Cross-cultural adaptation and validation of the Hebrew version of the medial tibial stress syndrome score among active-duty servicemembers.
Background: Medial tibial stress syndrome (MTSS) affects up to 35% of military recruits during basic training, yet no validated patient-reported outcome measure (PROM) exists to assess this condition in Hebrew-speaking populations. The MTSS score is a validated PROM for assessing symptom severity; h...
| Publicado en: | Physiotherapy Theory & Practice Vol. 42; no. 6; pp. 807 - 816 |
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| Autores principales: | , , , |
| Formato: | pictorial research tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
Jun2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=194222183&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 194222183 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09593985 BCJ jtl: Physiotherapy Theory & Practice issn: 09593985 maglogo: Y pubinfo: dt: Jun2026 vid: 42 iid: 6 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 194222183 190397838 194222183 194222183 10.1080/09593985.2025.2600084 194222183 ppf: 807 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Cross-cultural adaptation and validation of the Hebrew version of the medial tibial stress syndrome score among active-duty servicemembers. aug: au: Klein, Roei Elboim-Gabyzon, Michal Rozenfeld, Evgeni Kalichman, Leonid affil: Department of Physical Therapy, Recanati School for Community Health Professions, Faculty of Health Science, Ben-Gurion University of the Negev, Beer Sheva, Israel sug: subj: Instrument Adaptation Instrument Validation Translations Psychometrics Evaluation Scales Medial Tibial Stress Syndrome Diagnosis Military Personnel Psychosocial Factors Reliability and Validity Human Male Female Adult Guideline Adherence Validation Studies Cross Sectional Studies Internal Consistency Coefficient alpha Test-Retest Reliability Concurrent Validity Spearman's Rank Correlation Coefficient Discriminant Validity Body Mass Index Walking Running Descriptive Statistics Data Analysis Software Exploratory Research Factor Analysis Intraclass Correlation Coefficient Mann-Whitney U Test Adult: 19-44 years Male Female ab: Background: Medial tibial stress syndrome (MTSS) affects up to 35% of military recruits during basic training, yet no validated patient-reported outcome measure (PROM) exists to assess this condition in Hebrew-speaking populations. The MTSS score is a validated PROM for assessing symptom severity; however, it requires linguistic adaptation for use among Hebrew-speaking individuals. Objective: To translate and assess psychometric properties of the Hebrew version of the Medial Tibial Stress Syndrome score (MTSS-He) among active-duty servicemembers. Methods: Following Beaton's guidelines, the MTSS score was translated into Hebrew and culturally adapted. A total of 133 participants were recruited. A cross-sectional validation study was conducted with 72 active-duty servicemembers diagnosed with MTSS (mean age 19.32 ± 0.8 years, 63.9% male). Psychometric properties, including internal consistency (Cronbach's Alpha (α) and McDonald's Omega (ω)), test-retest reliability (ICC3,1), concurrent validity (Spearman correlations with Short Form 12 and numerical pain rating scales), and discriminative validity were assessed. Results: The MTSS-He demonstrated acceptable internal consistency (α = 0.66, ω = 0.68), good test-retest reliability (ICC3,1 = 0.75), and significant correlations with pain measures (rho = 0.32–0.61, p <.01). The instrument significantly discriminated between patients with MTSS and asymptomatic controls (p <.001), with median MTSS-He scores of 3 (IQR: 2–4). Conclusions: The MTSS-He is a reliable and valid instrument for assessing MTSS in Hebrew-speaking active-duty servicemembers, addressing a critical gap in Hebrew-language assessment tools. It enables standardized symptom quantification and outcome comparison, with potential for broader application in clinical and research settings. Future studies should investigate structural validity based on internal consistency test results and extend validation to civilian and athletic populations. pubtype: Academic Journal doctype: pictorial research tables/charts Journal Article ougenre: Unknown language: English refInfo: holdings: @attributes: islocal: N |
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