Background: Psychosocial factors are not routinely identified in physical therapy
assessments, although they can influence the prognosis of patients with low back
pain. The "STarT Back Screening Tool" (SBST) questionnaire aids in screening such
patients for poor prognosis in the primary care setting and classifies them as
high, medium, or low risk based on physical and psychosocial factors. Objectives: This study sought to translate and cross-culturally adapt the SBST to the
Brazilian Portuguese language and test the reliability of the Brazilian version.
Method: The first stage of the study consisted of the translation, synthesis, and
back-translation of the original version of the STSB, including revision by the
Translation Group, pretest of the translated version, and assessment by an expert
panel. The pre-final Brazilian version was applied to 2 samples comprising 52
patients with low back pain; these patients were of both genders and older than 18
years of age. To assess the instrument's reliability, an additional sample
comprising 50 patients was subjected to 2 interviews, and the results were
assessed using the quadratic weighted kappa value. The instrument's internal
consistency was assessed using Cronbach's alpha (n=105), and the standard error of
measurement was also calculated (n=50). Results: Translation and back-translation attained consensus, and only item 6 required
changes; the reformulated version was applied to an additional sample comprising
52 individuals who did not report any doubts related to this item. The reliability
of the SBST-Brazil was 0.79 (95% confidence interval: 0.63-0.95), the internal
consistency was 0.74 for the total score and 0.72 for the psychosocial subscale,
and the standard error of measurement was 1.9%. Conclusion: The translated and cross-culturally adapted SBST-Brazil proved to be reliable for
screening patients according to their risk of poor prognosis and the presence of
psychosocial factors.
HighlightsThe set of tests presented good reliability for the lumbopelvic region.Reference values may contribute for clinical practice assessments.SEM, TEM and MDC values confirm the set of tests’ usage in clinical practice.
Objective: To retrospectively survey the most frequent complications from medial opening wedge high-tibial osteotomy. This procedure is becoming increasingly important in treating knee arthrosis, as one of the options for young and active patients. Despite satisfactory results and its benefits, it is not a complication-free procedure. Methods: All cases of medial opening wedge high-tibial osteotomy above the tibial tubercle with fixation using a Puddu plate that were performed at the Celso Pierro Hospital and Maternity Hospital, Pontifical Catholic University of Campinas (PUC-Campinas) and the Wilson Mello Institute, Campinas, between October 1, 1987, and October 30, 2008, were evaluated retrospectively. Patients with less than 12 months of follow-up or incomplete medical files, and those who underwent bilateral osteotomy, were excluded. Results: Out of the 67 cases evaluated, 55 were males and 12 were females, with a mean age of 49.5 years. The mean wedge size was 10.15 mm and the most common complications were moderate to severe pain (13.04%), stiffness (6.52%), material breakage (4.4%), intraoperative fracture of the lateral cortical bone (4.4%) and infection (4.4%). It was observed that patients with delayed consolidation of the osteotomy had a greater chance of presenting complications (p < 0.05). Conclusion: Complications from medial wedge osteotomy are more frequent when associated with delayed consolidation.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.