| Background: The SRS-22r questionnaire is a well-accepted instrument used to measure health-related quality of life in patients with idiopathic scoliosis. No validated tool exists in Brazil for idiopathic scoliosis, and the use of the SRS-22r in non-English Laguage contries requires its transcultural adaptation. Objective: The objective of this study was to culturally adapt the translated Brazilian version of the SRS-22r questionnaire and to determine its reliability using statistical tests for internal consistency and test-retest reliability. Method: The transcultural adaptation process was carried out according to the recommendations of the American Academy of Orthopedic Surgeons. The pre-final version was administered to 44 patients with idiopathic scoliosis. The mean age of the participants was 18.93 years and the mean curve magnitude was 54.6°. A subgroup of 30 volunteers completed the questionnaire a second time one week later to determine the scale's reproducibility. Internal consistency was determined using Cronbach's alpha coefficient, and the test-retest reliability was determined using the Intraclass Correlation Coefficient (ICC). Results: No floor effects were observed using the Brazilian version of the SRS-22r. Ceiling effects were observed in the Pain and Satisfaction with Management domains. The internal consistency values were very good for 3 domains and good for 2 domains. The ICC values were excellent for all domains. Conclusions: The high values of internal consistency and ICC reproducibility suggest that this version of the questionnaire can be used in Brazilian patients with idiopathic scoliosis.Keywords: quality of life; scoliosis; questionnaires; rehabilitation. HOW TO CITE THIS ARTICLECamarini PMF, Rosanova GCL, Gabriel BS, Gianini PES, Oliveira AS. The Brazilian version of the SRS-22r questionnaire for idiopathic scoliosis. Braz J Phys Ther. 2013 Sept-Oct; 17(5):494-505. http://dx
Background: An important parameter in cross-cultural adaptations, and concurrent validity are the relationships between the performance
INTRODUÇÃO: Pacientes com escoliose possuem autoestima mais baixa, pior percepção corporal, dores na coluna vertebral; sentem-se menos saudáveis e mais infelizes que indivíduos sem deformidades na coluna. OBJETIVO: Avaliar a qualidade de vida (QV) de adolescentes com escoliose idiopática (EI) por meio do questionário autoadministrável Br-SRS-22r. MATERIAIS E MÉTODOS: Trata-se de estudo transversal. Foram selecionados por conveniência 30 pacientes com EI, média de idade de 15,5 (± 2,6) anos e curvaturas de valores médios de 28,4 (± 21,0) graus Cobb. A estatística descritiva apresentada mostra a distribuição de frequências dos escores dos cinco domínios do Br-SRS-22r. RESULTADOS: Analisando-se o domínio função, observa-se que 93,3% dos voluntários apresentaram escore acima de 3. Para o domínio autoimagem, nota-se maior distribuição dos pontos, sendo que 26,7% pontuaram entre 2 e 2,9. A distribuição dos escores dor e saúde mental foi semelhante, observando-se maior concentração entre 3 e 3,9 pontos (36,7 e 40%, respectivamente). No domínio satisfação com o tratamento, 78,6% dos voluntários apresentaram escore acima de 4. CONCLUSÃO: Os achados deste estudo para os domínios dor, função física e autoimagem corroboram estudos anteriores. Os resultados demonstraram que, em uma amostra de adolescentes com EI cuja maioria é tratada conservadoramente apenas por medidas fisioterapêuticas, o impacto da condição na percepção da QV foi considerado mediano, nos domínios dor, aparência e saúde mental, a fraco, no domínio função física.
Adults with cerebral palsy (CP) have experienced premature aging associated with function decline. And despite improvements in health care, studies show that these individuals have fewer opportunities to have some kind of education and employment, in addition to presenting complaints of pain and alterations in their ability to walk. Objective: The aim of this study was to check the association of GMFCS levels with the parameters of employability, education, level of ambulation, and pain in adults with CP. Method: 671 medical records were selected to analyze the correlations among the variables mentioned above. Result: It was noticed that those with the more severe levels of CP have fewer chances to get any level of education and employment, in addition to presenting a worse gait. Conclusion: No association was found between levels of GMFCS and the parameter for pain.
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