OBJETIVO: O Harris Hip Score é instrumento de avaliação específica, desenvolvido originalmente para avaliar os resultados da artroplastia total de quadril. O objetivo deste estudo foi traduzir e adaptar culturalmente este instrumento para a língua portuguesa. MÉTODO: O método de tradução e adaptação cultural do Harris Hip Score envolveu quatro etapas: 1 - tradução inicial; 2 - retrotradução; 3 - apreciação das versões com elaboração da versão de consenso; 4 - pré-teste comentado com elaboração da versão final. RESULTADOS: A versão de consenso foi aplicada em 30 pacientes com afecção do quadril, sendo verificadas dificuldades no entendimento de algumas expressões, as quais foram substituídas por termos de mais fácil entendimento. Na reaplicação do questionário com a nova versão houve entendimento por 100% dos pacientes no que diz respeito ao sentido semântico, idiomático e contextual. CONCLUSÃO: A versão brasileira do Harris Hip Score permitiu a disponibilização de mais este instrumento para avaliação da qualidade de vida de pacientes com afecções do quadril. Há necessidade de um estudo de avaliação da confiabilidade e validade da versão adaptada culturalmente, a qual já está em desenvolvimento.

Objective: Hip arthroscopy has been used for diagnostic as well as therapeutic purposes, and it is part of the daily arsenal of hip surgeons. Due to the need for arthroscopic evaluation of the results, Byrd proposed a modification of the Harris Hip Score by assessing pain and function. This study aimed to translate and cross-culturally adapt the evaluation protocol of the modified Harris Hip Score used in hip arthroscopies. Method: The method used consisted of: 1) an initial translation, 2) a back translation, 3) a pre-test and 4) a final test. Results: The Portuguese version was used with 30 patients with hip disorders to determine the level of comprehension of the protocol. Expressions which were not understood by patients during the pre-test were modified or replaced, and the final version was obtained by consensus. The final version of the questionnaire was used once again, with 100% understanding by patients. Conclusion: Thus we arrived at the final Portuguese version of the modified Harris Hip Score questionnaire. Verification of the validity of this version is already in progress.

ObjectiveTo assess the inter-evaluator reproducibility of the Modified Merle d'Aubigné and Postel Method.MethodForty-five patients took part in the study, with a mean age of 57.93 (±13.35) who underwent total hip arthroplasty. All were evaluated by three researchers, who received training to standardize their criteria. The evaluation was held by the Modified Merle d'Aubigné and Postel Method (association of prefixes A, B and C) the same day at random, and the researchers did not report to one another throughout the evaluations. For mobility assessment, passive hip movements were performed and measured with the universal goniometer. The statistical analysis was carried out by the Cronbach Test (p≤0.05 and 0.7≤ α<1.0).ResultsThe statistical analysis showed significantly high inter-evaluators reliability for the items: prefix (p<0.001; α = 0.961), pain (p<0.001; α= 0.892), gait (p<0.001; α= 0.898), mobility (p<0.001; α=0.810) and total score (p<0.001; α=0.917).ConclusionThere was high significance and reliability among the three evaluators for all items of the Modified Merle d'Aubigné and Postel Method, suggesting that this method is reliable, provided its items are parameterized and previous training of evaluators is carried out. Level of Evidence II, Diagnostic Study.

The proximal femoral fracture in the elderly is a serious public health problem. Surgical treatment of this fracture is used to reduce morbidity, together with postoperative physical therapy. The objective was to conduct a systematic review of physical therapy protocols in postoperative for fractures of the proximal femur in elderly. We selected randomized controlled trials in elderly in the past 10 years, in Portuguese and English. There were 14 articles in the literature. Physical therapy has an important role in functional recovery of the elderly. Level of Evidence I, Systematic Review RCTs (Study results were homogenous).

Scoliosis is characterized by three-dimensional changes of the spine and is estimated to be present in 4% of the population worldwide. The most common form is the adolescent idiopathic. The purpose of this study is to identify the major muscle abnormalities found in patients with adolescent idiopathic scoliosis through a literature review. We conducted an electronic search of the national databases PubMed, Lilacs, PEDro, and EMBASE using the keywords "scoliosis", "biomechanics", "exercise", "physical therapy specialty", "idiopathic", and "muscles", from January 2003 to April 2015. The most relevant articles in English, Portuguese and Spanish were selected by title and abstract. It was also performed a manual search of the references of the selected articles. From a total of 4,319 articles, 11 were selected. We conclude that individuals with AIS have changes in the paraspinal muscles, with a difference in activation between the concave and convex sides, suggesting an increase in EMG activity on the convex side, although there is still no consensus among the authors.

Objective: To analyze the clinical and radiographic changes in patients with postural rounded upper back. Methods: 30 patients diagnosed with postural rounded upper back were studied, being 22 male and eight female, aged between 10 and 20 years, referred by the outpatient clinic of the Grupo de Cirurgia da Coluna of the Irmandade da Santa Casa de Misericórdia de São Paulo, SP, Brazil. Patients underwent assessment of posture, special tests to check for muscle retractions and radiographic examination to measure the curvatures of spine using the Cobb method. Results/Conclusion: It is concluded that in the postural roundback there is a moderate increase of the thoracic kyphosis; the lumbar and cervical curvatures do not increase as a compensatory mechanism; the head appears anteriorized and the shoulder is also anteriorized and medially rotated; muscle retractions are present in the hamstrings, hip flexors, pectoralis minor and adductors of the shoulder muscles; the mobility of the lumbar spine is preserved and there is no relationship between the magnitude of thoracic curvature and the retraction of the hamstring muscles.Keywords: Back; Kyphosis; Lordosis; Posture; Muscle, skeletal.

IV Congresso Brasileiro de Fisioterapia no Trauma Ortopédico (CBFTO)17 e 18 de maio de 2018Belo Horizonte MG  PresidenteAdriana Carvalho Gomes da Silva  Comissão científicaAdriana Carvalho Gomes da Silva: carvalhogs.adriana@gmail.comTania Clarete Vieira Sampaio: tania@sportsmed.com.brDébora Pinheiro Lédio Alves: debpfisio@gmail.comJaqueline de Faria Oliveira Villani: jacquefaria@yahoo.com.brLucas Simões Arrebola: lucasarrebola@gmail.comMauriciane Andrade Ribeiro: mauriribeiro@hotmail.com

ResumoAs fraturas do planalto tibial constituem risco à integridade funcional do joelho, afetando o alinhamento axial e podendo levar à dor e à incapacidade do indivíduo. O suporte de carga e a mobilização articular precoce podem prevenir esses déficits e acelerar o processo de reabilitação. O objetivo do presente trabalho foi realizar uma revisão da literatura sobre estudos que citam o início, evolução e critérios de progressão do suporte de carga no pós-operatório das fraturas de planalto tibial. Foram selecionados artigos publicados nos últimos 12 anos, nos idiomas português e inglês, que descrevessem o tempo de início e progressão do suporte de carga, considerando a gravidade da fratura. Foram selecionados 36 artigos na literatura. Não há consenso na literatura quanto ao início e evolução do suporte de carga no pós-operatório das fraturas do planalto tibial. Contudo, observa-se relação entre a gravidade da fratura e o tempo de início da carga.