Cross-cultural validation of the Oxford Elbow Score and Mayo Elbow Performance Score in Greek

Abstract

Background: Oxford Elbow Score (OES) and Mayo Elbow Performance Score (MEPS) are two of the most commonly used instruments for the functional assessment of elbow joint. The aim of this study was to cross-culturally validate the OES and MEPS into Greek language and examine their convergent validity, internal consistency, test-retest reliability and floor and ceiling effects. Methods: The two instruments were translated into Greek with the back translation method. Their final Greek versions (OES-GR and MEPS-GR) were completed by 40 patients with elbow disorders. The patients completed also the Greek version of the Disabilities of the Arm Shoulder and Hand (DASH-GR). The patients re-completed the OES-GR after 24 h. Results: The OES-GR was found to have good internal consistency (Cronbach's α = 0.85, 95%CI = 0.74–0.92), in contrast to the MEPS-GR (Cronbach's α = 0.47, 95%CI = 0.15–0.70). Both instruments were found to have good convergent validity with the DASH-GR (for MEPS-GR rs = −0.64, 95% CI -0.79 to −0.41; for OES-GR rs = −0.84, 95%CI = −0.91 to −0.72). Good was also the convergent validity of the OES-GR with the MEPS-GR (rs = 0.71, 95%CI = 0.51 to 0.84). The test-retest reliability for each domain of the OES-GR was found good to excellent (total score ICC = 0.91, 95%CI = 0.83–0.95; pain ICC = 0.90, 95%CI = 0.81–0.95; function ICC = 0.81, 95%CI = 0.68–0.90; social-psychological ICC = 0.91, 95%CI = 0.84–0.95). Conclusion: The findings about the internal consistency, test-retest reliability, convergent validity and ceiling/floor effects of the OES-GR suggest that it is a quite valid and reliable instrument which can be used with confidence in Greek patients with elbow disorders. Level of evidence: N/A © 2021