Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 103
Filtrar
1.
Musculoskelet Sci Pract ; 60: 102587, 2022 May 18.
Artigo em Inglês | MEDLINE | ID: mdl-35605463

RESUMO

BACKGROUND: Structural validity refers to the degree to which the scores of a questionnaire or scale are an adequate reflection of the construct to be measured. The aim of this study was to perform the analysis of the structural validity of the Roland-Morris Disability Questionnaire (RMDQ), Oswestry Disability Index (ODI), Quebec Back Pain Disability Scale (QBPDS), and Bournemouth Questionnaire (BQ) in Brazilian respondents with chronic low back pain. METHODS: A cross-sectional study was conducted. The sample was composed by respondents with non-specific chronic low back pain (score ≥3 points on the 11-point Numerical Pain Rating Scale). The internal structure (number of domains and items) of the Brazilian versions of the RMDQ, the ODI, the QBPDS, and the BQ were analyzed by the confirmatory factor analysis. RESULTS: Two hundred and twenty-two patients were included. Most of the sample consisted of women and overweight. The RMDQ and ODI have a one-dimensional structure and acceptable values for all confirmatory factor analysis fit indices. The QBPDS with 4 domains and 20 items showed the best values of the fit indices. In addition, we did not identify an internal structure for the BQ supported by the confirmatory factor analysis. CONCLUSION: The ODI and RMDQ present valid internal structure with 1 domain (disability). The QBPDS has a valid internal structure with 4 domains (rest, prolonged postures, ambulation/reach, and bending/carrying). The BQ does not have a well-defined internal structure.

2.
Spinal Cord ; 2022 Apr 12.
Artigo em Inglês | MEDLINE | ID: mdl-35414697

RESUMO

STUDY DESIGN: A questionnaire validity study. OBJECTIVES: To perform the translation, cross-cultural adaptation, and analysis of the measurement properties of the Brazilian Portuguese version of the Spinal Cord Injury Pain Instrument (SCIPI) for the screening of neuropathic pain in spinal cord injury. SETTING: Neurorehabilitation hospital in north-eastern Brazil. METHODS: We performed the translation and cross-cultural adaptation of the SCIPI. The pre-final version was applied in 10 patients with spinal cord injury sequelae and pain report. The final version of the SCIPI was applied to 100 patients. The measurement properties evaluated were structural validity, test-retest reliability, internal consistency, construct validity, and diagnostic accuracy. RESULTS: None of the items in the pre-final version of the SCIPI had any comprehension problems. The one-dimensional structure of the final version of the SCIPI was adequate. There were significant correlations between the SCIPI and the Douleur Neuropathique 4 (rho = 0.546), as well as adequate test-retest reliability (intraclass correlation coefficient = 0.89, kappa ≥ 0.79), internal consistency (Cronbach's alpha ≥ 0.76), and diagnostic accuracy (area under the curve = 0.860). CONCLUSION: The Brazilian version of the SCIPI presents measurement properties that are suitable for measuring neuropathic pain related to spinal cord injury.

3.
BrJP ; 5(1): 52-55, Jan.-Mar. 2022.
Artigo em Inglês | LILACS-Express | LILACS | ID: biblio-1364393

RESUMO

ABSTRACT BACKGROUND AND OBJECTIVES: Stretching exercises are present in physical training and muscle rehabilitation programs. Within the context of rehabilitation of patients with low back pain (lombalgy), there is still a gap about the mechanisms that these exercises should reduce pain and disability in these patients. The aim of this study was to investigate what are the possible mechanisms through which muscle stretching exercise could reduce pain in individuals with chronic low back pain.CONTENTS: Pain in the lumbar region is one of the most disabling pains when it comes to limitations for daily functions, so it's necessary to investigate alternatives that provide relief for these patients. As the cause of non-specific chronic low back pain is multifactorial, the treatment of the pathology occurs mainly to reduce the sensation of pain. As an alternative, the flexibility training through stretching exercises can be efficient because they generate biomechanical and sensory changes, which would result in an analgesic effect. Additionally, it's still possible that these two effects occur together to explain the reduction in low back pain after performing stretching exercises. CONCLUSION: There is theoretical basis in the literature to support the performance of stretching exercises as a non-pharmacological strategy for the treatment of chronic low back pain. Biomechanical and neurophysiological mechanisms can be pointed out to explain these benefits.


RESUMO JUSTIFICATIVA E OBJETIVOS: Exercícios de alongamento estão presentes em programas de treinamento físico e reabilitação muscular. Dentro do contexto da reabilitação de indivíduos com dor na região lombar (lombalgia), ainda existe uma lacuna sobre os mecanismos pelos quais esses exercícios reduzem dor e incapacidade nesses pacientes. O objetivo deste estudo foi descrever os possíveis mecanismos pelos quais o exercício de alongamento pode reduzir dor em indivíduos com lombalgia crônica. CONTEÚDO: A dor na região lombar é uma das dores mais incapacitantes quando se trata de limitações para as funções no cotidiano. Por isso, é necessário investigar alternativas que possam proporcionar o seu alívio nesses pacientes. Considerando que a causa da lombalgia crônica não específica é multifatorial, o tratamento desta doença ocorre principalmente na tentativa de reduzir a sensação dolorosa. Como alternativa, o treinamento da flexibilidade por meio de exercícios de alongamento pode agir reduzindo a dor lombar por gerarem alterações biomecânicas e sensoriais que resultam em efeito analgésico. Adicionalmente, ainda é possível que esses dois efeitos possam atuar em conjunto para explicar a redução da dor lombar após a realização de exercícios de alongamento. CONCLUSÃO: Existe suporte teórico na literatura para sustentar a realização dos exercícios de alongamento como estratégia não farmacológica para o tratamento da dor lombar crônica. Mecanismos biomecânicos e neurofisiológicos poderiam ser apontados para explicar tais benefícios.

4.
Acta fisiátrica ; 29(1): 36-41, mar. 2022.
Artigo em Português | LILACS-Express | LILACS | ID: biblio-1361340

RESUMO

Objetivo: Investigar a correlação do risco de queda com a diminuição da mobilidade funcional, vulnerabilidade e a obesidade em idosos. Método: Estudo transversal, foram avaliados idosos ativos de ambos os sexos, idade entre 60-85 anos e excluídos voluntários que não realizaram os testes avaliativos propostos para identificar a mobilidade funcional e o estado nutricional. Foram aplicados os testes Índice de Massa Corporal (IMC) que classificou o estado nutricional desnutrição IMC ≤ 22, risco nutricional IMC= 22.1-24.0, peso ideal IMC= 24.1-27.0, sobrepeso IMC 27.1-30 e obesidade com IMC > 30.0, o Timed Up & Go (TUG) para identificar a mobilidade funcional e os riscos funcionais relacionados a quedas em idosos e a classificação adotada para este estudo foi ≥ 10s sendo indicadores de risco de quedas e o Vulnerable Elders Survey(VES-13) que classificou como idoso vulnerável os voluntários com a pontuação > 2 pontos. A análise estatística foi realizada em 95% nível de confiança e p<0,05. Resultados: Participaram 104 idosos, classificados com ausência de risco para quedas (67.3%), não vulneráveis (67.3%) e como obesos (24%). Não foi observada correlação entre obesos com o risco de quedas no tempo em segundos do TUG [ρ= -0.115; p>0.05] e com a classificação do TUG [ρ= -0.152; p>0.05]. Porém, foi observada correlação entre a vulnerabilidade com o risco de quedas no tempo em segundos do TUG [ρ= 0.217; p<0.05]. Conclusão: Não foi observada correlação entre obesidade e risco para quedas. Contudo, verificou-se que quando mais vulnerável maior é o risco para quedas.


Objective:To investigate the correlation of the risk of falling with the decrease in functional mobility, vulnerability and obesity in the elderly.Method:Cross-sectional study. Active elderly people of both sexes, aged between 60-85 years were evaluated, and volunteers who did not undergo the evaluative tests proposed to identify functional mobility and nutritional status were excluded.The Body Mass Index (BMI) tests were applied, which classified the nutritional status of malnutritionBMI ≤ 22, nutritional risk BMI= 22.1-24.0,ideal weight BMI= 24.1-27.0, overweight BMI 27.1-30 and obesity with BMI > 30.0,the Timed Up & Go (TUG) to identify functional mobility and functional risks related to falls in the elderly and the classification adopted for this study was ≥ 10s being risk indicators for falls and the Vulnerable Elders Survey (VES-13) that classified as vulnerable elderly, volunteers with a score > 2 points.Statisticalanalysiswasperformedat 95% confidencelevel and p<0.05. Results:104 elderlypeopleparticipated, classified as having no risk for falls (67.3%), non-vulnerable (67.3%) and as obese (24%). There was no correlation between obese subjects andthe risk of falls in TUG time in seconds [ρ= -0.115; p>0.05] andwith the TUG classification [ρ= -0.152; p>0.05]. However, there was a correlation between vulnerability and the risk of falls in time in seconds of the TUG [ρ= 0.217; p<0.05].Conclusion:Nocorrelation was observed between obesity and risk of falls. However, it was found that the more vulnerable the greater the risk for falls.

5.
Clin Rehabil ; : 2692155221086198, 2022 Mar 08.
Artigo em Inglês | MEDLINE | ID: mdl-35257627

RESUMO

OBJECTIVE: To translate, cross-culturally adapt and assess measurement properties of the translated version of the Northwick Park Neck Pain Questionnaire into Brazilian Portuguese. DESIGN: Cross-sectional study. SETTINGS: University healthcare facility and online. PARTICIPANTS: People with chronic neck pain (n = 178). INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Participants answered the translated version of Northwick Park Neck Pain Questionnaire, the Neck Disability Index, the Numerical Rating Scale for pain, the Tampa Scale for Kinesiophobia and the Pain Catastrophizing Scale. Seven to ten days after that, a subset of 84 participants answered the Northwick Park Neck Pain Questionnaire again. The structural (exploratory and confirmatory factor analyses) and construct validities, internal consistency, reliability and concordance were assessed. Level of significance was set at 5%. RESULTS: Participants' (35.6 ± 13.5 years old) with symptoms duration of 54.4 ± 60.4 months scored 25.5 ± 14.0 on the Brazilian Northwick Park Neck Pain Questionnaire and 11.9 ± 5.8 on the Neck Disability Index. The structural analysis showed that the short version of the Northwick Park Neck Pain Questionnaire has an adequate structure to measure disability due to neck pain. Correlations with other questionnaires were between 0.268 and 0.678, Cronbach's alfa was 0.76, intraclass correlation coefficient was 0.96, standard error of measurement was 2.74 and minimal detectable change was 7.60. CONCLUSION: The short version of the Northwick Park Neck Pain Questionnaire is valid and reliable to be used in patients with chronic neck pain, as it presented adequate measurement properties of structural and construct validity, reliability and concordance.

6.
Rev Assoc Med Bras (1992) ; 68(1): 56-60, 2022 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-35239938

RESUMO

OBJECTIVE: The objective of this study was to measure the intra- and inter-rater reliability of the quantitative sensory testing for measuring the thermal pain threshold on myofascial trigger points in the upper trapezius muscle of individuals with chronic neck pain. METHODS: Thirty female participants were included, aged between 18 and 45 years and with bilateral myofascial trigger points, active and centrally located in the upper trapezius muscle. Two measurements with quantitative sensory testing were performed by each examiner at an interval of 1 week between them. RESULTS: We observed substantial reliability for the intra-rater analysis (intraclass correlation coefficient ranging between 0.876 and 0.896) and excellent reliability for the inter-rater analysis (intraclass correlation coefficient ranging between 0.917 and 0.954). CONCLUSION: The measurement of the thermal pain threshold on myofascial trigger points in individuals with chronic neck pain has acceptable reliability values, supporting the use of the quantitative sensory testing in the research setting and the clinical environment.


Assuntos
Síndromes da Dor Miofascial , Cervicalgia , Músculos Superficiais do Dorso , Pontos-Gatilho , Adolescente , Adulto , Dor Crônica , Feminino , Humanos , Pessoa de Meia-Idade , Síndromes da Dor Miofascial/diagnóstico , Síndromes da Dor Miofascial/fisiopatologia , Cervicalgia/epidemiologia , Reprodutibilidade dos Testes , Músculos Superficiais do Dorso/fisiopatologia , Pontos-Gatilho/fisiopatologia , Adulto Jovem
7.
Health Qual Life Outcomes ; 20(1): 17, 2022 Feb 03.
Artigo em Inglês | MEDLINE | ID: mdl-35115018

RESUMO

BACKGROUND: The Work Role Functioning Questionnaire 2.0 (WRFQ 2.0) is an instrument that measures the difficulties perceived by workers in meeting work demands, given their physical or emotional health, but it has not yet been adapted for Brazil. Thus, this study aimed to translate, cross-culturally adapt and assess the psychometric properties of the WRFQ 2.0 into Brazilian Portuguese. METHODS: This is an observational study. Initially, translation and cross-cultural adaptation into Brazilian Portuguese was carried out. After that, this version was submitted to an evaluation of its internal structure. The internal consistency and test-retest reliability were assessed. To determine the construct validity, Spearman's correlation coefficient (rho) was used to determine the magnitude of correlation between the WRFQ 2.0 and the Work Ability Index (WAI), Numerical Pain Rating Scale (NPRS) and Self -Estimated Functional Inability because of Pain (SEFIP-work). RESULTS: The internal structure with five domains and 27 items presented adequate fit indices for the Brazilian version of the WRFQ 2.0. Adequate correlations of the five domains of the WRFQ 2.0 with the NPRS, WAI and SEFIP-work were found (rho ranged between 0.145 and 0.338). The test-retest reliability of the WRFQ 2.0 ranged from substantial to excellent (intraclass correlation coefficient ≥ 0.785) and internal consistency was adequate (Cronbach's alpha ≥ 0.852). CONCLUSION: The Brazilian Portuguese version of the WRFQ 2.0 presents valid internal structure with five domains and 27 items, adequate construct based on correlations with other instruments, and acceptable test-retest reliability and internal consistency.


Assuntos
Comparação Transcultural , Idioma , Brasil , Humanos , Psicometria , Qualidade de Vida , Reprodutibilidade dos Testes , Inquéritos e Questionários , Traduções
8.
BMC Musculoskelet Disord ; 23(1): 159, 2022 Feb 17.
Artigo em Inglês | MEDLINE | ID: mdl-35177048

RESUMO

OBJECTIVE: To validate and evaluate the intra- and inter-rater reliability of the 2-min step test (2MST) in measuring the functional performance of patients with knee pain associated with osteoarthritis (OA). METHODS: Forty-one patients with knee OA was included. Two examiners assessed the patients at two times with interval between the test and retest from 7 to 14 days. All executions of 2MST were recorded in real time by the examiners and were also recorded by video. The intraclass correlation coefficient (ICC) and 95% confidence interval (CI), standard error of measurement (SEM) and minimum detectable difference (MDD) were used to determine reliability. In the construct validity, we correlate the score of the 2MST with the other instruments used in the study: The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), Numerical Pain Scale (NPS), Pain-Related Catastrophizing Thoughts Scale (PCTS) and Chronic Pain Self-Efficacy Scale (PSEQ). The agreement between the face-to-face assessment and the evaluation based on the video record was assessed using the Bland-Altman methodology in the 4 moments of the 2MST. RESULTS: 2MST presented excellent intra- (ICC = 0.94, SEM = 4.47, MDD = 12.40) and inter-rater reliability (ICC = 0.97, SEM = 3.07, MDD = 8.52). The agreement was acceptable between face-to-face assessments and the analyzes performed on video. All instruments showed a statistically significant correlation with 2MST, except the PCTS. A correlation magnitude above 0.50 was found between the 2MST and pain and function domains of the WOMAC, and a correlation magnitude between 0.30 and 0.50 with the joint stiffness domain of the WOMAC, NRPS and PSEQ. CONCLUSION: 2MST proved to be valid for assessing functional capacity in patients with knee OA, with excellent reliability.


Assuntos
Dor Crônica , Osteoartrite do Joelho , Teste de Esforço , Humanos , Osteoartrite do Joelho/diagnóstico , Reprodutibilidade dos Testes , Índice de Gravidade de Doença , Inquéritos e Questionários
9.
Rev. Assoc. Med. Bras. (1992) ; 68(1): 56-60, Jan. 2022. tab
Artigo em Inglês | LILACS | ID: biblio-1360702

RESUMO

SUMMARY OBJECTIVE: The objective of this study was to measure the intra- and inter-rater reliability of the quantitative sensory testing for measuring the thermal pain threshold on myofascial trigger points in the upper trapezius muscle of individuals with chronic neck pain. METHODS: Thirty female participants were included, aged between 18 and 45 years and with bilateral myofascial trigger points, active and centrally located in the upper trapezius muscle. Two measurements with quantitative sensory testing were performed by each examiner at an interval of 1 week between them. RESULTS: We observed substantial reliability for the intra-rater analysis (intraclass correlation coefficient ranging between 0.876 and 0.896) and excellent reliability for the inter-rater analysis (intraclass correlation coefficient ranging between 0.917 and 0.954). CONCLUSION: The measurement of the thermal pain threshold on myofascial trigger points in individuals with chronic neck pain has acceptable reliability values, supporting the use of the quantitative sensory testing in the research setting and the clinical environment.


Assuntos
Humanos , Feminino , Adolescente , Adulto , Adulto Jovem , Cervicalgia/epidemiologia , Pontos-Gatilho/fisiopatologia , Músculos Superficiais do Dorso/fisiopatologia , Síndromes da Dor Miofascial/diagnóstico , Síndromes da Dor Miofascial/fisiopatologia , Reprodutibilidade dos Testes , Dor Crônica , Pessoa de Meia-Idade
10.
Eur Spine J ; 31(2): 346-352, 2022 02.
Artigo em Inglês | MEDLINE | ID: mdl-35059860

RESUMO

OBJECTIVE: To evaluate the measurement properties of the Brazilian version of the Copenhagen Neck Functional Disability Scale (CNFDS) in patients with chronic neck pain. METHODS: One hundred and five patients were included in the study. The structural validity of the CNFDS was assessed by exploratory and confirmatory factor analysis with the following fit indices: chi-square divided by degrees of freedom (chi-square/df), root mean square error of approximation (RMSEA), comparative fit index (CFI), and Tucker-Lewis index (TLI). To test the construct validity, the CNFDS score was correlated with the Numerical Pain Rating Scale, the Tampa Scale of Kinesiophobia, the Pain-Related Catastrophizing Thoughts Scale, and Neck Disability Index (NDI). A subsample of 43 patients filled the CNFDS at two different times, and test-retest reliability was measured using the intraclass correlation coefficient (ICC), standard error of measurement (SEM), and minimum detectable change (MDC). The internal consistency of the CNFDS was analyzed by Cronbach's alpha. RESULTS: CNFDS presented a unidimensional structure, with goodness of fit indices: chi-square/df = 1.37, CFI = 0.94, TLI = 0.93, RMSEA = 0.059. The CNFDS showed satisfactory results of reliability (ICC = 0.93) and internal consistency (Cronbach's alpha = 0.84). The SEM was 1.72 and the MDC was 4.76. The CNFDS showed a high correlation with the NDI (rho = 0.718) and a low correlation with the other instruments. There were no floor and ceiling effects. CONCLUSION: The Brazilian version of the CNFDS with a one-dimensional structure and 15 items has adequate measurement properties.


Assuntos
Dor Crônica , Cervicalgia , Brasil , Dor Crônica/diagnóstico , Avaliação da Deficiência , Humanos , Cervicalgia/diagnóstico , Psicometria , Reprodutibilidade dos Testes , Inquéritos e Questionários
11.
Arch Phys Med Rehabil ; 103(2): 353-363, 2022 02.
Artigo em Inglês | MEDLINE | ID: mdl-34407446

RESUMO

OBJECTIVE: What are the immediate, short-term, and long-term effects of complex physical therapy and multimodal approaches on lymphedema secondary to breast cancer? DATA SOURCES: Four electronic databases (MEDLINE, Embase, Cochrane Library, Physiotherapy Evidence Database) were searched from inception up to August 2020. STUDY SELECTION: Randomized controlled trials comparing complex physical therapy and multimodal approaches to the conservative treatment of lymphedema secondary to breast cancer. DATA EXTRACTION: Two independent researchers performed data extraction and assessed the risk of bias, respectively, using the predefined form and Cochrane Collaboration of Risk of Bias. The determination of evidence quality was carried out using the Grading of Recommendations Assessment, Development, and Evaluation tools. DATA SYNTHESIS: Fourteen studies were identified for the systematic review and 11 studies for the meta-analysis with standardized mean difference (SMD), 95% CI, and random-effect model. The common outcomes involved total volume, pain, and physical function of the upper limb. Complex physical therapy has shown a favorable tendency to control outcomes in the short- and long-term. The meta-analysis indicated a small effect for volume reduction (SMD, -0.18; 95% confidence interval [CI], -0.35 to 0.00) and a moderate effect for short-term pain reduction (SMD, -0.61; 95% CI, -1.19 to -0.02). CONCLUSIONS: High-quality evidence suggests a more significant effect of complex physical therapy on multimodal approaches to the control of the upper limb total volume, substantiating the absence of changes in the current clinical practice in the management of lymphedema secondary to breast cancer. Future research should aim to identify concrete effect of therapeutic modalities in the immediate-, short-, and long-term.


Assuntos
Neoplasias da Mama , Linfedema , Neoplasias da Mama/complicações , Feminino , Humanos , Linfedema/etiologia , Linfedema/terapia , Dor/complicações , Modalidades de Fisioterapia , Ensaios Clínicos Controlados Aleatórios como Assunto
12.
Front Endocrinol (Lausanne) ; 13: 869921, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35498435

RESUMO

Diabetes mellitus (DM) is a chronic metabolic disease characterized by high blood glucose levels, causing serious damage to the cardiovascular, respiratory, renal and other systems. The prevalence of type 2 diabetes mellitus (T2DM) was 6.28% in 2017, considering all age groups worldwide (prevalence rate of 6,059 cases per 100,000), and its global prevalence is projected to increase to 7,079 cases per 100,000 by 2030. Furthermore, these individuals are often affected by diabetic myopathy, which is the failure to preserve muscle mass and function in the course of DM. This happens in type 1 diabetes mellitus (T1DM) and T2DM. As skeletal muscle plays a key role in locomotion and glucose homeostasis, diabetic myopathy may contribute to additional complications of the disease. In addition, chronic hyperglycemia is associated with lung functional changes seen in patients with DM, such as reduced lung volumes and compliance, inspiratory muscle strength, and lung elastic recoil. Thus, the weakness of the inspiratory muscles, a consequence of diabetic myopathy, can influence exercise tolerance. Thus, moderate strength training in T2DM can contribute to the gain of peripheral muscle strength. Although the literature is robust on the loss of mass and consequent muscle weakness in diabetic myopathy, triggering pathophysiological factors, the impact on functional capacity, as well as the prescription of physical exercise for this condition deserves to be further explored. This review aims to explore the consequences of diabetic myopathy and its implication in rehabilitation from prescription to safety in the practice of physical exercises for these individuals.


Assuntos
Diabetes Mellitus Tipo 1 , Diabetes Mellitus Tipo 2 , Doenças Musculares , Diabetes Mellitus Tipo 1/complicações , Tolerância ao Exercício , Humanos , Força Muscular/fisiologia
13.
Rev Assoc Med Bras (1992) ; 67(11): 1622-1626, 2021 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-34909888

RESUMO

OBJECTIVE: The objective of this study was to investigate the reliability and construct validity of the Self-Estimated Functional Inability because of Pain questionnaire for workers in a sample of Brazilian workers with musculoskeletal pain. METHODS: This is a questionnaire validation study. Workers with musculoskeletal pain were included. Besides the Self-Estimated Functional Inability because of Pain questionnaire for workers, we used the following instruments to perform construct validity: the Work Ability Index and the Numerical Pain Rating Scale. A subsample answered the Self-Estimated Functional Inability because of Pain questionnaire for workers in two moments to calculate reliability by means of the intraclass correlation coefficient and internal consistency by means of the Cronbach's alpha. RESULTS: A total of 190 Brazilian workers were included. Regarding the construct validity, we observed a correlation with magnitude above 0.50 between the Self-Estimated Functional Inability because of Pain questionnaire for workers and the Numerical Pain Rating Scale, given that these two instruments have similarity in the construct, and correlations above 0.30 between the Self-Estimated Functional Inability because of Pain questionnaire for workers and the domains 2, 3, and 4 of the Work Ability Index. Regarding reliability, we observed adequate reliability (intraclass correlation coefficient=0.864) and internal consistency (Cronbach's alpha=0.807). CONCLUSION: The Self-Estimated Functional Inability because of Pain questionnaire for workers is a reliable and valid instrument to be used in Brazilian workers with musculoskeletal pain.


Assuntos
Dor , Brasil , Humanos , Medição da Dor , Reprodutibilidade dos Testes , Inquéritos e Questionários
14.
Rev Assoc Med Bras (1992) ; 67(11): 1644-1648, 2021 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-34909892

RESUMO

OBJECTIVE: This study aimed to translate, adapt, and analyze the reliability of the Workplace Sitting Breaks Questionnaire (SITBRQ) for use in Brazil. METHODS: This is a cross-sectional study. The translation and cross-cultural adaptation were conducted considering the following six phases: translation, synthesis of translations, back translation, analysis by a committee of experts, test of the pre-final version, and final version. We included workers aged 18 years or above, both genders, and able to understand, read, and write in Brazilian Portuguese. The final version was applied to workers in two moments (i.e., test and retest), with an interval of 7 days, for reliability calculation. RESULTS: In the translation and cross-cultural adaptation phase, the pre-final version was applied to a sample of 35 workers. For item a of the SITBRQ, there was 100% understanding by respondents, while item b was understood by 94.28%. The reliability phase was conducted with 115 workers. For both items, almost perfect was identified with kappa >0.81. CONCLUSIONS: The SITBRQ version into Brazilian Portuguese has adequate adaptation and excellent values of reliability.


Assuntos
Comparação Transcultural , Local de Trabalho , Brasil , Estudos Transversais , Feminino , Humanos , Masculino , Reprodutibilidade dos Testes , Postura Sentada , Inquéritos e Questionários , Traduções
15.
Rev Assoc Med Bras (1992) ; 67(12): 1798-1803, 2021 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-34909952

RESUMO

OBJECTIVE: The objective of the study was to correlate the thermal pain threshold (heat and cold) on myofascial trigger points with measurements of pain and skin temperature in patients with chronic neck pain. METHODS: This is a cross-sectional study. We included participants of both genders, aged between 18-45 years, with chronic neck pain (>90 days), and with active bilateral myofascial trigger point centrally located in the upper trapezius muscle. Neck Disability Index, Numerical Rating Scale, Pain-Related Catastrophizing Thoughts Scale, algometry, infrared thermography, and quantitative sensory testing were used for the evaluation. RESULTS: A significant, weak, and negative association was observed between pain intensity and heat pain threshold on the myofascial trigger point to the right (rho -0.381, p=0.022) and to the left (rho -0.334, p=0.049), and a significant, weak, and positive association was observed between pain intensity and cold pain threshold on the myofascial trigger point to the right (rho 0.471, p=0.004) and to the left (rho 0.339, p=0.043). CONCLUSION: Thermal pain threshold (heat and cold) on myofascial trigger points is associated with pain intensity in individuals with chronic neck pain.


Assuntos
Síndromes da Dor Miofascial , Pontos-Gatilho , Adolescente , Adulto , Catastrofização , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Cervicalgia , Medição da Dor , Limiar da Dor , Temperatura Cutânea , Adulto Jovem
16.
Rev Assoc Med Bras (1992) ; 67(11): 1692-1695, 2021 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-34730677

RESUMO

OBJECTIVE: This study aims to analyze the level of disability and pain in capoeira practitioners. METHODS: This is a cross-sectional study. Data collection took place at the training sites of participants. The Self-Estimated Functional Inability because of Pain questionnaire for athletes (SEFIP-sport) was used to assess the pain and disability. Descriptive analysis was performed with the presentation of variables through mean and standard deviation (SD) or absolute number and percentage. RESULTS: The sample consisted of 65 capoeira practitioners. Of these, 42 (64.61%) reported pain or discomfort. The total score of the SEFIP-sport presented an average of 2.28 points (SD=2.65). The body regions with the highest reports of pain and disability were the knees, lower back, and wrist/hands. However, we observed a mild degree of disability measured by SEFIP-sport. CONCLUSIONS: The knees, lower back, and wrists/hands were the regions of the body with the highest reports of pain and disability. However, the disability presented by capoeira practitioners was slight.


Assuntos
Pessoas com Deficiência , Esportes , Estudos Transversais , Humanos , Dor , Medição da Dor
17.
Eur Spine J ; 30(12): 3593-3599, 2021 12.
Artigo em Inglês | MEDLINE | ID: mdl-34647181

RESUMO

OBJECTIVES: To assess test-retest reliability, internal consistency, construct validity, and the presence of ceiling and floor effects in the Brazilian version of the Short-Form Neck Disability Index (SF-NDI) in patients with chronic neck pain. METHODS: One hundred and fifty-six patients answered the Numerical Pain Rating Scale (NPRS), Short-Form Neck Disability Index (SF-NDI), Tampa Scale of Kinesiophobia (TKS), Pain Catastrophizing Scale (PCS), and the 36-Item Short-Form Health Survey questionnaire (SF-36). Another sample (n = 51) filled the SF-NDI at two different times, and test-retest reliability was measured using the intraclass correlation coefficient (ICC), standard error of measurement (SEM), and minimum detectable change (MDC). The internal consistency of the SF-NDI was analyzed by Cronbach's alpha. To determine construct validity, Spearman's correlation coefficient was used to determine the magnitude of the correlation between the score of the SF-NDI and other measurement instruments: NPRS, TKS, PCS, SF-36, and original NDI. RESULTS: SF-NDI presented substantial reliability (ICC = 0.844) and adequate internal consistency (Cronbach's alpha = 0.778). We observed significant values and with a correlation magnitude greater than 0.80 for the SF-NDI with the original NDI, between 0.30 and 0.50 for the correlations with TKS, and the functional capacity and pain domains of the SF-36, and less than 0.30 with the other study instruments. No participant reached the maximum score. Ceiling and floor effects were not observed. CONCLUSIONS: SF-NDI with 5 items has adequate measurement properties in Brazilian chronic neck pain patients.


Assuntos
Dor Crônica , Cervicalgia , Dor Crônica/diagnóstico , Avaliação da Deficiência , Humanos , Cervicalgia/diagnóstico , Psicometria , Reprodutibilidade dos Testes , Inquéritos e Questionários
18.
Rev Assoc Med Bras (1992) ; 67(8): 1087-1092, 2021 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-34669851

RESUMO

OBJECTIVE: The main aim of this study was to evaluate the structural validity of the Brazilian version of the Japanese Orthopedic Association Back Pain Evaluation Questionnaire (JOABPEQ). METHODS: Individuals with chronic low back pain were included. The data collection of the study occurred by means of online platform. Confirmatory factor analysis was performed. The theoretical version proposed for the JOABPEQ with five domains was tested. The following indices were considered to verify the fit of the model: comparative fit index (CFI), Tucker-Lewis index (TLI), root mean square error of approximation (RMSEA), and chi-square/degrees of freedom (DF). RESULTS: The final sample consisted of 175 volunteers, mostly women (68%), adults (mean age of 28.98 years), lean (mean body mass index of 25 kg/m2), with incomplete higher education, single, with mean of pain chronicity of 61.50 months and mean of pain intensity of 6.78 points on the Numeric Pain Scale. Regarding the structure of the JOABPEQ, the original version with five domains was adequate: chi-square/DF=1.52, CFI=0.954, TLI=0.948, and RMSEA=0.055. The factorial load ranges from 0.41 to 0.90. CONCLUSIONS: This study confirms the structure of JOABPEQ with 5 domains (low back pain, lumbar function, walking ability, social life function, and mental health) and 25 items in individuals with chronic low back pain.


Assuntos
Dor Lombar , Adulto , Brasil , Feminino , Humanos , Japão , Dor Lombar/diagnóstico , Psicometria , Reprodutibilidade dos Testes , Inquéritos e Questionários
19.
Rev Assoc Med Bras (1992) ; 67(6): 857-861, 2021 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-34709330

RESUMO

OBJECTIVE: The aim of this study was to verify the correlation between tactile acuity, intensity of pain at rest, and movement and functional capacity in individuals with chronic neck pain. METHODS: This was a cross-sectional study composed of two groups: individuals with chronic neck pain and individuals without neck pain. Evaluations were performed using the Numerical Rating Pain Scale at rest and movement, Neck Disability Index, and two-point discrimination test. RESULTS: The final sample consisted of 100 volunteers, 50 in each group. The groups did not show significant differences (p>0.05) in personal characteristics. It was observed that volunteers with cervical pain presented alterations in tactile care, with a significant and clinical increase in the perceived distance (Median 6.66; 95%CI 6.29-7.02; Cohen's d 7.22; 95%CI 6.15-8.30), and yet, positive, moderate, and significant correlation between two-point discrimination test, intensity of pain at rest and movement, and neck disability index (r=0.778-0.789, p<0.05). CONCLUSION: Tactile acuity is associated with pain intensity at rest and movement and functional capacity in individuals with chronic neck pain.


Assuntos
Dor Crônica , Percepção do Tato , Estudos Transversais , Humanos , Movimento , Cervicalgia
20.
Musculoskelet Sci Pract ; 56: 102452, 2021 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-34507047

RESUMO

OBJECTIVE: The purpose of this study was to translate, cross-culturally adapt, and validate the Upper Limb Functional Index (ULFI) into Brazilian Portuguese (ULFI-Br). METHODS: The translation and cross-cultural adaptation of the ULFI was performed according to international recommendations. The ULFI-Br was applied to 190 patients with chronic upper limb musculoskeletal disorders to verify structural validity. The QuickDASH, the SF-36 and a Numerical Pain Scale (NPS) were completed by 180 patients to assess construct validity using the Spearman correlation (ρ). The internal structure of the ULFI-Br was evaluated by exploratory and confirmatory factor analysis with fit indices chi-square/degrees of freedom (DF), Root Mean Square Error of Approximation (RMSEA), Comparative Fit Index (CFI) and Tucker Lewis Index (TLI). A subsample of 51 patients was used to assess test-retest reliability using the intra-class correlation coefficient (ICC), standard error of measurement (SEM) and minimum detectable change at the 90th percentile (MDC90). Internal consistency was assessed by Cronbach's alpha (α). Floor and ceiling effects were also assessed. RESULTS: Factor analysis identified an uni-dimensional structure with acceptable fit indices (RMSEA = 0.063, CFI = 0.918, TLI = 0.910). The ULFI-Br showed excellent reliability (ICC = 0.909) and adequate internal consistency (α = 0.897). The SEM was 6.11% and the MDC90 was 14.26%. The ULFI-Br demonstrated high correlation with the QuickDASH (ρ = -0.721), and moderate to low correlation with other questionnaires. There were no floor or ceiling effects. CONCLUSION: The ULFI-Br showed adequate measurement properties in patients with chronic upper limb musculoskeletal disorders indicating its suitability for use as a measure of upper limb functional status in Brazil.


Assuntos
Comparação Transcultural , Doenças Musculoesqueléticas , Brasil , Humanos , Doenças Musculoesqueléticas/diagnóstico , Reprodutibilidade dos Testes , Extremidade Superior
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA
...