketball players. J Orthop Sports Phys Ther. 1999 Apr;29(4):225-31. — View Citation

Curtis KA, Roach KE, Applegate EB, Amar T, Benbow CS, Genecco TD, Gualano J. Development of the Wheelchair User's Shoulder Pain Index (WUSPI). Paraplegia. 1995 May;33(5):290-3. — View Citation

Curtis KA, Roach KE, Applegate EB, Amar T, Benbow CS, Genecco TD, Gualano J. Reliability and validity of the Wheelchair User's Shoulder Pain Index (WUSPI). Paraplegia. 1995 Oct;33(10):595-601. — View Citation

Finley MA, Rodgers MM. Prevalence and identification of shoulder pathology in athletic and nonathletic wheelchair users with shoulder pain: A pilot study. J Rehabil Res Dev. 2004 May;41(3B):395-402. — View Citation

Gellman H, Sie I, Waters RL. Late complications of the weight-bearing upper extremity in the paraplegic patient. Clin Orthop Relat Res. 1988 Aug;(233):132-5. — View Citation

Snyder CF, Aaronson NK, Choucair AK, Elliott TE, Greenhalgh J, Halyard MY, Hess R, Miller DM, Reeve BB, Santana M. Implementing patient-reported outcomes assessment in clinical practice: a review of the options and considerations. Qual Life Res. 2012 Oct;21(8):1305-14. doi: 10.1007/s11136-011-0054-x. Epub 2011 Nov 3. Review. — View Citation

Weir JP. Quantifying test-retest reliability using the intraclass correlation coefficient and the SEM. J Strength Cond Res. 2005 Feb;19(1):231-40. Review. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Wheelchair User's Shoulder Pain Index	self-reported outcome measure	First Day
Primary	Shoulder Pain and Disability Index (SPADI)	self-reported outcome measure	First Day
Primary	The Society of American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form (ASES)	self-reported outcome measure	First Day
Primary	Wheelchair User's Shoulder Pain Index	self-reported outcome measure	2 weeks later