Reliability and Validity of the Turkish Version of the Atroshi–Lyrén 6-Item CTS Symptoms Scale in Unilateral Carpal Tunnel Syndrome

Tanhan A., Saldıran T. Ç., Öz İ. K., Pamuk B. Ö.

Journal of Manipulative and Physiological Therapeutics, 2025 (SCI-Expanded, Scopus) identifier identifier

  • Publication Type: Article / Article
  • Publication Date: 2025
  • Doi Number: 10.1016/j.jmpt.2025.10.049
  • Journal Name: Journal of Manipulative and Physiological Therapeutics
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, CINAHL, EMBASE, MEDLINE
  • Keywords: Carpal tunnel syndromes, Patient reported outcome measure, Quality of life, Reliability, Validity
  • Dokuz Eylül University Affiliated: Yes

Abstract

Objective: This study aimed to assess the reliability and construct validity of the Turkish version of the Atroshi–Lyrén 6-Item carpal tunnel syndrome (CTS) Symptoms Scale (A–L Scale-Tr) and to examine its associations with patient-reported outcome measures, including the Boston Carpal Tunnel Questionnaire (BCTQ) and Quick Disability of the Arm, Shoulder and Hand (QuickDASH). Methods: A forward-backward translation procedure was performed following international guidelines. Sixty-two patients with unilateral CTS were invited to complete the A–L Scale-Tr. The test-retest reliability, convergent, and discriminant validity were evaluated. Results: The A–L Scale-Tr revealed high values of internal consistency (Cronbach's alpha = 0.854), and test-retest reliability (ICC = 0.96, 95% CI = 0.93-0.98). In the A–L Scale-Tr the factor structure was found optimal and explained 58.39% of the variance. The validity analysis showed strong correlation with night pain (r = 0.821), moderate correlation with BCTQ Symptoms Severity Scale (r = 0.564) and BCTQ Functional Status Scale (r = 0.453), QuickDASH (r = 0.474), pain at rest (r = 0.557), and pain at activity (r = 0.497) (P < .001). Conclusions: It was found that the A–L Scale-Tr has good reliability and construct validity for symptom severity assessment in CTS. The A–L scale will be useful to clinicians and researchers in Turkish patients.