Validation of the Turkish version of the knee Osteoarthritis outcome score -child questionnaire

Abstract Background The present study aims to bridge this gap by evaluating the reliability, construct validity, and discriminatory capacity of the Turkish The Knee Osteoarthritis Outcome Score -Child Questionnaire (KOOS-Child). Methods The questionnaire was translated from English to Turkish by two...

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Main Authors: Ahmet Onur Akpolat, Onur Gultekin, Halil Ibrahim Arikan, Ahmet Eren Sen, Bekir Eray Kilinc
Format: Article
Language:English
Published: BMC 2025-08-01
Series:Journal of Orthopaedic Surgery and Research
Subjects:
Online Access:https://doi.org/10.1186/s13018-025-06169-1
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author Ahmet Onur Akpolat
Onur Gultekin
Halil Ibrahim Arikan
Ahmet Eren Sen
Bekir Eray Kilinc
author_facet Ahmet Onur Akpolat
Onur Gultekin
Halil Ibrahim Arikan
Ahmet Eren Sen
Bekir Eray Kilinc
author_sort Ahmet Onur Akpolat
collection DOAJ
description Abstract Background The present study aims to bridge this gap by evaluating the reliability, construct validity, and discriminatory capacity of the Turkish The Knee Osteoarthritis Outcome Score -Child Questionnaire (KOOS-Child). Methods The questionnaire was translated from English to Turkish by two Turkish speaking orthopedic surgeons. Following consensus, the translated version was retranslated to English by a professional translator. A group of experts compared the original and back translated version and decided on a final adapted questionnaire version The study included 119 participants (61 knee problem patients and 58 control patients) aged 8 to 16 years between July 2020 and January 2025. The patients were asked to fill out the KOOS-Child questionnaire and the Children's Quality of Life Questionnaire, which had previously been validated in Turkish. While the demographic characteristics of the groups (age, gender, body mass index (BMI), amount of sports activity) and KOOS-Child Questionnaire scores were compared between the groups, the internal consistency of both groups was examined. In addition, the construct validity and discrimination capacity of the knee pain group were evaluated. Results When demographic characteristics of the groups were compared, the number of professional athletes in the knee pain group was statistically higher. (p < 0.05) When the KOOS Child Questionnaire scores were compared between the groups, both the subscales and the total score of the knee pain group were low (p < 0.05) It was seen that the knee pain group had high level of internal consistency of other subscales and total scores in both groups, except for the symptoms subscale. In the patient group with knee trauma, it was observed that pain, ADL and quality of life and total scores of the girls were lower than the boys (p < 0.05). Conclusion The Turkish KOOS-Child questionnaire exhibits excellent reliability and validity, serving as a practical tool for assessing pediatric knee health, particularly in capturing pain and functional limitations.
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spelling doaj-art-5102e0b162af49afa2a9efb83ffd2cd12025-08-20T03:46:25ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2025-08-0120111010.1186/s13018-025-06169-1Validation of the Turkish version of the knee Osteoarthritis outcome score -child questionnaireAhmet Onur Akpolat0Onur Gultekin1Halil Ibrahim Arikan2Ahmet Eren Sen3Bekir Eray Kilinc4Orthopedics Surgery and Traumatology Department, University of Health Science, Fatih Sultan Mehmet Training and Research HospitalOrthopedics Surgery and Traumatology Department, University of Health Science, Fatih Sultan Mehmet Training and Research HospitalOrthopedics Surgery and Traumatology Department, University of Health Science, Fatih Sultan Mehmet Training and Research HospitalOrthopedics Surgery and Traumatology Department, University of Health Science, Fatih Sultan Mehmet Training and Research HospitalOrthopedics Surgery and Traumatology Department, University of Health Science, Fatih Sultan Mehmet Training and Research HospitalAbstract Background The present study aims to bridge this gap by evaluating the reliability, construct validity, and discriminatory capacity of the Turkish The Knee Osteoarthritis Outcome Score -Child Questionnaire (KOOS-Child). Methods The questionnaire was translated from English to Turkish by two Turkish speaking orthopedic surgeons. Following consensus, the translated version was retranslated to English by a professional translator. A group of experts compared the original and back translated version and decided on a final adapted questionnaire version The study included 119 participants (61 knee problem patients and 58 control patients) aged 8 to 16 years between July 2020 and January 2025. The patients were asked to fill out the KOOS-Child questionnaire and the Children's Quality of Life Questionnaire, which had previously been validated in Turkish. While the demographic characteristics of the groups (age, gender, body mass index (BMI), amount of sports activity) and KOOS-Child Questionnaire scores were compared between the groups, the internal consistency of both groups was examined. In addition, the construct validity and discrimination capacity of the knee pain group were evaluated. Results When demographic characteristics of the groups were compared, the number of professional athletes in the knee pain group was statistically higher. (p < 0.05) When the KOOS Child Questionnaire scores were compared between the groups, both the subscales and the total score of the knee pain group were low (p < 0.05) It was seen that the knee pain group had high level of internal consistency of other subscales and total scores in both groups, except for the symptoms subscale. In the patient group with knee trauma, it was observed that pain, ADL and quality of life and total scores of the girls were lower than the boys (p < 0.05). Conclusion The Turkish KOOS-Child questionnaire exhibits excellent reliability and validity, serving as a practical tool for assessing pediatric knee health, particularly in capturing pain and functional limitations.https://doi.org/10.1186/s13018-025-06169-1Cross-cultural adaptationValidationPediatricTurkishKOOS-child
spellingShingle Ahmet Onur Akpolat
Onur Gultekin
Halil Ibrahim Arikan
Ahmet Eren Sen
Bekir Eray Kilinc
Validation of the Turkish version of the knee Osteoarthritis outcome score -child questionnaire
Journal of Orthopaedic Surgery and Research
Cross-cultural adaptation
Validation
Pediatric
Turkish
KOOS-child
title Validation of the Turkish version of the knee Osteoarthritis outcome score -child questionnaire
title_full Validation of the Turkish version of the knee Osteoarthritis outcome score -child questionnaire
title_fullStr Validation of the Turkish version of the knee Osteoarthritis outcome score -child questionnaire
title_full_unstemmed Validation of the Turkish version of the knee Osteoarthritis outcome score -child questionnaire
title_short Validation of the Turkish version of the knee Osteoarthritis outcome score -child questionnaire
title_sort validation of the turkish version of the knee osteoarthritis outcome score child questionnaire
topic Cross-cultural adaptation
Validation
Pediatric
Turkish
KOOS-child
url https://doi.org/10.1186/s13018-025-06169-1
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AT halilibrahimarikan validationoftheturkishversionofthekneeosteoarthritisoutcomescorechildquestionnaire
AT ahmeterensen validationoftheturkishversionofthekneeosteoarthritisoutcomescorechildquestionnaire
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