Purpose To verify the measurement properties of the Brazilian versions of Fear-avoidance Beliefs Questionnaire (FABQ) and Tampa Scale of Kinesiophobia (TSK) in individuals with shoulder pain. Methods Individuals with shoulder pain (>18 years) were included in this study. Structural validity was verified by exploratory factor analysis, which was used to identify dimensionality of the FABQ and TSK. Test-retest reliability was assessed with intraclass correlation coefficient(3,1) and internal consistency with Cronbach’s alpha. Floor or ceiling effects were also investigated. Responsiveness was verified by effect sizes and area under the receiver operating characteristic curve (AUC). Results Exploratory factor analysis identified two and one factor in the FABQ and TSK, respectively. FABQ and TSK presented moderate to good reliability and adequate internal consistency (Cronbach’s alpha > 0.70). The floor effect was present in one factor of the FABQ. The FABQ and TSK showed small to moderate effect sizes and did not show adequate AUC. Conclusion FABQ and TSK are multidimensional and unidimensional instruments, respectively. Those instruments presented moderate to good reliability and the responsiveness was considered to be suboptimal in individuals with shoulder pain.
BACKGROUND: The Bournemouth questionnaire is a multidimensional instrument for evaluating health domains among patients with low back pain. OBJECTIVE: The objective of this study was to translate and cross-culturally adapt the Bournemouth questionnaire for individuals with low back pain, to Brazilian Portuguese. DESIGN AND SETTINGS: This was a cross-sectional study conducted at the Federal University of São Carlos. METHODS: The Brazilian version of the Bournemouth questionnaire was developed following the processes of translation, back-translation, committee review and pre-testing. The translation phase involved two independent bilingual translators whose mother language was Brazilian Portuguese. The back-translation phase involved two independent translators whose mother language was English. In order to verify comprehension of the questionnaire, 44 individuals (43.1% men) with low back pain, and with mean age of 45.4 ± 13.8 years, participated in the pre-testing phase. RESULTS: During the translation phase, some terms and expressions were changed to obtain cultural equivalence to the original Bournemouth questionnaire. In the pre-testing phase, each item of the questionnaire showed a comprehension level of over 90%. CONCLUSION: The Bournemouth questionnaire was translated and culturally adapted to the Portuguese language, to be used among individuals with low back pain.
Objectives: The Bournemouth Questionnaire is a comprehensive and short form multidimensional instrument developed to evaluate the health status of individuals with low back pain. The objective of this study was to verify the construct validity and the test-retest reliability of the Brazilian version of Bournemouth Questionnaire in individuals with low back pain. Methods: This is a methodological study that included 65 patients with low back pain. The Brazilian Bournemouth Questionnaire was applied twice, and the test-retest reliability was assessed using intraclass correlation coefficient (ICC), standard error of measurement (SEM), minimum detectable change (MDC), and internal consistency. The construct validity of the Brazilian Bournemouth Questionnaire was assessed using the numeric pain rating scale (NPRS) and also with the following questionnaires: Roland-Morris Questionnaire (RMDQ), Oswestry Disability Index (ODI), and the Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36). Results: The total score of the Brazilian Bournemouth Questionnaire showed ICC of 0.82 (95% CI: 0.72, 0.90), Cronbachś alpha of 0.85, SEM of 5.97, and MDC of 15.54, without evidence of ceiling and floor effects. The total score of the Brazilian Bournemouth Questionnaire was correlated to the NPRS for current (r = 0.64), highest (r = 0.49), and lowest (r = 0.67) pain as well as scores on the RMDQ (r = 0.58), ODI (r = 0.42), and SF-36 (r = −0.58). Conclusion:The total score of the Brazilian version of the Bournemouth Questionnaire is valid and reliable to be used with patients with low back pain.
Introdução: O Handebol é um esporte rápido, explosivo e de contato, que exige ações como saltar, bloquear, realizar sprints e arremessar, sendo considerado de alto risco para a ocorrência de lesões. Objetivo: verificar a incidência de lesões musculoesqueléticas que ocorreram durante uma temporada em atletas de handebol. Materiais e métodos: Foi realizado um estudo observacional prospectivo, referente à incidência das lesões musculoesqueléticas em atletas do gênero masculino, com idade de 16 a 20 anos, durante a temporada de 2010. Resultados: A incidência total foi de 13,06 lesões a cada 1000 horas de exercício, sendo que durante os jogos, foi de 40,81 lesões, e nos treinos, 8,24. A região mais acometida foi o tornozelo (41,66%), seguido pelo ombro (25%), joelho (12,5%), cabeça (8,33%), mão (4,16%), coxa (4,16%) e cotovelo (4,16%). Conclusão: Este estudo observou que as lesões predominantes no handebol acometem os membros inferiores, seguidos pelos superiores, sendo a maioria considerada leve. A quantidade de lesões durante os treinos foi maior, mas quando consideradas por hora praticada, os jogos foram mais lesivos. Palavras-chave: Epidemiologia; traumatismos em atletas; taxa de incidência. Introduction: Handball is a fast-paced, explosive and contact sport, which requires actions such as jumping, blocking and throwing, considered a high-risk sport, for its occurrence of injuries. Objective: To verify the incidence of musculoskeletal injuries occurred in a season with handball players. Materials and methods: It was an observational prospective study, relative the occurrence of musculoskeletal injuries in male athletes, aged 16 to 20 years, during the 2010 season. Results: The total incidence was 13.06 injuries per 1000 hours of playing; during matches, 40.81 injuries, and during practices, 8.24. The most affected region of the body was the ankle (41,66%), followed by shoulder (25%), knee (12,5%), head (8,33%), hand (41,6%), thigh (4,16%) and elbow (4,16%). Conclusion: The predominant injuries in handball affects the lower limbs followed by superior ones, although most of injuries were considered mild. The amount of injuries during practices was higher, but when considered injuries per hour played, matches were more harmful.
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