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  4. Validation and cross-cultural adaptation of the Van Lieshout test in an Italian population with cervical spinal cord injury: a psychometric study

Validation and cross-cultural adaptation of the Van Lieshout test in an Italian population with cervical spinal cord injury: a psychometric study

Spinal Cord Series and Cases, 2018 · DOI: https://doi.org/10.1038/s41394-018-0083-6 · Published: May 1, 2018

Spinal Cord InjuryMental HealthRehabilitation

Simple Explanation

This study focuses on adapting and validating a test called the Van Lieshout test (VLT) for use in Italy with people who have cervical spinal cord injuries (C-SCI). The VLT assesses hand function, which is often affected by C-SCI. The researchers translated the VLT into Italian, ensured it was culturally appropriate, and then tested its reliability and validity. Reliability means the test gives consistent results, and validity means it measures what it's supposed to measure. The results showed that the Italian version of the VLT (IT-VLT) is a reliable and valid tool for assessing hand function in Italian-speaking individuals with C-SCI. This provides clinicians with a useful way to measure hand function and track progress during rehabilitation.

Study Duration
December 2015 to December 2016
Participants
50 individuals with C-SCI
Evidence Level
Psychometric study

Key Findings

  • 1
    The Italian version of the VLT (IT-VLT) demonstrated excellent internal consistency, with Cronbach's α values of 0.95 for the left hand and 0.94 for the right hand.
  • 2
    The test-retest reliability of the IT-VLT was high, with intraclass correlation coefficients (ICC) of 0.89, 0.81, and 0.87 for the right hand, left hand, and total value, respectively.
  • 3
    The IT-VLT showed significant positive correlations with the Italian version of the Spinal Cord Injury Measure version III (SCIM III), indicating good convergent validity.

Research Summary

This study translated and culturally adapted the Van Lieshout Test (VLT) into Italian (IT-VLT) and evaluated its psychometric properties in individuals with cervical spinal cord injury (C-SCI). The IT-VLT aims to assess hand function in this population. The results showed that the IT-VLT has good internal consistency, test-retest reliability, and convergent validity. These findings support the use of the IT-VLT as a reliable and valid outcome measure for assessing hand function in Italian-speaking individuals with C-SCI. The study concludes that the IT-VLT can be a valuable tool for clinicians and researchers in Italy to assess hand function, track rehabilitation progress, and inform treatment decisions for individuals with C-SCI.

Practical Implications

Clinical Practice

The IT-VLT provides clinicians in Italy with a reliable and valid tool to assess hand function in individuals with C-SCI, aiding in treatment planning and monitoring progress.

Research

The validated IT-VLT can be used as an outcome measure in research studies investigating interventions to improve hand function in individuals with C-SCI in Italy.

Cross-Cultural Adaptation

The study's methodology can serve as a model for the translation and validation of other assessment tools in different languages and cultural contexts for spinal cord injury rehabilitation.

Study Limitations

  • 1
    Relatively small sample size may limit the generalizability of the findings.
  • 2
    Lack of comparison with other hand function tests due to unavailability of validated Italian versions at the study's inception.
  • 3
    The study did not investigate inter-rater reliability.

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