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Adaptação e validação da Foot and Ankle Ability Measure para a população portuguesa
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Abstract(s)
Introdução: As condições músculo-esqueléticas do pé/tornozelo são altamente prevalentes, tanto em contexto normal como desportivo. A Fisioterapia é essencial no seu tratamento, sendo a utilização de instrumentos de medição auto-reportados fundamental para uma correta avaliação do impacto destas condições no indivíduo e do respetivo tratamento. A Foot and Ankle Ability Measure (FAAM) é uma medida auto-reportada de avaliação da função física de indivíduos com condições músculo-esqueléticas do pé/tornozelo, com duas subescalas, Atividades da Vida Diária e Desporto.
Objetivo: Adaptação cultural e linguística, validação e avaliação do poder de resposta da FAAM para a população portuguesa.
Material e Métodos: A adaptação cultural e linguística foi conseguida através da metodologia sequencial. Na avaliação das propriedades psicométricas, foi administrada a FAAM e a VR-12 a 179 indivíduos. A recolha foi feita em três momentos: T0, Teste-reteste, e T1 (final dos tratamentos).
Resultados: Obteve-se a FAAM-PT com equivalência semântica e cultural com a original. Esta obteve elevados níveis de consistência interna (αAVD=0,98; αDesporto=0,95) e de reprodutibilidade (CCIAVD=0,90; CCIDesporto=0,84). Demonstrou boa validade de construção, através da Análise de Componentes Principais, da relação com as pontuações sumários da VR-12 (r entre 0,241 e 0,575) e com questões discriminatórias (IMC, r entre -0,212 e -0,290; e auxiliares de marcha, p=0,000). Apresentou bom poder de resposta (ESAVD=0,78; ESDesporto=0,94; SRMAVD=0,87; SRMDesporto=1,00) e boa interpretabilidade (EPMAVD=3,14; EPMDesporto=5,60; MMDAVD=8,71; MMDDesporto=15,51; MMIAVD=5,96; MMIDesporto=19,06).
Conclusões: A FAAM-PT demonstrou ser uma medida válida, fiável e com poder de resposta para indivíduos com condições músculo-esqueléticas do pé/tornozelo, recomendando-se na investigação e na prática clínica.
Introduction: Musculoskeletal conditions of the foot/ankle are highly prevalent, both in normal and sports contexts. Physiotherapy is essential in their treatment, being the use of self-reported measurement instruments fundamental for proper evaluation of the impact of these conditions on the individuals, as well as the impact of the treatment. The Foot and Ankle Ability Measure (FAAM) is a self-reported measure of assessment of physical function in patients with musculoskeletal conditions of the foot/ankle, with two subscales, Activities of Daily Living and Sports. Aims: Cultural and linguistic adaptation, validation and evaluation of the responsiveness of the FAAM to the Portuguese population. Materials and Methods: The cultural and linguistic adaptation was achieved by the sequential methodology. For the evaluation of the psychometric properties, FAAM and VR-12 were administered to 179 individuals. The data collection was made in three stages: at T0, Test-Retest and T1 (end of treatment). Results: We obtained the FAAM-PT with semantic and cultural equivalence with the original version. This achieved high levels of internal consistency (αAVD=0.98; αDesporto=0.95) and reproducibility (ICCAVD=0.90; ICCDesporto=0.84). It demonstrated good construct validity through the Principal Component Analysis, the relations with the VR-12 summaries (r between 0,241 and 0,575) and related discriminatory questions (BMI, r between -0,212 and -0,290; and walking aids, p=0,000). It showed good reproducibility (ESAVD=0.78; ESDesporto=0.94; SRMAVD=0.87; SRMDesporto=1.00) and good interpretability (SEMAVD=3,14; SEMDesporto=5.60; MDCAVD=8,71; MDCDesporto=15.51; MICAVD=5.96; MICDesporto=19.06). Conclusions: FAAM-PT proved to be a valid, reliable and responsive measure for individuals with musculoskeletal conditions of the foot/ankle, it is recommended in research and in clinical practice.
Introduction: Musculoskeletal conditions of the foot/ankle are highly prevalent, both in normal and sports contexts. Physiotherapy is essential in their treatment, being the use of self-reported measurement instruments fundamental for proper evaluation of the impact of these conditions on the individuals, as well as the impact of the treatment. The Foot and Ankle Ability Measure (FAAM) is a self-reported measure of assessment of physical function in patients with musculoskeletal conditions of the foot/ankle, with two subscales, Activities of Daily Living and Sports. Aims: Cultural and linguistic adaptation, validation and evaluation of the responsiveness of the FAAM to the Portuguese population. Materials and Methods: The cultural and linguistic adaptation was achieved by the sequential methodology. For the evaluation of the psychometric properties, FAAM and VR-12 were administered to 179 individuals. The data collection was made in three stages: at T0, Test-Retest and T1 (end of treatment). Results: We obtained the FAAM-PT with semantic and cultural equivalence with the original version. This achieved high levels of internal consistency (αAVD=0.98; αDesporto=0.95) and reproducibility (ICCAVD=0.90; ICCDesporto=0.84). It demonstrated good construct validity through the Principal Component Analysis, the relations with the VR-12 summaries (r between 0,241 and 0,575) and related discriminatory questions (BMI, r between -0,212 and -0,290; and walking aids, p=0,000). It showed good reproducibility (ESAVD=0.78; ESDesporto=0.94; SRMAVD=0.87; SRMDesporto=1.00) and good interpretability (SEMAVD=3,14; SEMDesporto=5.60; MDCAVD=8,71; MDCDesporto=15.51; MICAVD=5.96; MICDesporto=19.06). Conclusions: FAAM-PT proved to be a valid, reliable and responsive measure for individuals with musculoskeletal conditions of the foot/ankle, it is recommended in research and in clinical practice.
Description
Keywords
Pé Estudos de Validação como Assunto Tornozelo Instrumentos de Medição FAAM