Brazilian version of the Hammersmith Functional Motor Scale Expanded: cross-cultural adaptation and validation.

IF 1 4区医学 Q4 NEUROSCIENCES Arquivos de neuro-psiquiatria Pub Date : 2024-07-01 Epub Date: 2024-07-29 DOI:10.1055/s-0044-1788587

Ana Carolina Monteiro Lessa de Moura, Marina Belisário Carvalhais, Gabriela Palhares Campolina Sampaio, Clara Catharino Pinhati, Jacqueline Montes, Juliana Gurgel-Giannetti

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Abstract

Background: The Hammersmith Functional Motor Scale Expanded (HFMSE) has been widely used to assess the motor function of patients with spinal muscular atrophy (SMA) older than 2 years, with the ability to sit and/or walk.

Objective: To translate, cross-culturally adapt and validate the HFMSE to Brazilian Portuguese.

Methods: The translation process and cross-cultural adaptation followed international guidelines recommendations. The reliability and applicability of the Brazilian version consisted of the application of the HFMSE (in Brazilian Portuguese) to 20 patients with types 2 and 3 SMA. Two examiners assessed the participants for interrater reliability, through the analysis of Kappa reliability agreement (k) and intraclass correlation coefficient (ICC).

Results: The HFMSE was successfully translated and cross culturally adapted to Brazilian Portuguese. Twenty participants with types 2 and 3 SMA were enrolled in the study (type 2 = 6; type 3 = 14). The ICC for the total score showed very high reliability (ICC =1.00), and the reliability of each of the items individually was considered excellent (Kappa > 0.80).

Conclusion: The Brazilian version of the HFMSE proved to be valid and reliable for the evaluation of SMA patients older than 2 years with the ability to sit and/or walk.

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巴西版哈默史密斯功能性运动量表扩展版：跨文化改编和验证。

背景：哈默史密斯功能运动量表扩展版（HFMSE）已被广泛用于评估2岁以上脊髓性肌肉萎缩症（SMA）患者的运动功能，这些患者具有坐和/或行走的能力：翻译、跨文化改编并验证巴西葡萄牙语版本的 HFMSE：翻译过程和跨文化改编遵循了国际指南的建议。巴西版本的可靠性和适用性包括对 20 名 2 型和 3 型 SMA 患者应用 HFMSE（巴西葡萄牙语）。两名考官通过分析卡帕信度一致性（k）和类内相关系数（ICC）对参与者进行了考官间信度评估：HFMSE已成功翻译成巴西葡萄牙语，并进行了跨文化调整。20名2型和3型SMA患者参加了研究（2型=6人；3型=14人）。总分的 ICC 显示出非常高的可靠性（ICC =1.00），每个项目的可靠性都非常好（Kappa > 0.80）：结论：事实证明，巴西版 HFMSE 在评估 2 岁以上有坐立和/或行走能力的 SMA 患者方面是有效和可靠的。

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来源期刊

Arquivos de neuro-psiquiatria 医学-精神病学

CiteScore

2.10

自引率

7.10%

发文量

262

审稿时长

4-8 weeks

期刊介绍： Arquivos de Neuro-Psiquiatria is the official journal of the Brazilian Academy of Neurology. The mission of the journal is to provide neurologists, specialists and researchers in Neurology and related fields with open access to original articles (clinical and translational research), editorials, reviews, historical papers, neuroimages and letters about published manuscripts. It also publishes the consensus and guidelines on Neurology, as well as educational and scientific material from the different scientific departments of the Brazilian Academy of Neurology. The ultimate goals of the journal are to contribute to advance knowledge in the areas of Neurology and Neuroscience, and to provide valuable material for training and continuing education for neurologists and other health professionals working in the area. These goals might contribute to improving care for patients with neurological diseases. We aim to be the best Neuroscience journal in Latin America within the peer review system.

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