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The Banff Patellar Instability Instrument: validity and reliability of an Indonesian version
Authors:Rhatomy  Sholahuddin  Pontoh  Ludwig Andre  Phatama   Krisna Yuarno  Waskita   Heppy Chandra  Al Mashur  Muslich Idris  Fiolin   Jessica  Rasyid   Faiz Alam  Utomo   Dwikora Novembri  Dilogo   Ismail Hadisoebroto
Affiliation:1.Department of Orthopaedic and Traumatology, Soeradji Tirtonegoro Hospital, Klaten, Faculty of Medicine, Public Health of Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
;2.Department of Orthopaedic and Traumatology, Fatmawati General Hospital, Faculty of Medicine, Universitas Indonesia, Jl. RS Fatmawati No. 4, Jakarta Selatan, 12430, Indonesia
;3.Department of Orthopaedics and Traumatology, Faculty of Medicine, Universitas Brawijaya-Saiful Anwar General Hospital, Jl. Veteran, Ketawanggede, Kota Malang, Jawa Timur, 65145, Indonesia
;4.Orthopaedic Surgeon of Lira Medika Karawang Hospital, Jl. Raya Syeh Quro No. 14, Palumbonsari, Jawa Barat, 41314, Indonesia
;5.General Practitioner of UGM Academic Hospital, Jl. Kabupaten, Kranggahan I, Trihanggo, Daerah Istimewa Yogyakarta, 55291, Indonesia
;6.Orthopaedic Surgeon of Jakarta Knee, Shoulder and Orthopaedic Sport Clinic, Pondok Indah General Hospital, Jl. Metro Duta Kav UE, Jakarta Selatan, 12310, Indonesia
;7.Orthopaedic and Traumatology Department, Faculty of Medicine, Brawijaya University, Jl. Veteran, Ketawanggede, Kota Malang, Jawa Timur, 65145, Indonesia
;8.Orthopaedic and Traumatology Department, Faculty of Medicine, Dr Soetomo General Hospital, Surabaya, Universitas Airlangga, Jl. Airlangga 4-6, Surabaya, 60286, Indonesia
;9.Orthopaedic and Traumatology Department, Faculty of Medicine, RS DR Cipto Mangunkusumo, Jakarta, Jl. Diponegoro no 71, Jakarta, Indonesia
;
Abstract:Background

The Banff Patellar Instability Instrument (BPII) is a valuable scoring tool for assessing patellofemoral instability in patients suffering from patellofemoral pain syndrome (PFPS). The BPII 2.0 is a shortened version of the BPII. However, there is no Indonesian edition of BPII 2.0 that has been validated. This study aimed to determine the validity and reliability of the Indonesian version of the BPII 2.0.

Materials and methods

This was a cross-sectional study that used a forward–backward translation protocol to create an Indonesian version of the BPII 2.0. Thirty patients with PFPS were given the questionnaires. The questionnaire's validity was evaluated by analyzing the correlation between score of each subscale and the overall score to the Indonesian version of the Kujala score using Pearson correlation coefficient, while the reliability was evaluated by measuring the internal consistency (Cronbach α) and test–retest reliability (intraclass correlation coefficient).

Results

The Indonesian version of BPII 2.0 and the Indonesian version of Kujala score had a strong Pearson correlation coefficient for construct validity. For all subscales, Cronbach α was 0.90–0.98, indicating adequate internal consistency. The test–retest reliability was high, with intraclass correlation coefficient ranging from 0.89 to 0.98 for all subscales. There was no difference in the Indonesian version of BPII 2.0 response between the first and second administration of the questionnaire which was taken 7 days afterward.

Conclusion

The Indonesian version of BPII 2.0 was determined to be valid and reliable and is therefore an objective instrument to evaluate patellofemoral instability in patients with PFPS in the Indonesian population.

Keywords:
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