RESUMO
PURPOSE: To cross-culturally adapt and verify the measurement properties of the Brazilian version of the Motor Assessment Scale (MAS). METHODS: The process of cross-cultural adaptation followed standardized procedures. Construct validity of the MAS was investigated using Rasch analysis (n = 100), whereas inter-rater and test-retest reliabilities were evaluated using Kappa coefficients and Bland and Altman plots (n = 52). RESULTS: The MAS demonstrated satisfactory measurement properties. The Kappa coefficients for the inter-rater and test-retest reliabilities were 0.73 (ranging from 0.79 to 1.00) and 0.82 (ranging from 0.86 to 1.00), respectively. The Bland and Altman plots showed adequate inter-rater and test-retest agreements. No ceiling or floor effects were observed and only one item exhibited misfit to the Rasch model expectations. Item 4 "sitting to standing" exhibited marginal misfit (infit MnSq = 1.44; Zstd = 2.6), but it did not affect the unidimensionality of the scale. CONCLUSIONS: The MAS demonstrated good indicators of validity and reliability to be used for the assessment of motor function of individuals with stroke within clinical and research contexts. Implications for rehabilitation The Motor Assessment Scale is a performance-based scale for the assessment of motor function of individuals with stroke, based on a task-oriented approach. The Motor Assessment Scale has shown good clinical utility indicators dues to its quick administration, objectivity, and clinical relevance as a functional predictor. The Motor Assessment Scale showed good indicators of validity and reliability to be used within clinical and research contexts for the evaluation of motor function of individuals after stroke.
Assuntos
Avaliação da Deficiência , Destreza Motora/fisiologia , Acidente Vascular Cerebral/fisiopatologia , Brasil , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Psicometria , Reprodutibilidade dos TestesRESUMO
PURPOSE: The purpose of this study was to evaluate the cross-cultural validity of the Brazilian version of the ABILOCO questionnaire for stroke subjects. MATERIALS AND METHODS: Cross-cultural adaptation of the original English version of the ABILOCO to the Brazilian-Portuguese language followed standardized procedures. The adapted version was administered to 136 stroke subjects and its measurement properties were assessed using Rash analysis. Cross-cultural validity was based on cultural invariance analyses. RESULTS: Goodness-of-fit analysis revealed one misfitting item. The principal component analysis of the residuals showed that the first dimension explained 45% of the variance in locomotion ability; however, the eigenvalue was 1.92. The ABILOCO-Brazil divided the sample into two levels of ability and the items into about seven levels of difficulty. The item-person map showed some ceiling effect. Cultural invariance analyses revealed that although there were differences in the item calibrations between the ABILOCO-original and ABILOCO-Brazil, they did not impact the measures of locomotion ability. CONCLUSIONS: The ABILOCO-Brazil demonstrated satisfactory measurement properties to be used within both clinical and research contexts in Brazil, as well cross-cultural validity to be used in international/multicentric studies. However, the presence of ceiling effect suggests that it may not be appropriate for the assessment of individuals with high levels of locomotion ability. Implications for rehabilitation Self-report measures of locomotion ability are clinically important, since they describe the abilities of the individuals within real life contexts. The ABILOCO questionnaire, specific for stroke survivors, demonstrated satisfactory measurement properties, but may not be most appropriate to assess individuals with high levels of locomotion ability The results of the cross-cultural validity showed that the ABILOCO-Original and the ABILOCO-Brazil calibrations may be used interchangeable.
Assuntos
Locomoção/fisiologia , Acidente Vascular Cerebral/fisiopatologia , Inquéritos e Questionários , Adulto , Idoso , Idoso de 80 Anos ou mais , Brasil , Cultura , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Análise de Componente Principal , Reprodutibilidade dos Testes , Tradução , Adulto JovemRESUMO
A pandemia de Covid-19 afetou todas as esferas da nossa vida. Mulheres no período perinatal têm necessidades únicas, demandando diretrizes de saúde e segurança devido aos riscos do isolamento social. Objetivou-se conhecer a vivência de mulheres na gestação ou puerpério no contexto da pandemia durante atendimento em hospital de referência. Estudo qualitativo pautado em referenciais da integralidade do cuidado e cotidiano. Participaram 18 mulheres, gestantes e puérperas. Três temas emergiram: repercussões na gestação e puerpério; repercussões na vida prática; e estratégias de enfrentamento criadas pelas mulheres. Os relatos desvelam diferentes repercussões da pandemia na vida das mulheres e de suas famílias, bem como estratégias e cuidados usados para mitigar os efeitos adversos. Sugere-se o direcionamento de medidas preventivas e políticas públicas que priorizem mulheres grávidas e puérperas, reconhecendo e acolhendo questões subjetivas envolvidas nesse momento na vida da mulher.(AU)
La pandemia de Covid-19 afectó todas las esferas de nuestra vida. Mujeres en el período perinatal tienen necesidades únicas, que demandan directrices de salud y seguridad con relación a los riesgos debido al aislamiento social. El objetivo fue conocer la experiencia de mujeres en la gestación o el puerperio en el contexto de la pandemia durante su atención en un hospital de referencia. Estudio cualitativo pautado en factores referenciales de la integralidad del cuidado y del cotidiano. Participaron 18 mujeres, gestantes y puérperas. Surgieron tres temas: Repercusiones en la gestación y el puerperio, repercusiones en la vida práctica y estrategias de enfrentamiento creadas por las mujeres. Los relatos muestran diferentes repercusiones de la pandemia en la vida de las mujeres y sus familias, así como estrategias y cuidados usados para mitigar los efectos adversos. Se sugiere la dirección de medidas preventivas y políticas públicas para que se prioricen las mujeres embarazadas y puérperas, reconociendo y recogiendo cuestiones subjetivas presentes en ese momento en la vida de la mujer.(AU)
The Covid-19 pandemic has affected all aspects of our lives. Women in the perinatal period have unique needs, demanding health and safety guidelines regarding the risks associated to social isolation. The objective was to know the women's experience during pregnancy or puerperium in the pandemic while being cared at a hospital. Qualitative study referenced on concepts of integrality of care and daily life. Eighteen pregnant and postpartum participated. Three themes emerged: Repercussions on pregnancy and puerperium, repercussions on practical life, and coping strategies created by women. The reports reveal different repercussions of the pandemic in the lives of women and their families, also the strategies and precautions used to mitigate its adverse effects. We suggest directing preventive measures and public health policies to prioritize pregnant and postpartum women, recognizing and embracing subjective issues involved at this moment in women's lives.(AU)
Assuntos
Humanos , Feminino , Gravidez , Adulto , Adulto Jovem , Serviços de Saúde Materno-Infantil/legislação & jurisprudência , Integralidade em Saúde , COVID-19/psicologia , Mães/psicologia , Assistência Perinatal , Gestantes , Período Pós-PartoRESUMO
The aims of the study were to compare the performance of children with probable developmental coordination disorder (DCD) and motor typically developing peers on items from the Assessment of Motor Coordination and Dexterity (AMCD), to determine whether age, gender and type of school had significant impact on the scores of the AMCD items, to estimate the frequency of DCD among Brazilian children ages 7 and 8 years and to investigate whether children with DCD exhibit more symptoms of attention deficit and hyperactivity disorder than children with motor typical development. A total of 793 children were screened by the Developmental Coordination Disorder Questionnaire - Brazilian version (DCDQ-Brazil); 90 were identified as at risk for DCD; 91 matched controls were selected from the remaining participants. Children in both groups were evaluated with the AMCD, the Movement Assessment Battery for Children (MABC-II) and Raven's coloured progressive matrices. Thirty-four children were classified as probable DCD, as defined by a combination of the DCDQ-Brazil and MABC-II scores (fifth percentile). The final frequency of DCD among children ages 7 and 8 years was 4.3%. There were significant differences between children with and without DCD on the majority of AMCD items, indicating its potential for identifying DCD in Brazilian children. The use of a motor test (MABC-II) that is not validated for the Brazilian children is a limitation of the present study. Further studies should investigate whether the AMCD is useful for identifying DCD in other age groups and in children from different regions of Brazil. The application of the AMCD may potentially contribute in improving occupational therapy practice in Brazil and in identifying children that could benefit from occupational therapy services.
Assuntos
Transtornos das Habilidades Motoras/diagnóstico , Transtornos das Habilidades Motoras/fisiopatologia , Destreza Motora/fisiologia , Transtorno do Deficit de Atenção com Hiperatividade , Brasil , Estudos de Casos e Controles , Criança , Feminino , Humanos , Masculino , Transtornos das Habilidades Motoras/terapia , Terapia Ocupacional , Inquéritos e QuestionáriosRESUMO
Crianças com dificuldades na realização de tarefas rotineiras que requerem habilidades motoras podem ter problemas específicos de coordenação motora, atualmente denominados Transtorno do Desenvolvimento da Coordenação (TDC). No Brasil esse diagnóstico ainda é pouco comum, embora seja muito utilizado na literatura internacional. O objetivo deste estudo foi investigar a percepção de mães brasileiras sobre o desempenho nas atividades diárias de crianças com transtorno da coordenação motora. Foram realizadas cinco entrevistas, seguidas por análise de conteúdo. Os relatos evidenciaram que todas as informantes percebem alguma dificuldade de seus filhos na realização de atividades cotidianas e na relação com os colegas, sendo essas dificuldades acentuadas principalmente pela entrada na escola. Os relatos também destacaram o desconhecimento sobre os problemas de coordenação motora e possibilidades de auxílio existentes, apontando para a necessidade de mais informação e maior valorização das percepções maternas.
Children who have difficulty doing daily tasks that require motor skills may have specific motor coordination problems, known nowadays as Developmental Coordination Disorder (DCD). In Brazil, this diagnosis is used very seldom although it is much used in the international literature. The aim of this study was to investigate the perception of Brazilian mothers concerning the daily performance of children with motor coordination disorder. Five interviews were conducted and submitted to content analysis. The narratives showed that all informants perceive difficulties in the performance of daily activities in their children and in the relationship with peers, and these difficulties are more evident with the entrance in school. These findings highlight the unawareness about motor coordination problems and opportunities for getting help, as well as reinforce the need for more information and to value mother's perceptions.
Niños con dificultades en el desempeño de las tareas rutinarias que requieren habilidades motoras pueden tener problemas específicos de coordinación, actualmente conocidos como trastorno de desarrollo de la coordinación (TDC). En Brasil este diagnóstico es infrecuente, aunque se usa ampliamente en la literatura internacional. El objetivo de este estudio fue investigar la percepción de las madres brasileñas en el desempeño diario de niños con trastorno de la coordinación motora. Cinco entrevistas se llevaron a cabo, seguido de análisis de contenido. Los informes muestran que los encuestados perciben cierta dificultad a sus hijos en la realización de las actividades diarias y las relaciones con los colegas, y estas dificultades acentuadas principalmente por la entrada de la escuela. Los informes también destacó la falta de conocimiento acerca de los problemas de coordinación y las posibilidades de ayuda existentes, apuntando la necesidad de más información y una mayor apreciación de las percepciones maternas.
Assuntos
Humanos , Feminino , Transtornos das Habilidades Motoras , Poder FamiliarRESUMO
A definicao de patamares minimos de qualidade para a formacao de terapeutas ocupacionais tem uma longa trajetoria, tanto no Brasil, quanto no exterior. Conforme se sabe, desde 1958 vem sendo publicados os Padroes Minimos para a formacao de terapeutas ocupacionais pela ...