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This survey study aims to analyze the cultural adaptation, validity, and reliability of a scale originally in English and currently being translated into Turkish, which allows athletes with low back pain to assess their functional disabilities in sports and exercise activities as well as their disabilities in daily living activities. Athletes with low back pain will be asked to fill out 3 questionnaires.
In the study, firstly, the translation of the Athlete Disability Index Questionnaire (ADI) into the target language, comparison of the two translated versions of the scale, back translation of the preliminary version, synthesis, pilot test of the pre-final version and psychometric test studies will be carried out by 3 independent translators and 2 linguists in 6 stages.
Then, 120 athletes with low back pain will be asked to fill out the ADI, Roland Morris Disability Questionnaire (RMDQ) and Oswestry Low Back Pain Disability Index (ODI). 7 days later, the ADI will be filled out again by 60 athletes.
After the surveys are completed, the structural validity of the scale will be tested, and reliability will be measured by performing test-retest reliability and internal consistency analyses.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Survey using a questionnaire. | Other | Permission was obtained from the original owner of the Athlete Disability Index Questionnaire (ADI) for the Turkish cultural adaptation, validity and reliability study. 120 athletes, determined by the number of questions times the rule of 10, will be asked to fill out the ADI, Oswestry Disability Index (ODI), and Roland-Morris Disability (RMDQ) questionnaires and 60 athletes will be asked to fill out the ADI questionnaire again 7 days later for test-retest reliability. |
| Measure | Description | Time Frame |
|---|---|---|
| Athlete Disability Index Questionnaire (ADI) | The Athlete Disability Index Questionnaire (ADI) is a self-administered questionnaire to assess disability related to low back pain in athletes. The ADI measures athletes' functional disability in activities of daily living as well as their disability in sports and exercise activities. The ADI consists of 12 questions that include pain intensity, stretching exercises, strengthening/weight training exercises, sport-specific skills (technical skills), rotational waist movements/changing direction, fear of pain or re-injury, sitting, walking, recreational activities, sexual activity, sleep, and personal care (ability to put on socks and shoes, ability to go to the bathroom). Each question is scored from 0 to 3, with higher scores indicating a more severe condition. | 7 days |
| Measure | Description | Time Frame |
|---|---|---|
| Oswestry Low Back Pain Disability Index (ODI) | Oswestry Low Back Pain Disability Index (ODI) is a Likert-type scale that questions pain intensity, personal care, lifting, walking, sitting, standing, sleeping, sexual life, social life and traveling in 10 items. Each item is scored between 0-5 (0: normal, 5: maximum difficulty) and the total score is 50. In it's calculation; (Final score = [total score] / [(number of marked questions) x5] x 100) formula is used to convert it to a percentage system. A high percentage indicates that the level of disability perceived by the patient is also high. Turkish validity and reliability study has been conducted. |
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Inclusion Criteria:
Exclusion Criteria:
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Male and female elite athletes from different sports with low back pain
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| Name | Affiliation | Role |
|---|---|---|
| Gülay Aras Bayram, PhD | Medipol University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Gülay Aras Bayram | Istanbul | Beykoz | 34810 | Turkey (Türkiye) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 25741417 | Background | Zamani E, Kordi R, Nourian R, Noorian N, Memari AH, Shariati M. Low back pain functional disability in athletes; conceptualization and initial development of a questionnaire. Asian J Sports Med. 2014 Dec;5(4):e24281. doi: 10.5812/asjsm.24281. Epub 2014 Nov 10. | |
| 41888238 | Derived | Aras Bayram G, Ergezen Sahin G, Sahin M, Ustundag B, Kordi R. Cross-cultural adaptation, validity, and reliability of the Turkish version of the athlete disability index. Sci Rep. 2026 Mar 27;16(1):10948. doi: 10.1038/s41598-026-44667-2. |
| Label | URL |
|---|---|
| Link to the original article of the ADI survey | View source |
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| ID | Term |
|---|---|
| D017116 | Low Back Pain |
| ID | Term |
|---|---|
| D001416 | Back Pain |
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
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| 1 day |
| Roland Morris Disability Questionnaire (RMDQ) | Roland Morris Disability Questionnaire (RMDQ): This scale, which was developed by selecting 24 of the 136 items of the Disease Impact Profile, evaluates activity level, daily living activities, eating and sleeping. Yes is scored as 1, no is scored as 0, and a higher total score indicates worse functionality. A Turkish validity and reliability study was conducted by Küçükdeveci et al. | 1 day |
| D013568 |
| Pathological Conditions, Signs and Symptoms |