Validity and reliability of the Turkish version of the self-reported foot and ankle score in patients with foot or ankle pain

YAZICI G., Yazıcı M. V., Bayraktar D., Varol F., Gündüz A. G., BEK N.

Acta Orthopaedica et Traumatologica Turcica, vol.54, no.4, pp.408-413, 2020 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 54 Issue: 4
  • Publication Date: 2020
  • Doi Number: 10.5152/j.aott.2020.19185
  • Journal Name: Acta Orthopaedica et Traumatologica Turcica
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, EMBASE, MEDLINE, Directory of Open Access Journals, TR DİZİN (ULAKBİM)
  • Page Numbers: pp.408-413
  • Keywords: Foot, Ankle, Pain, Self-reported, Assessment, RESPONSIVENESS, VALIDATION
  • Lokman Hekim University Affiliated: Yes


© 2020, AVES. All rights reserved.Objective: The aim of this study was to translate the Self-Reported Foot and Ankle Score (SEFAS) into Turkish and to determine the validity and reliability of the translated version in patients with foot or ankle pain. Methods: A total of 98 patients (65 females, 33 males, mean age=39 years, age range 18-65 years) who presented with foot or ankle pain for at least one week were included in the study. SEFAS was translated into Turkish (SEFAS-T) and then back-translated into English by two bilingual translators to ensure the accuracy of translation. To determine the validity of the translated version, SEFAS-T, The Foot and Ankle Outcome Score (FAOS), and the Short Form 36 (SF-36) were administered at the first assessment on the same day. SEFAS-T was repeated five days later (Spearman’s rho). Intra-class correlation coefficients (ICCs) were used for assessment of the test re-test reliability, while the Cronbach’s alpha coefficient was used to assess the internal consistency of the questionnaire Results: SEFAS-T showed good test-retest reliability (ICC: 0.887). Item 4 showed poor item–total correlation and inter-item correlations. When item 4 was excluded, the Cronbach’s alpha value was found as 0.906. SEFAS-T total scores showed correlation with all the FAOS sub-scores (p<0.001) and all the SF-36 components (p≤0.001) except mental health (rho: 0.149, p: 0.143). The highest correlation was found between SEFAS-T Total Score and the Sports and Recreations subscale of FAOS (rho: 0.796, p<0.001). Conclusion: SEFAS-T seems to be valid and reliable as a measure for foot or ankle pain in Turkish patients. Level of Evidence: Level II, Diagnostic study.