Veljavnost in zanesljivost slovenskega prevoda cumberlandskega vprašalnika o nestabilnosti gležnja : magistrsko delo

Bajec, Zala (author), Kacin, Alan (mentor), Brezovar, Tjaž (comentor), Vauhnik, Renata (reviewer)

Uvod: Kljub visoki pojavnosti kronične nestabilnosti gležnja v Sloveniji še nimamo na voljo psihometrično ustrezno ovrednotenega samoocenjevalnega orodja za njeno prepoznavo. Ker je cumberlandski vprašalnik o nestabilnosti gležnja (angl. CAIT) najbolj uveljavljeno ocenjevalno orodje na tem področju, bi ga bilo smiselno vključiti v klinično in raziskovalno prakso, vendar je za to potrebno vprašalnik ustrezno prevesti in preveriti njegove zanesljivosti in veljavnosti. Namen: Primarni namen je bil ugotoviti veljavnost in zanesljivost slovenskega prevoda CAIT vprašalnika. Sekundarni namen pa ugotoviti, ali ima digitalna oblika vprašalnika enake merske lastnosti kot tiskana oblika. Metode dela: Slovenski prevod CAIT vprašalnika je bil izveden po standardnem protokolu za medkulturno adaptacijo merskih instrumentov. Raziskava je bila zasnovana v obliki presečnega tipa z dodatnimi ponovljenimi meritvami za oceno zanesljivosti. Merske lastnosti smo preverili na priložnostnem vzorcu zdravih preiskovancev in tistih s predhodnim zvinom gležnja. Rezultati: V raziskavo je bilo vključenih 80 posameznikov. Ugotovljena je bila odlična zanesljivost ponovljenega ocenjevanja (ICC = 0,912), visoka notranja skladnost (α = 0,876), odlična konvergentna veljavnost (r = 0,820) in potrjena diskriminativna veljavnost (p < 0,001). Učinek tal ni bil prisoten. Učinek stropa je bil prisoten na celotnem vzorcu, pri analizi podskupine s predhodnim zvinom gležnja pa ne. Tiskana in digitalna oblika sta glede na merske lastnosti primerljivi, analiza končnih rezultatov pa je pokazala statistično značilne razlike med skupinama s tiskano in digitalno obliko (p < 0,05). Razprava in zaključek: Slovenski prevod CAIT vprašalnika je zanesljivo in veljavno mersko orodje za oceno nestabilnosti gležnja. Ugotovljen učinek stropa in razlike pri primerjavi končnih rezultatov obeh oblik izpolnjevanja sta bila pripisana prekomerni zastopanosti zdravih posameznikov zaradi priložnostnega vzorčenja, ne pa pomanjkljivosti merskega instrumenta. Slovenski prevod CAIT vprašalnika je primeren za uporabo na slovenskem kliničnem in raziskovalnem področju. V prihodnje bi dodano vrednost prinesla longitudinalna raziskava, ki bi primerjala odzivnost vprašalnika na spremembe po fizioterapevtski obravnavi.

• Language: Slovenian
• Keywords: magistrska dela, fizioterapija, cumberlandski vprašalnik o nestabilnosti gležnja, kronična nestabilnost gležnja, zanesljivost, veljavnost, merske lastnosti
• Work type: Master's thesis/paper
• Typology: 2.09 - Master's Thesis
• Organization: ZF - Faculty of Health Sciences
• Place of publishing: Ljubljana
• Publisher: [Z. Bajec]
• Year: 2026
• Number of pages: IX, 28 str., [3] str. pril.
• PID: 20.500.12556/RUL-189148
• UDC: 615.8
• COBISS.SI-ID: 293422339
• Publication date in RUL: 02.10.2026

Secondary language

• Language: English
• Title: Validity and reliability of the Slovenian translation of the Cumberland ankle instability tool : master thesis

Abstract

Introduction: Despite the high prevalence of chronic ankle instability, an appropriately psychometrically evaluated self-report tool for its identification is not yet available in Slovenia. Since the Cumberland Ankle Instability Tool (CAIT) is the most established assessment tool in this field, its integration into clinical and research practice would be reasonable; however, this requires the questionnaire to be appropriately translated and its reliability and validity to be evaluated. Purpose: The primary purpose was to determine the validity and reliability of the Slovenian translation of the CAIT. The secondary purpose was to establish whether the online version of the questionnaire exhibits the same measurement properties as the printed version. Methods: The Slovenian translation of the CAIT was conducted following the standard protocol for the cross-cultural adaptation of self-report measures. The study used a cross-sectional design with additional repeated measures to assess reliability. Measurement properties were evaluated on a convenience sample of healthy individuals and those with a history of a previous ankle sprain. Results: The study included 80 participants. The results demonstrated excellent test-retest reliability (ICC = 0.912), high internal consistency (α = 0.876), excellent convergent validity (r = 0.820), and confirmed discriminative validity (p < 0.001). No floor effect was observed. A ceiling effect was present in the total sample but absent in the subgroup analysis of individuals with a previous ankle sprain. The paper and online versions showed comparable measurement properties. However, the analysis of the final scores revealed statistically significant differences between the groups using the paper and online forms (p < 0.05). Discussion and conclusion: The Slovenian translation of the CAIT is a reliable and valid measurement tool for assessing ankle instability. The observed ceiling effect and the differences in the final scores between the two administration formats were attributed to the overrepresentation of healthy individuals resulting from convenience sampling, rather than a limitation of the measurement instrument itself. The Slovenian version of the CAIT is suitable for application in Slovenian clinical and research settings. Future longitudinal studies evaluating the responsiveness of the questionnaire to changes following physiotherapy intervention would provide additional value.

• Keywords: master's theses, physiotherapy, Cumberland ankle instability tool, chronic ankle instability, reliability, validity, measurement properties