Richa Goswami 1, Unaise A. 2, Shobhit Saxena 3, Guresh Kumar 4. Background

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CROSS CULTURAL ADAPTATION AND PSYCHOMETRIC ANALYSIS OF KNEE INJURY AND OSTEOARTHRITIS OUTCOME SCORE (KOOS) IN INDIAN POPULATION WITH KNEE OSTEOARTHRITIS Richa Goswami 1, Unaise A. 2, Shobhit Saxena 3, Guresh Kumar 4 Background The Knee injury and Osteoarthritis Outcome Score(KOOS) is a knee specific selfadministered questionnaire which was developed in Sweden in 1998. It assesses patient s opinion about his/her knee joint and related problems. The KOOS has been previously adapted worldwide in different languages and has been tested in various orthopaedic problems of knee joint. Methods The process was divided into two steps. First step was to cross-culturally adapt the English version of KOOS in Hindi language following the standard procedures and the second step was to test the clinimetric properties. The Indian osteoarthritis population was studied. All subjects were made to fill the KOOS twice at 48 hours interval along with a Visual Analogue Scale for pain. The clinimetric properties evaluated were Cronbach s alpha (internal consistency), Intra Class Correlation (reliability), Spearman s correlation coefficient (construct validity) and floor and ceiling effect. Results One hundred five subjects (mean age = 60.49±10.51) were studied. Cronbach s alpha value was greater than 0.70 ranging between 0.94-0.97. The ICC values calculated ranged between 0.90-0.97 indicating Hindi KOOS to be a reliable version. The validity of the version was also acceptable. Floor effect was present in sports and recreation subscale. Conclusion The Hindi version of KOOS has been found to be a valid and a reliable instrument that can be used by Hindi speaking Indian population for assessment of knee specific quality of life in osteoarthritis patients. 1 -Research Scholar 2 Guide 3 Co-Guide 4 - Scientist Contact information: Richa Goswami 320 Badarpur New Delhi 110044 India Ph.No. +91-9910776877

Knee injury and Osteoarthritis Outcome Score (KOOS), Hindi version LK1.0, June 2012 1 Knee Injury and Osteoarthritis Outcome Score GauTnao ka savao-xana Aaja ik itqai : / / raogai ki janma itqai : / / raogai ka naama : inadorsa yah savao-xana Aap ko GauTnao ko baaro mao Aap ko ivacaar pucta ho.yah jaanakari hmao yah samajanao mao madd krogai ki Aap Apnao GauTnao ko baaro mao @yaa mahsausa krto ho AaOr iktnao Ac_o sao ApnaI idna p`itidna ki gaitivaiqayaa^m kr sakto ho. ]Pyau@t Kanao mao icanh lagaakr p`<yaok p`sna ka ]<ar do. p`sna ko ]<ar krnao mao yaid Aap AinaSicat ho tao jaao sabasao sahi lagao vaao ]<ar do. laxana [na p`snaao ka ]<ar doto samaya ipclao saptah Aapko GauTnao mao hue laxanaao ko baaro mao saaoca kr do. S 1 @yaa Aap kao GauTnao mao saujana hu[-? S 2 @yaa Aapkao GauTnaa ihlaato samaya rgad, mahsausa haoti ho yaa kao[- Anya p`kar ki Aavaaja, AatI ho? S 3 calato samaya @yaa Aapka GauTnaa jakd, yaa latk jaata ho? S 4 @yaa Aap Apnao GauTnao kao puri trh sao saiqaa kr sakto ho? S 5 @yaa Aap Apnao GauTnao kao puri trh maaod, sakto ho? Û kbai nahi Û ivarlao hi Û kbai kbai Û A@sar Û hmaosaa jakd,na inamnailaikt p`sna Aap ko GauTnao mao hu[ jakd,na sao sambaiqat ho jaao Aapnao ipclao saptah mahsausa ki.jakd,,na ek raok lagaanao vaalai samvaodnaa ho yaa ]sa Aarama kao QaImaa haonaa ijasasao Aap Apnaa GauTnao kao maaod,to ho. S 6 saubah phlai baar jaaganao pr Aapko GauTnao ko jaaod, ki jakd,na iktnai gambair haoti ho? ibalakula nahi hlki maqyama AiQak bahut AiQak

Knee injury and Osteoarthritis Outcome Score (KOOS), Hindi version LK1.0, June 2012 2 S 7 pura idna baoznao laotnao yaa Aarama krnao ko baad Aapko GauTnao ki jakd,na iktnai gambair haoti ho? ibalakula nahi hlki maqyama AiQak bahut AiQak dd- P 1 Aap Aksar iktnai baar GauTnao mao dd- mahsausa krto ho? kbai nahi maaisak saptaihk p`itidna hmaosaa ipclao saptah inamnailaikt gaitivaiqayaa^m krto samaya Aapkao GauTnao mao iktnaa dd- mahsausa haota ho? P 2 GauTnao ko kond/ibamdu sao Gaumaanaa yaa maaod,`naa Aqaa-t ibanaa por ihlaae GauTnao kao maqya sao Gaumaanaa yaa maaod,`naa P 3 GauTnao kao puri trh saiqaa krnao pr P 4 GauTnao kao pura maaod,nao pr P 5 samatla jagah pr calanao pr P 6 saiiz,yaa caz,to yaa ]trto hue P 7 rat ko samaya jaba ibastr pr haoto ho

Knee injury and Osteoarthritis Outcome Score (KOOS), Hindi version LK1.0, June 2012 3 P 8 baozto yaa laotto hue P 9 saiqaa KD,o haonao pr, p`itidna ko kaya- inamnailaikt p`sna Aapko Saarirk kaya- sao sambamiqat ho. [saka matlaba Aapko [Qar ]Qar calanao ifrnao AaOr dokbaala krnao ki xamata sao ho. ipclao saptah GauTnao mao dd- ko karna p`<yaok inamna gaitivaiqayaa^m kao krnao mao iksa maa~a mao kiznaa[- mahsausa hu[-, ]sako ihsaaba sao ]<ar do? A 1 isaiz,yaa ]trto samaya A 2 isaiz,yaa caz,to samaya A 3 baoznao sao ]znao pr A 4 saiqaa KD,a haonao pr A 5 fsa- ki trf Jauknaa yaa vastu ]zanaa A 6 samatla jagah pr podla calanaa

Knee injury and Osteoarthritis Outcome Score (KOOS), Hindi version LK1.0, June 2012 4 A 7 vaahna ko Andr yaa baahr Aato samaya A 8 baajaar KrIdarI ko ilae jaanao pr A 9 jauraba phnato hue A 10 ibastr sao ]znao pr A 11 jauraba ]tarto hue A 12 ibastr pr laotto hue yaa GauTnao kao isqar rkkr krvat laoto hue A 13 snaana ko ilae caaoki yaa piz,i pr baozto yaa ]zto samaya A 14 baozo hue A 15 SaaOcaalaya mao baozto yaa KD,o haoto hue

Knee injury and Osteoarthritis Outcome Score (KOOS), Hindi version LK1.0, June 2012 5 ipclao saptah Aapkao GauTnao ko dd- ko karna p`%yaok inamna gaitivaiqayaao kao krnao mao iksa maa~a mao kiznaa[- mahsausa hu[-? A 16 BaarI GarolaU kaya- jaosao BaarI saamaana ihlaanaa yaa paoca lagaanaa [%yaaid A 17 hlka GarolaU kaya- jaosao Kanaa banaanaa yaa JaaD, paoc krnaa [%yaaid kaya- Kola AaOr manaaormjak gaitivaiqayaa inamnailaikt p`sna Aapko Saarirk kaya- sao sambamiqat ho jaba Aap AiQak str pr Saarirk kaya- krto ho.p`snaao ka ]%tr yah saaocato hue do ik ipclao saptah iksa maa~a mao Aapnao GauTnao ki vajah sao prosaanai mahsausa ki? SP 1 ]kdu haonao pr SP 2 Baagato hue SP 3 kudnao pr SP 4 Gaayala GauTnao ko kond/ibamdu sao Gaumaanaa yaa maaod,`naa jaosao ibanaa por ihlaae Gaayala GauTnao kao maqya sao Gaumaanaa yaa maaod,`naa SP 5 GauTnaa Tok kr baoznao pr

Knee injury and Osteoarthritis Outcome Score (KOOS), Hindi version LK1.0, June 2012 6 jaivana ki ivasaoyata Q 1 Aap Apnao GauTnao ki samasyaa ko baaro mao iktnaa jaagaruk ho? kbai nahi maaisak saptaihk p`itidna hmaosaa Q 2 @yaa Aapnao Apnao GauTnao kao sambaaivat nauksaana phucaanao vaalai gaitivaiqayaao sao bacaava ko ilae jaivana SaOlaI mao sauqaar ikyaa ho? jara saa BaI nahi hlka saa maqyama saa AiQak puri trh Q 3 Aap Apnao GuaTnao mao Aa%maivaSvaasa ki kmai kao laokr iktnao prosaana ho? jara saa BaI nahi hlka saa maqyama saa AiQak bahut AiQak Q 4 saamaanya taor sao Aapkao Apnao GauTnao mao iktnai prosaanai haoti ho? kula jaaod Aapka [sa p`snaaotri mao sabai p`sna pura krnao ko ilae bahut Qanyavaad

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