| spelling |
Aline Alvim Sciannihttp://lattes.cnpq.br/6922615681702256Christina Danielle Coelho de Moraes FariaJocemar Ilhahttp://lattes.cnpq.br/0608385009324965Gabriela Afonso Galante Maia2021-06-02T22:23:26Z2021-06-02T22:23:26Z2020-11-03http://hdl.handle.net/1843/36291https://orcid.org/0000-0003-0835-2636Introdução: Quedas após lesão medular (LM) são frequentes em usuários de cadeira de rodas (CR) e podem gerar preocupação excessiva em cair e impactos na qualidade de vida e restrição em atividades diárias e sociais. O instrumento Spinal Cord Injury Falls Concern Scale (SCI-FCS), desenvolvido na língua inglesa, objetiva avaliar a preocupação com quedas nessa população. Objetivo: Traduzir e adaptar para o português-Brasil a SCI-FCS, analisar suas propriedades de medidas e investigar associação entre preocupação com quedas e variáveis clínicas. Materiais e Métodos: Trata-se de estudo metodológico. Foi realizada a adaptação transcultural do SCI-FCS para o português–Brasil segundo recomendações de diretrizes. As propriedades de medida da SCI-FCS-Brasil foram avaliadas pela análise de Rasch, consistência interna pelo alfa de Cronbach, confiabilidade teste-reteste do escore total pelo coeficiente de correlação intraclasse (CCI), e confiabilidade teste-reteste do escore de cada item pelo coeficiente Kappa (k) ponderado quadrático. Feita também a análise de associação entre o escore total da SCI-FCS e idade, nível neurológico, tempo de LM, queda prévia no último ano e medo de cair pelo coeficiente de correlação de Spearman (α = 0.05). Resultados: Cento e trinta indivíduos participaram do estudo. Tempo médio de LM de 4 (5) anos, 62% nível torácico, 54% relataram queda prévia no último ano. A mediana do SCI-FCS-Brasil foi de 27 (22-34). Na análise de Rasch, o índice de confiabilidade foi de 0,81 e 0,98 e índice de separação de 2,10 e 6,25 para indivíduos e itens, respectivamente. O valor médio de Infit MnSq dos itens foi de 1,08 e dos indivíduos de 0,99 com bom enquadramento global. As categorias apresentaram-se desordenados e pouco diferenciadas. O instrumento apresentou estrutura adequada e unidimensionalidade. Alfa de Cronbach de 0,95; teste-reteste do score total com ICC de 0,92 (IC95%:0,86-0,95) e do escore de cada item k: 0,04 a 0,87 (IC95%: 0,01-1). Escore total da SCI-FCS-Brasil teve associação fraca e negativa com o tempo de LM (p=,019) e queda prévia no último ano (p=,028) e associação moderada e positiva com presença de medo de cair (p=,001). Conclusão: SCI-FCS-Brasil possui adequadas propriedades de medida e associa-se a medidas clínicas. É importante assegurar a correta interpretação dos escores da SCI-FCS durante sua aplicação. Sugere-se sua utilização em indivíduos com LM e usuários de CR, principalmente para aqueles com maior preocupação em cair e com menor tempo de lesão medular.Introduction: Falls after a spinal cord injury (SCI) are frequent in wheelchair users. In addition to physical injuries, it may result in excessive concern about falling and impact on quality of life and restrictions on daily and social activities. The Spinal Cord Injury Falls Concern Scale (SCI-FCS), developed in English language, aims to assess the concern about falling in this population. Objectives: to translate and cross-culturally adapt the SCI-FCS to Brazilian Portuguese, to evaluate its measurement properties and to investigate the association between clinical variables and SCI-FCS-Brazil scores. Methods: methodological research design. The SCI-FCS was translated and culturally adapted to Brazilian Portuguese according to guidelines. The measurement properties were verified through the Rasch Analysis; internal consistency, using Cronbach's α coefficients; total score test–retest reliability and level score test–retest reliability, using ICC and quadratic weighted kappa coefficient, respectively. Spearman's correlation (α = 0.05) coefficients were calculated to verify the associations between age, time since spinal cord injury, neurological level, occurrence of fall on the past year, fear of falling and the scores of the SCI-FCS-Brazil. Results: one hundred thirty individuals were enrolled in the study. Mean time since SCI occurrence was 4 (5) years, 62% thoracic level, 54% reported at least one fall in the previous year. The median SCI-FCS-Brazil score was 27 (22-34). Cronbach’s α was 0.95; ICC was 0.92 (IC95%:0.86-0.95) for the total score test-retest reliability and Kappa ranged from 0.04 to 0.87 (IC95%: 0.01-1) for the item level reliability. Rasch analysis reliability index was 0.81 and 0.98 and separation index was 2.10 and 6.25 for persons and items, respectively. The mean Infit MnSq values for items were 1.08 and for persons, 0.99. SCI-FCS-Brazil scores showed a poor and negative association with time since spinal cord injury (p=.019) and occurrence of fall on the past year (p=.028) and a moderate and positive association with fear of falling (p=.001). Conclusions: SCI-FCS-Brazil showed adequate measurement properties and association with clinical variables. It is important to ensure a correct SCI-FCS scores interpretation during its application. Its use in Brazilian wheelchair users with SCI is recommended to help defining rehabilitation strategies, mainly for individuals with greater concerns about falling and less time of SCI.porUniversidade Federal de Minas GeraisPrograma de Pós-Graduação em Ciências da ReabilitaçãoUFMGBrasilEEFFTO - ESCOLA DE EDUCAÇÃO FISICA, FISIOTERAPIA E TERAPIA OCUPACIONALhttp://creativecommons.org/licenses/by-nc-nd/3.0/pt/info:eu-repo/semantics/openAccessPreocupação com quedasMedula espinhal - Ferimentos e lesõesAdaptação transculturalAnálise RaschFisioterapiaMedula óssea - DoençasAdaptação transcultural para o português brasileiro e análise das propriedades de medida da Spinal Cord Injury Falls Concern Scale (SCI-FCS)Cross-cultural adaptation and measurement properties of the Brazilian Portuguese version of Spinal Cord Injury Falls Concern Scale (SCI-FCS)info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisreponame:Repositório Institucional da UFMGinstname:Universidade Federal de Minas Gerais (UFMG)instacron:UFMGORIGINALDissertação Adaptação transcultural para o português brasileiro e análise das propriedades de medida da Spinal Cord Injury Falls Concern Scale.pdfDissertação Adaptação transcultural para o português brasileiro e análise das propriedades de medida da Spinal Cord Injury Falls Concern Scale.pdfapplication/pdf2090807https://repositorio.ufmg.br/bitstream/1843/36291/1/Disserta%c3%a7%c3%a3o%20Adapta%c3%a7%c3%a3o%20transcultural%20para%20o%20portugu%c3%aas%20brasileiro%20e%20an%c3%a1lise%20das%20propriedades%20de%20medida%20da%20Spinal%20Cord%20Injury%20Falls%20Concern%20Scale.pdf214667672fa530b8252370634c158b05MD51CC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; charset=utf-8811https://repositorio.ufmg.br/bitstream/1843/36291/2/license_rdfcfd6801dba008cb6adbd9838b81582abMD52LICENSElicense.txtlicense.txttext/plain; charset=utf-82119https://repositorio.ufmg.br/bitstream/1843/36291/3/license.txt34badce4be7e31e3adb4575ae96af679MD531843/362912021-06-02 19:23:26.543oai:repositorio.ufmg.br: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Repositório InstitucionalPUBhttps://repositorio.ufmg.br/oaiopendoar:2021-06-02T22:23:26Repositório Institucional da UFMG - Universidade Federal de Minas Gerais (UFMG)false
|