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.
10.3346/jkms.2013.28.7.1095
- Author:
Dong Jin PARK
1
;
Ji Hyoun KANG
;
Jeong Won LEE
;
Kyung Eun LEE
;
Lihui WEN
;
Tae Jong KIM
;
Yong Wook PARK
;
Tai Seung NAM
;
Myung Sun KIM
;
Shin Seok LEE
Author Information
1. Division of Rheumatology, Department of Internal Medicine, Chonnam National University Medical School & Hospital, Gwangju, Korea. shinseok@chonnam.ac.kr
- Publication Type:Original Article ; Clinical Trial ; Research Support, Non-U.S. Gov't
- Keywords:
Carpal Tunnel Syndrome;
Questionnaires;
Validation Studies
- MeSH:
Adrenal Cortex Hormones/*administration & dosage;
Carpal Tunnel Syndrome/*drug therapy;
Disability Evaluation;
Humans;
Injections;
Outcome Assessment (Health Care);
Prospective Studies;
*Questionnaires;
Republic of Korea;
Severity of Illness Index;
Triamcinolone Acetonide/*administration & dosage;
Ultrasonography
- From:Journal of Korean Medical Science
2013;28(7):1095-1099
- CountryRepublic of Korea
- Language:English
-
Abstract:
The aim of this study was to assess and validate the Korean version of the Boston Carpal Tunnel Questionnaire (K-BCTQ) in patients with carpal tunnel syndrome (CTS). After translation and cultural adaptation of the BCTQ to a Korean version, the K-BCTQ was administered to 54 patients with CTS; it was administered again after 2 weeks to assess reliability. Additionally, we administered K-DASH and EQ-5D to assess construct-validity. In a prospective study of responsiveness to clinical change, 29 of 54 patients were treated by ultrasonography-guided local corticosteroid injection therapy. The internal consistency of the K-BCTQ was high (Cronbach's alpha: 0.915) and the intra-class correlation coefficients were 0.931 for the symptom severity scale (P<0.001) and 0.844 for the functional severity scale (P<0.001). The construct-validity between the symptom severity scale and the K-DASH, and between the functional severity scale and the K-DASH were significantly correlated (both P<0.001). Clinical improvement was noted in 29 patients with injection therapy. The effect size of symptom severity was 0.67, and that of functional severity was 0.58. In conclusion, the K-BCTQ shows good reliability, construct-validity, and acceptable responsiveness after local corticosteroid injection therapy (Clinical trial number, KCT0000050).