Navegando por Palavras-chave "equilíbrio"
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- ItemAcesso aberto (Open Access)Adaptação cultural e análise da confiabilidade da versão brasileira da Escala de Equilíbrio Pediátrica (EEP)(Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia, 2012-06-01) Ries, Lílian Gerdi Kittel; Michaelsen, Stella Maris; Soares, Patrícia S. A. [UNIFESP]; Monteiro, Vanessa Costa [UNIFESP]; Allegretti, Kátia Maria Gonçalves [UNIFESP]; Universidade do Estado de Santa Catarina Postgraduate Program in Physical Therapy; Universidade Federal de São Paulo (UNIFESP)BACKGROUND: The Pediatric Balance Scale (PBS) was developed from a modified version of the Berg Balance Scale aiming to obtain a balance scale more appropriate for the child population. OBJECTIVES: To adapt the PBS into Brazilian-Portuguese and to evaluate the intra and inter-rater reliability of the Brazilian-Portuguese version of PBS. METHODS: To perform the cross-cultural adaptation of the American version of PBS four translators were involved, who have performed two translations and their respective back-translations. Then, a review by a multidisciplinary committee and a subsequent an assessment of the equivalence of meaning between the back-translations and the original English scale were performed by 3 and 30 healthcare professionals respectively. The intra-rater reliability of the final version of the Brazilian-Portuguese PBS was evaluated using a test-retest design with one-week interval. The Brazilian-Portuguese version of the PBS was tested twice on the same day by two different raters to test the inter-rater reliability. The inter-rater reliability, which was measured from a video of the volunteers performance, was evaluated by comparing the score given by five raters independently. Reliability was evaluated by Intraclass Correlation Coefficient (ICC). Fifteen volunteers (11±2.7 years) diagnosed with Cerebral Palsy (CP) classified at level I and II on the Gross Motor Function Classification System (GMFCS) were assessed. RESULTS: The reliability of the PBS total score for both intra-rater (ICC=0.85) and inter-rater (ICC=0.91) was excellent. The inter-rater reliability (measured from the video) for the total score was also classified as excellent (ICC=0.98). CONCLUSION: The results showed adequate reliability for the PBS for pediatric population with CP diagnostic classified at level I and II on the GMFCS.
- ItemAcesso aberto (Open Access)Fatores associados ao equilíbrio funcional em idosos com disfunção vestibular crônica(ABORL-CCF Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial, 2006-10-01) Gazzola, Juliana Maria [UNIFESP]; Perracini, Monica Rodrigues [UNIFESP]; Ganança, Mauricio Malavasi [UNIFESP]; Ganança, Fernando Freitas [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Universidade Cidade de São Paulo; UNIBAN Programa de Pós-Graduação Stricto Sensu (Mestrado) em Ciências da Reabilitação Neuro-Motora; Centro de Medicina Diagnóstica Fleury Setor de Otorrinolaringologia Área de EquilibriometriaDaily activities can be challenging for the elderly. AIM: To study the association between functional balance, evaluated by the Berg Balance Scale (BBS), sociodemographics, clinical and mobilility (Timed up and go test - TUGT, Dynamic Gait Index - DGI) variables in the elderly with chronic vestibular disorder. MATERIALS AND METHODS: A series study with one hundred and twenty elderly with chronic vestibular disorder. We performed the Mann-Whitney test, the Kruskal-Wallis test followed by Dunn test and the Spearman Coefficient (). RESULTS: Statistically significant associations and correlations were observed between total BBS score and age (=-0.354; p<0.001), age group (p<0.001), number off illnesses (p=0.030), number of illnesses (=-0.287; p=0.001), number of medications (p=0.014), number of medications (=-0.274; p=0.002), recurrent falls (p=0.010), tendency to fall (p=0.002), topographic diagnosis of central vestibular disorder (p<0.001) and periodicity of dizziness (p=0.039), TUGT (=-0.709; p<0.001) and DGI (=-0.748; p<0.001). CONCLUSIONS: Functional balance in the elderly with chronic vestibular disorders evaluated by the BBS is worse when associated with aging, with a more advanced age group (80 years or more), increasing number of illnesses, presence of five or more illnesses, use of multiple medications, recurrent falls, tendency to fall, central vestibular syndromes, daily dizziness, mobility and gait impairments.
- ItemAcesso aberto (Open Access)Versão brasileira do Dynamic Gait Index(ABORL-CCF Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial, 2006-12-01) De Castro, Sandra Meirelles; Perracini, Monica Rodrigues [UNIFESP]; Ganança, Fernando Freitas [UNIFESP]; UNIBAN; Universidade Federal de São Paulo (UNIFESP); Universidade Cidade de São PauloThe Dynamic Gait Index (DGI) is a useful test to evaluate balance and gait. AIMS: The objectives of this study were to culturally adjust the DGI to the Portuguese language and to assess its reliability. METHODS: The method proposed by Guillemin et al. (1993) was used for a cultural adaptation of this tool. A prospective study was performed with 46 patients that were assessed in the cultural adaptation phase. The items that not understood by 20% or more patients were reworded and reapplied. The final Portuguese version of DGI was applied to 35 elderly in order to check intra and interobserver reliability. The Spearman rank coefficient was used to correlate intra and interobserver scores and the Wilcoxon test was applied to compare these scores. Internal consistency was analyzed by the Cronbach alpha coefficient. RESULTS: There were statistically significant correlations among the scores for intra and interobserver assessments for all items (p<0.001), which were classified as good and very strong correlations (ranging from r=0.655 to r=0.951). The DGI demonstrated high internal consistency in intra and interobserver assessments (varying from µ or = 0.820 to µ or = 0.894). CONCLUSION: The DGI was culturally adjusted to Brazilian Portuguese and proved to be a reliable tool.