Translation and Validation of the Persian Version the Boston Carpal Tunnel Syndrome Questionnaire

Document Type : RESEARCH PAPER

Authors

Orthopedic Research Center, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran

Abstract

Background: Carpal tunnel syndrome (CTS) is recognized as the most common type of neuropathies. Questionnaires
are the method of choice for evaluating patients with CTS. Boston Carpal Tunnel Syndrome (BCTS) is one of the most
famous questionnaires that evaluate the functional and symptomatic aspects of CTS. This study was performed to
evaluate the validity and reliability of the Persian version of BCTS questionnaire.
Methods: First, both parts of the original questionnaire (Symptom Severity Scale and Functional Status Scale) were
translated into Persian by two expert translators. The translated questionnaire was revised after merging and confirmed
by an orthopedic hand surgeon. The confirmed questionnaire was interpreted back into the original language (English)
to check any possible content difference between the original questionnaire and its final translated version. The final
Persian questionnaire was answered by 10 patients suffering from CTS to elucidate its comprehensibility; afterwards,
it was filled by all 142 participants along with the Persian version of Quick-DASH questionnaire. After 2 to 6 days the
translated questionnaire was refilled by few of the previous patients who had not received any medical treatment during
that period.
Results: Among all 142 patients, 13.4 % were male and 86.6 % were female. The reliability of the questionnaire was
tested using Cronbach’s alpha and ICC. Cronbach’s alpha was 0.859 for symptom severity scale (SSS) and 0.878 for
functional status scale (FSS). Also, ICCs were calculated as 0.538 for SSS and 0.773 for FSS. In addition, construct
validities of SSS and FSS against QuickDASH were 0.641 and 0.701, respectively.
Conclusion: Based on our results, the Persian version of the BCTQ is valid and reliable.

Keywords

Main Subjects


1. Padua L, Coraci D, Erra C, Pazzaglia C, Paolasso I, Loreti
C, et al. Carpal tunnel syndrome: clinical features,
diagnosis, and management. Lancet Neurol. 2016;
15(12):1273-84.
2. Sezgin M, Incel NA, Serhan S, Camdeviren H, As I,
Erdogan C. Assessment of symptom severity and
functional status in patients with carpal tunnel
syndrome: reliability and functionality of the Turkish
version of the Boston Questionnaire. Disabil Rehabil.
2006; 28(20):1281-5.
3. Moradi A, Mellema JJ, Oflazoglu K, Isakov A, Ring D,
Vranceanu AM. The relationship between catastrophic
thinking and hand diagram areas. J Hand Surg Am.
2015; 40(12):2440-6 e5.
4. Kim JK, Lim HM. The Korean version of the carpal
tunnel questionnaire. cross cultural adaptation,
reliability, validity and responsiveness. J Hand Surg
Eur Vol. 2015; 40(2):200-5.
5. Kachooei AR, Ebrahimzadeh MH, Erfani-Sayyar
R1, Salehi M, Salimi E, Razi S.Short form-McGill
pain questionnaire-2 (SF-MPQ-2): a cross-cultural
adaptation and validation study of the persian version
in patients with knee osteoarthritis. Arch Bone Jt
Surg. 2015 ; 3(1):45-50.
6. Ebrahimzadeh MH, Birjandinejad A, Golhasani F,
Moradi A, Vahedi E, Kachooei AR. Cross-cultural
adaptation, validation, and reliability testing of the
Shoulder Pain and Disability index in the Persian
population with shoulder problems. Int J Rehabil Res.
2015; 38(1):84-7.
7. Lue YJ, Lu YM, Lin GT, Liu YF. Validation of the chinese
version of the boston carpal tunnel questionnaire. J
Occup Rehabil. 2014; 24(1):139-45.
8. Park DJ, Kang JH, Lee JW, Lee KE, Wen L, Kim TJ, et
al. Cross-cultural adaptation of the Korean version of
the Boston carpal tunnel questionnaire: its clinical
evaluation in patients with carpal tunnel syndrome
following local corticosteroid injection. J Korean Med
Sci. 2013; 28(7):1095-9.
9. Mody GN, Anderson GA, Thomas BP, Pallapati SC,
Santoshi JA, Antonisamy B. Carpal tunnel syndrome
in Indian patients: use of modified questionnaires for
assessment. J Hand Surg Eur Vol. 2009; 34(5):671-8.
10. Upatham S, Kumnerddee W. Reliability of Thai version
Boston questionnaire. J Med Assoc Thai. 2008;
91(8):1250-6.
11. Gummesson C, Ward MM, Atroshi I. The shortened
disabilities of the arm, shoulder and hand
questionnaire (Quick DASH): validity and reliability
based on responses within the full-length DASH. BMC
Musculoskelet Disord. 2006; 7(1):44-51.
12. de Campos CC, Manzano GM, de Andrade LB, Castelo
Filho A, Nobrega JA. [Translation and validation of an
instrument for evaluation of severity of symptoms
and the functional status in carpal tunnel syndrome].
Arq Neuropsiquiatr. 2003; 61(1):51-5.