Validation of the functional rating index for the assessment of athletes with neck pain.
OBJECTIVE
To validate the culturally-adapted Persian Functional Rating Index (PFRI) for assessing neck pain (NP) in athletes.


METHODS
In this cross-sectional study, 100 athletes with NP and 50 healthy athletes participated and responded to the PFRI. Fifty athletes with NP completed the PFRI for at least 7 d later to establish test-retest reliability.


RESULTS
The athletes with NP responded to all items, indicating excellent clinical utility. No floor and ceiling effects were found, indicating content validity and responsiveness. The PFRI revealed capability to discriminate between the athletes with NP and healthy athletes. The PFRI demonstrated strong correlation with the Numerical Rating Scale (Spearman's rho = 0.94), and the Persian Neck Disability Index (Pearson r = 0.995), supporting criterion and construct validity. Internal consistency reliability was high (Cronbach's α coefficient: 0.97). The test-retest reliability was excellent (ICCagreement = 0.96). The absolute reliability values of standard error of measurement and smallest detectable change were 3.2 and 8.84, respectively. An exploratory factor analysis yielded one factor explaining 78.03% of the total variance.


CONCLUSIONS
The PFRI is a valid and reliable measure of functional status in athletes with NP.
Soofia Naghdi, Noureddin Nakhostin Ansari, Somaye ShamsSalehi, Ebrahim Entezary, Department of Physiotherapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran 11489, Iran.
Soofia
S
Naghdi
Soofia Naghdi, Noureddin Nakhostin Ansari, Somaye ShamsSalehi, Ebrahim Entezary, Department of Physiotherapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran 11489, Iran.
Noureddin
N
Nakhostin Ansari
Soofia Naghdi, Noureddin Nakhostin Ansari, Somaye ShamsSalehi, Ebrahim Entezary, Department of Physiotherapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran 11489, Iran.
Somaye
S
ShamsSalehi
Soofia Naghdi, Noureddin Nakhostin Ansari, Somaye ShamsSalehi, Ebrahim Entezary, Department of Physiotherapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran 11489, Iran.
Ronald J
RJ
Feise
Soofia Naghdi, Noureddin Nakhostin Ansari, Somaye ShamsSalehi, Ebrahim Entezary, Department of Physiotherapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran 11489, Iran.
Ebrahim
E
Entezary
Athletes; Functional rating index; Neck pain; Reliability; Validity