Cross-Cultural Adaptation of the University of Western Ontario Questionnaire for Musculoskeletal Conditions in Thai Senior Golfers
Abstract
Material and Methods: The questionnaire was translated into Thai following established cross-cultural adaptation guidelines. A cognitive review with 10 senior golfers was conducted to assess content validity, focusing on the relevance, clarity, and comprehensibility of the items. Test-retest reliability was evaluated twice over a 2-week interval in 100 senior golfers. Additionally, data on playing characteristics and golf-related injuries were collected and analyzed.
Results: Cognitive review indicated that participants found the questions relevant and easy to understand, contributing to the content validity of the questionnaire. The questionnaire items showed high test-retest reliability, with intraclass correlation coefficients ranging from 0.87 to 1.00 for continuous data, and moderate to high reliability, with Kappa values ranging from 0.45 to 0.96 for dichotomous data. Thirty percent of Thai senior golfers reported golf-related musculoskeletal injuries, and 45% experienced low back pain after a round of golf. For continuous data, the standard error of measurement and minimal detectable change values were calculated to quantify the precision and smallest detectable change in the items related to golf activity, warm-up, and exercise habits.
Conclusion: The Thai version of the questionnaire has demonstrated adequate validity and reliability for assessing musculoskeletal conditions in senior golfers. Insights from playing characteristics and injury data can aid health professionals in developing targeted injury prevention strategies.
Keywords
Full Text:
PDFReferences
Chen B, Williamson T, Murray A, Zhou H, Clement N. A scoping review of the epidemiology, management, and outcomes of golf-related fractures. Curr Sports Med Rep 2024;23:174-82.
Murray AD, Daines L, Archibald D, Hawkes RA, Schiphorst C, Kelly P, et al. The relationships between golf and health: a scoping review. Br J Sports Med 2017;51:12-9.
Heath E. How many golf courses are there in the world? [homepage on the Internet]. London: Golf monthly; 2022 [cited 2024 Oct 31]. Available from: https://www.golfmonthly. com/courses/how-many-golf-courses-are-there-in-theworld- 182153.
Tarasee W, Khrisanapant W, Ishida W, Pasuriwong O, Tunkamnerdthai O. Golf injury and precautions. Srinagarind Med J 2011;26:363-72.
Cann AP, Vandervoort AA, Lindsay DM. Optimizing the benefits versus risks of golf participation by older people. J Geriatr Phys Ther 2005;28:85-92.
Kanwar KD, Moore JL, Hawkes R, Salem GJ. Golf as a physical activity to improve walking speed and cognition in older adults: a non-randomized, pre-post, pilot study. Ment Health Phys Act 2021;21:100410.
Sorbie GG, Beaumont AJ, Williams AK, Lavallee D. Golf and physical health: a systematic review. Sports Med 2022;52:2943-63.
Minghelli B, Soares ASP, Cabrita CD, Martins CC. Epidemiology of musculoskeletal injuries in golf athletes: a championship in Portugal. Int J Environ Res Public Health 2024;21:542.
Versteegh TH, Vandervoort AA, Lindsay DM, Lynn SK. Fitness, performance and injury prevention strategies for the senior golfer. Int J Sports Sci Coach 2008;3:199-214.
Edwards N, Dickin C, Wang H. Low back pain and golf: a review of biomechanical risk factors. Sports Med Health Sci 2020;2:10-8.
Goebel D, Drollinger F, Drollinger A. Lumbar spine injuries: primary prevention in amateur and professional golf players. Sports Med Int Open 2018;2:E179-84.
Qureshi AI, Khan MNH, Saeed H, Yawar B, Malik M, Saghir M, et al. Injuries associated with golf: a qualitative study. Ann Med Surg (Lond) 2022;78:103899.
Ehlert A, Wilson PB. A systematic review of golf warm-ups: behaviors, injury, and performance. J Strength Cond Res 2019;33:3444-62.
Gosheger G, Liem D, Ludwig K, Greshake O, Winkelmann W. Injuries and overuse syndromes in golf. Am J Sports Med 2003;31:438-43.
Silva L, Castro MA, Marta S, Almeida J, Vaz JR, Pezarat- Correia P, et al. Cross-cultural adaptation and validation of the Portuguese survey of musculoskeletal conditions, playing characteristics and warm-up patterns of golfers. J Back Musculoskelet Rehabil 2015;28:769-82.
Fox E, Lindsay DM, Vandervoort AA. Musculoskeletal injury questionnaire for senior golfers. Thain E, editor. Science and Golf IV. Champaign IL: Human Kinetics; 2002.
Palmer JL, Young SD, Fox E, Lindsay DM, Vandervoort AA. Senior recreational golfers: a survey of musculoskeletal conditions, playing characteristics, and warm-up patterns. Physiother Can 2003;55:79-85.
Shaw J, Gould ZI, Oliver JL, Lloyd RS. Perceptions and approaches of golf coaches towards strength and conditioning activities for youth golfers. Int J Sports Sci Coach 2022;18:1629-38.
Joyce C, Farringdon F, Bycroft J, Anthony S, Conlon J. Effect of age-related musculoskeletal conditions on senior golfer physical capacity, golf performance ability and playing characteristics. Int J Golf Sci 2021;10:28210.
Williamson TR, Kay RS, Robinson PG, Murray AD, Clement ND. Epidemiology of musculoskeletal injury in professional and amateur golfers: a systematic review and meta-analysis. Br J Sports Med 2024;58:606-14.
Lindsay DM, Vandervoort AA. Golf-related low back pain: a review of causative factors and prevention strategies. Asian J Sports Med 2014;5:e24289.
McHardy A, Pollard H, Luo K. The epidemiology of golf-related injuries in Australian amateur golfers: a multivariate analysis. J Sci Med Sport 2006;9:39-46.
Dhillon M, Singh S, Dhillon H, Sandhu J. Epidemiology of golf related musculo-skeletal injuries. Indian J Orthop 2006;40:188-90.
Beaton DE, Bombardier C, Guillemin F, Ferraz MB. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine 2000;25:3186-91.
Cruyt E, Jarrey M, Eijkelkamp A, Vlerick P, De Letter M, Oostra K, et al. Cross-cultural adaptation and psychometric properties of the engagement in meaningful activities survey. Br J Occup Ther 2023;86:755-66.
Guillemin F, Bombardier C, Beaton D. Cross-cultural adaptation of health-related quality of life measures: literature review and proposed guidelines. J Clin Epidemiol 1993;46:1417-32.
Dharmasaroja PA, Charernboon T, Assanasen J, Dejthevaporn C, Limwongse C, Phantumchinda K. The correlation of Thai Mental State Examination (TMSE) and Montreal Cognitive Assessment (MoCA) and conversion table. J Med Assoc Thai 2020;103(suppl 3):66-9.
Mokkink LB, Prinsen C, Patrick DL, Alonso J, Bouter LM, De Vet H, et al. COSMIN Study Design checklist for Patientreported outcome measurement instruments [monograph on the Internet]. Amsterdam: COSMIN; 2019 [cited 2020 Dec 14]. Avaliable from: https://www.cosmin.nl/wp-content/uploads/ COSMIN-study-designing-checklist_final.pdf
Koo TK, Li MY. A guideline of selecting and reporting intraclass correlation coefficients for reliability research. J Chiropr Med 2016;15:155-63.
Portney LG, Watkins MP. Foundations of clinical research: applications to practice. 3rd ed. New Jersey: Prentice Hall; 2009.
Landis JR, Koch GG. An application of hierarchical kappatype statistics in the assessment of majority agreement among multiple observers. Biometrics 1977;33:363-74.
Viveiro LAP, Gomes GCV, Bacha JMR, Carvas Junior N, Kallas ME, Reis M, et al. Reliability, validity, and ability to identity fall status of the berg balance scale, balance evaluation systems test (BESTest), Mini-BESTest, and Brief-BESTest in older adults who live in nursing homes. J Geriatr Phys Ther 2019;42:E45-54.
Hopwood CJ, Morey LC, Edelen MO, Shea MT, Grilo CM, Sanislow CA, et al. A comparison of interview and self-report methods for the assessment of borderline personality disorder criteria. Psychol Assess 2008;20:81-5.
Khedari J, Sangprajak A, Hirunlabh J. Thailand climatic zones. Renew Energy 2002;25:267-80.
Rirermkul P. The study of prevalence and factors of back pain in Thai amateur golfers [Master’s thesis]. Bangkok: Chulalongkorn University; 2004.
Batt ME. A survey of golf injuries in amateur golfers. Br J Sports Med 1992;26:63-5.
Refbacks
- There are currently no refbacks.

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.