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©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Orthop. Oct 18, 2025; 16(10): 109822
Published online Oct 18, 2025. doi: 10.5312/wjo.v16.i10.109822
Published online Oct 18, 2025. doi: 10.5312/wjo.v16.i10.109822
Dutch translation and cross-cultural adaptation of the LIMB-Q Kids questionnaire
Lea M Kessling, Veronique M Voorn, Johannes HJM Bessems, Jaap J Tolk, Department of Orthopedics & Sports Medicine, Erasmus University Medical Center Sophia Children’s Hospital, Rotterdam 3015 GD, Netherlands
Anthony P Cooper, Harpreet Chhina, Department of Orthopedics, University of British Colu
Anthony P Cooper, Department of Orthopedics, British Columbia Children’s Hospital, Van
Author contributions: Kessling LM and Voorn VM presented the data and did project administration; Kessling LM cognitive debriefed the patients, wrote the original draft and performed the review, and editing; Voorn VM, Bessems JHJM, Cooper AP, Chhina H, and Tolk JJ contributed to perform manuscript review and editing; Voorn VM, Cooper AP, Chhina H, and Tolk JJ contributed to conceptualization, study design and setup, methodology, discussion and interpretation of the translations within the scientific committee; Voorn VM, Chhina H, and Tolk JJ contributed to discussion and interpretation of the translations within the scientific committee; Voorn VM cognitive debriefed the patients; Bessems JHJM discussed and interpretated the study results; Tolk JJ was also responsible for supervision.
Institutional review board statement: This study was approved by the Ethics Committee of Erasmus University Medical (Approval No. MEC-2023-0402).
Clinical trial registration statement: Registration of this study in a clinical trials registry was not required, as it did not involve a clinical intervention and was limited to the collection of patient-reported outcome measures.
Informed consent statement: In accordance with Dutch legislation, written informed consent was obtained from both parents, and all children provided verbal assent or, if older than twelve years, written assent.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CONSORT 2010 statement: The authors have read the CONSORT 2010 Statement, and the manuscript was prepared and revised according to the CONSORT 2010 Statement.
Data sharing statement: The dataset supporting the conclusions of this article can be obtained upon reasonable request. Final version of LIMB-Q Kids and the Dutch translation can be obtained from the original developers.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Jaap J Tolk, MD, PhD, Clinical Assistant Professor (Honorary), Senior Researcher, Department of Orthopedics & Sports Medicine, Erasmus University Medical Center Sophia Children’s Hospital, Dr. Molewaterplein 40, Rotterdam 3015 GD, Netherlands.
Received: May 23, 2025
Revised: June 18, 2025
Accepted: September 1, 2025
Published online: October 18, 2025
Processing time: 146 Days and 13.7 Hours
Revised: June 18, 2025
Accepted: September 1, 2025
Published online: October 18, 2025
Processing time: 146 Days and 13.7 Hours
Core Tip
Core Tip: This study demonstrates the successful translation and cultural adaptation of the LIMB-Q Kids questionnaire for use in the Netherlands. By following best practices, the researchers have developed a version that is conceptually and linguistically equivalent to the original English version. The availability of this validated Dutch version enhances the ability to assess patient-reported outcomes, supports cross-cultural research and comparisons, and can support improvement of patient-oriented pediatric orthopedic clinical care.