Original Article: JRCRS. 2026:14(2): 112-117
9-Urdu Translation of Denver Sacroiliac Joint Questionnaire (DSIJQ) and Its Validity and Reliability in Sacroiliac Joint Dysfunction (SIJD) Patients: A Cross-Sectional Study
Sumbal Salik1, Somia Faisal2, Laila Niaz Khan3, Raheel Munawar 4
1 Physical Therapist, DHQ Hospital, Okara, Pakistan
2 Physical Therapist, The Children’s Hospital, University of Child Health Sciences Lahore, Pakistan
3 Lecturer, Johar Institute of Professional Studies Lahore, Pakistan
4 Physical Therapist, Naseem Akbar Medical Centre, Lahore, Pakistan
Read Full-Text Full-Text PDF DOI: https://dx.doi.org/10.53389/JRCRS.2026140209
ABSTRACT:
Background: Sacroiliac joint dysfunction (SIJD) is a significant contributor of both chronic low back pain and disability. The Denver Sacroiliac Joint Questionnaire (DSIJQ) is a condition-specific tool designed to evaluate severity of symptoms and functional limitations related to SIJD. However, the lack of Urdu version, limited its accessibility for Urdu speaking populations.
Objective: To translate the DSIJQ into an Urdu version and evaluate its reliability and validity among patients with SIJD.
Methodology: The translation of the questionnaire was conducted according to a conventional method of cross-cultural adaptation, which comprises a forward and a backward translation, expert validation, and pilot testing. The Urdu DSIJQ was used to evaluate 110 patients with clinically confirmed SIJD. Psychometric evaluation included content validity (I-CVI and S-CVI/Ave), internal consistency (Cronbach’s alpha), test-retest reliability (intraclass correlation coefficient, ICC), and construct validity through exploratory factor analysis.
Results: The I-CVI ranged between 0.75-0.95 and S-CVI/Ave was 0.85, thus confirming content validity. Internal consistency was strong (Cronbach alpha = 0.858) and test-retest reliability was excellent (average ICC = 0.858). Factor analysis identified two components explaining 71.62% of the total variance.
Conclusion: Strong validity and reliability make the Urdu version of the DSIJQ an appropriate tool for evaluating sacroiliac joint dysfunction in Urdu-speaking communities. It provides a culturally appropriate choice for clinical assessment and research in Pakistani settings.
Keywords: Denver Sacroiliac Joint Questionnaire, ICC, Low Back Pain, Reliability, SIJD, Urdu Translation Disorder, Mental Health, Medical Students, Social Media