{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,23]],"date-time":"2026-04-23T09:28:49Z","timestamp":1776936529980,"version":"3.51.4"},"reference-count":24,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2012,7,31]],"date-time":"2012-07-31T00:00:00Z","timestamp":1343692800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2013,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>The Achilles tendon Total Rupture Score (ATRS) was developed because of the need for a reliable, valid and sensitive instrument to evaluate symptoms and their effects on physical activity in patients following either conservative or surgical management of an Achilles tendon rupture. Prior to using the score in larger randomized trial in an English\u2010speaking population, we decided to perform reliability, validity and responsiveness evaluations of the English version of the ATRS. Even though the score was published in English, the actual English version has not be validated and compared to the results of the Swedish version.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>From 2009 to 2010, all patients who received treatment for Achilles tendon rupture were followed up using the English version of the ATRS. Patients were asked to complete the score at 3, 6 and 12\u00a0months following treatment for Achilles tendon rupture. The ATRS was completed on arrival in the outpatient clinic and again following consultation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The outcomes of 49 (13 female and 36\u00a0male) patients were assessed. The mean (SD) age was 49 (12) years, and 27 patients had treatment for a left\u2010sided rupture, 22 the right. All patients received treatment for ruptured Achilles tendons: 38 acute percutaneous repair, 1 open repair, 5 an Achilles tendon reconstruction using a Peroneus Brevis tendon transfer for delayed presentation, 1\u00a0gracilis augmented repair for re\u2010rupture and 4\u00a0non\u2010operative treatment for mid\u2010portion rupture. The English version of ATRS was shown to have overall excellent reliability (ICC = 0.986). There was no significant difference between the results with the English version and the Swedish version when compared at the 6\u2010month\u2010 or 12\u2010month (n.s.) follow\u2010up appointments. The effect size was 0.93. The minimal detectable change was 6.75 points.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The ATRS was culturally adapted to English and shown to be a reliable, valid and responsive method of testing functional outcome following an Achilles tendon rupture.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00167-012-2146-8","type":"journal-article","created":{"date-parts":[[2012,7,30]],"date-time":"2012-07-30T07:12:55Z","timestamp":1343632375000},"page":"1356-1360","source":"Crossref","is-referenced-by-count":49,"title":["Cross cultural adaptation of the Achilles tendon Total Rupture Score with reliability, validity and responsiveness evaluation"],"prefix":"10.1002","volume":"21","author":[{"given":"Michael R.","family":"Carmont","sequence":"first","affiliation":[{"name":"<!--<label>1<\/label>--> The Princess Royal Hospital TF1 6TF Telford UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karin Gr\u00e4vare","family":"Silbernagel","sequence":"additional","affiliation":[{"name":"<!--<label>2<\/label>--> Department of Physical Therapy Samson College of Health Professions, University of the Sciences Philadelphia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katarina","family":"Nilsson\u2010Helander","sequence":"additional","affiliation":[{"name":"<!--<label>3<\/label>--> Department of Orthopaedics Kungsbacka Hospital Kungsbacka Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Omer","family":"Mei\u2010Dan","sequence":"additional","affiliation":[{"name":"<!--<label>4<\/label>--> Department of Orthopaedic Sports Medicine The University of Colorado Hospital Denver Colorado USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jon","family":"Karlsson","sequence":"additional","affiliation":[{"name":"<!--<label>5<\/label>--> Department of Orthopaedics Sahlgrenska University Hospital M\u00f6lindal Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicola","family":"Maffulli","sequence":"additional","affiliation":[{"name":"<!--<label>6<\/label>--> Barts &amp; 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