Translation and validation into Portuguese of the international spinal cord injury pulmonary function basic data set.

INTRODUCTION: Spinal cord injury (SCI) is a serious disabling syndrome, and the clinical picture depends on the level and extent of the injury. The International Spinal Cord Society (ISCoS) and the American Spinal Cord Association (ASIA) have developed instruments (Data Sets) to assess the various aspects of the SCI. In 2012, the International SCI Pulmonary Function Basic Data Set was elaborated. It is composed of four questions and spirometry for the collection of lung function basic data. OBJECTIVE: The objective was to translate and validate the International SCI Pulmonary Function Basic Data Set to the Portuguese language. METHODS: The entire methodology followed the recommendations of the ISCoS and ASIA. Two translations of the original version into Portuguese were performed, and after consensus among the translators, the Portuguese version was sent for back-translation. After back-translation and comparison with the original version, the final Portuguese version was obtained. For the second phase of the study, 30 SCI individuals were selected. Two interviewers applied the questionnaire in two distinct moments. RESULTS: All results presented constant, excellent, or perfectly concordant data, except for the third question in the inter-rater comparison, where the Kappa coefficient showed value reasonable in the first interview and good in the second. CONCLUSION: The translation into Brazilian Portuguese of the "International SCI Pulmonary Function Basic Data Set" created a valid and highly reliable instrument, like the original without linguistic and cultural disagreements that allow its use in the evaluation of patients with SCI in Brazil.

Aplicação das escalas Fugl-Meyer Assessment (FMA) e Wolf Motor Function Test (WMFT) na recuperação funcional do membro superior em pacientes pós-acidente vascular encefálico crônico: revisão de literatura / Application of the Fugl-Meyer Assessment (FMA) and the Wolf Motor Function Test (WMFT) in the recovery of upper limb function in patients after chronic stroke: a literature review

Estima-se que de 45 a 75% dos adultos que sofreram um Acidente Vascular Encefálico (AVE) têm dificuldade de utilizar o membro superior (MS) hemiparético nas atividades de vida diária (AVD’s) na fase crônica. Escalas funcionais são utilizadas na prática da reabilitação e em pesquisas para diagnósticos, prognósticos e resposta a tratamentos. As escalas Wolf Motor Function Test (WMFT) e Fugl-Meyer Assessment (FMA) são instrumentos muito citados na literatura. Objetivo: o objetivo deste estudo foi verificar a aplicação das escalas WMFT e FMA na recuperação funcional do membro superior em pacientes pós AVE crônico. Método: Foi realizada uma revisão de literatura com busca nas bases de dados do MedLine (PubMed) de artigos publicados de 2000 a 2013. Adotou-se como estratégia de pesquisa o método (P.I.C.O.). Os descritores utilizados para a pesquisa foram: (stroke OR cerebrovascular disorders OR intracranial arteriosclerosis OR intracranial embolism and thrombosis) AND (fugl-meyer assessment OR wolf motor function test). Foi utilizado therapy narrow como filtro de busca. Resultados: foram encontrados 181 estudos, 89 foram eliminados por não preencherem os critérios de inclusão ou por não apresentarem tema relevante à pesquisa. Após a seleção por título e resumo, 92 artigos foram lidos na íntegra. Destes, 47 foram excluídos por não contemplarem o objetivo da presente pesquisa. No total, 45 artigos foram revisados. Houve predomínio da utilização da ferramenta FMA e verificou-se que 80% dos estudos aplicaram esta escala para avaliar respostas a diferentes tipos de terapias. Nestes estudos, a intervenção mais utilizada foi a Terapia de Contensão Induzida (TCI) (25%), seguida pela Terapia Robótica (22,2%). Apesar do WMFT ter sido inicialmente desenvolvido para avaliar os efeitos da TCI, nos dias de hoje verifica-se sua utilização para avaliar a recuperação funcional de pacientes com sequelas de AVE após aplicação de outras técnicas. Em nossa pesquisa, 44,4% dos estudos...

It is estimated that 45-75% of chronic adult stroke patients have difficulty in using the hemiparetic upper limb (MS) in their daily life activities (DLAs). Functional scales are used in the practice of rehabilitation, in the search for diagnoses and prognoses, and in evaluating response to treatment. The Wolf Motor Function Test (WMFT) and Fugl-Meyer Assessment (FMA) scales are the instruments most commonly mentioned in the literature. Objective: The aim of this study was to review the use of the WMFT and FMA scales in the recovery of upper limb function in patients after chronic stroke. Method: We searched the MedLine database (PubMed) for articles published from 2000 to 2013. The PICO method was adopted as the search strategy. The descriptors used for the search were: (stroke OR cerebrovascular disorders OR intracranial arteriosclerosis OR thrombosis intracranial embolism) AND (Fugl-Meyer assessment OR wolf motor function test). Therapy/narrow was used as a search filter. Results: We found 181 studies, 89 of which were excluded because they did not meet the inclusion criteria or did not have a topic relevant to the review search. After selection by title and by abstract, 92 articles were fully read. Of these articles, 47 were excluded because they did not fulfil the search objective. All in all, 45 articles were reviewed. FMA is the tool most used and it was found that 80% of the studies applied this scale to evaluate responses to the different therapies. In these studies, the interventionmost used was the Constrained Induced Therapy (CIT) (25%), followed by Robotics Therapy (22.2%). Although the WMFT was initially developed to assess the effects of CIT, nowadays this scale is used, after the application of other techniques, to assess the functional recovery of patients with stroke sequelae. In our survey, 44.4% of the studies used WMFT; of these, 35% assessed the effects of CIT, 15% assessed robotic therapy for the upper limbs, and 65% for different...