Adaptação transcultural para o Brasil do Sistema de Classificação da Função Motora Grossa (GMFCS)

Hiratuka, Erika; Matsukura, Thelma Simões; Pfeifer, Luzia Iara

doi:10.1590/s1413-35552010000600013

Cited by 54 publications

(45 citation statements)

References 18 publications

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“…An increase in level indicates greater impairment; thus, Level I is the mildest (no restrictions but with limitations in some movements), and Level V is the most severe (the child is transported in a wheelchair and exhibits many limitations even with the use of assistive technology) (Russell, Rosenbaum, Avery, & Lane, 2011). The crosscultural adaptation of the GMFCS for Brazil was performed by Hiratuka, Matsukura, and Pfeifer (2010). The results indicated semantic and conceptual equivalence, sufficient inter-rater reliability, excellent construct correlation, and internal consistency, with an intraclass correlation coefficient of .945 and a Cronbach's alpha of .972.…”

Section: Instrumentsmentioning

confidence: 94%

Parental Stress and Social Support of Caregivers of Children With Cerebral Palsy

Lima

Cardoso

Silva

2016

Paidéia (Ribeirão Preto)

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Stress and social support are relevant variables for understanding the impact of disability on the care relationship. Thus, this study investigates the association between the parental stress index, social support indicators, and the sociodemographic variables of caregivers of children with cerebral palsy in a capital city of the Eastern Amazon. The following instruments were applied to 100 caregivers: the Sociodemographic Inventory, the Gross Motor Function Classification System, the Parenting Stress Index, and the Medical Outcomes Study Social Support Survey. For data analysis, descriptive statistics were used, in addition to techniques of multivariate analysis. It was found that most participants had high parental stress and a high perception of social support. Specific aspects of the perception of social support and sociodemographic indicators were associated with stress. This knowledge favors the design of more assertive interventions because it outlines the aspects of these variables that appear to have a more effective impact on parental stress.

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Section: Instrumentsmentioning

confidence: 94%

Parental Stress and Social Support of Caregivers of Children With Cerebral Palsy

Lima

Cardoso

Silva

2016

Paidéia (Ribeirão Preto)

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“…In this study, we found substantial agreement among students (Group 3) or professionals of the same area, with up to two years of experience (Group 2), when they classified the motor level of children using the Brazilian version of the GMFCS E&R. In most studies, the agreement in the classification of the GMFCS has also been substantial, with kappa coefficient raging between 0.64 and 0.80 4,9,12 , involving different health professionals (physical therapists 4,10,12,14,17 , doctors 8,9,10,17 , occupational therapists 4,5 , speech therapists 10 , and nurses 10 ) and different methods of collecting information to classify the gross motor function using the GMFCS or GMFCS E & R (direct observation 4,8,9,12,16 , questioning of parents 12,16 , review of medical records 7,8,23 ). Indexes of agreement quite similar to the students' group of this research (Group 3) were obtained in other studies, but with more experienced professionals 8,10,12,23 .…”

Section: Discussionmentioning

confidence: 99%

“…Morris and Bartlett 18 mention that the use of videos of GMFCS allows students to understand that cerebral palsy comprises more than one motor type or topographical distribution, and show that a child with quadriplegia (bilateral spastic CP) can be classified into different levels of GMFCS (II, III, IV or V) 18 . Although the GMFCS and the GMFCS E&R consist in classifications of easy application, studies that assess their reliability in Brazil are scarce 5,19 and did not verify their validity with other health professionals with different levels of experience in the area (strata) 20 , including undergraduate students, who are involved in the treatment of children with cerebral palsy. The aim of this study was to evaluate the reliability of the Portuguese version (Brazil) of the GMFCS E&R for students and health professionals (physical and occupational therapists), with different levels of experience.…”

Section: Introductionmentioning

confidence: 99%

Confiabilidade do Sistema de Classificação da Função Motora Grossa Ampliado e Revisto (GMFCS E & R) entre estudantes e profissionais de saúde no Brasil

Silva¹,

Dias²,

Pfeifer³

2016

Fisioter. Pesqui.

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Reliability of the Gross Motor Function Classification System Expanded and Revised (GMFCS E & R) among students and health professionals in BrazilRESUMEN | En la clasificación de la función motora gruesa de niños con parálisis cerebral (PC), el Gross Motor Function viene siendo fiable, sin embargo la versión brasileña todavía sigue siendo poco aplicada, en especial por distintos profesionales y estudiantes de grado en el área de la salud. El propósito de este artículo es el de evaluar la fiabilidad de esta versión para estudiantes y profesionales del área de la salud (fisioterapeutas y terapeutas ocupacionales), con distintos niveles de experiencia.Se captaron video-imágenes de la función motora gruesa de treinta niños con PC entre 4 y 18 años de edad, acompañados por el servicio de neurología o por la rehabilitación de un hospital en el interior de São Paulo, y se las enviaron a los estudiantes de una universidad pública y a los profesionales del área de fisioterapia (FT) y terapia ocupacional (TO), los cuales formaron tres grupos:Grupo 1 con 1 FT y 1 TO cuya experiencia en neurología era de más de cinco años; Grupo 2 con 1 FT y 1 TO y la experiencia hasta dos años; y Grupo 3 con 1 estudiante de grado en FT y 1 en

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“…The World Health Organization recommends the translation and cross-cultural adaptation of existing instruments of evaluation, because this improves communication between researchers and permits comparison of data obtained internationally 9,12 . Furthermore, the use of validated instruments increases confidence in the measurements obtained 9 .…”

Section: Discussionmentioning

confidence: 99%

Translation and cross cultural adaptation of the Pediatric Motor Activity Log-Revised scale

Matuti

Santos

Silva

et al. 2016

Arq. Neuro-Psiquiatr.

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Cerebral palsy (CP) describes a group of disorders of movement and posture that are attributed to a non-progressive disorder in the immature brain and often limit functional activities 1 . Children with spastic hemiplegia, which is one type of CP, can experience difficulty in using the affected upper limb (AUL) -the limb contralateral to the lesion -because of poor selective motor control, muscle weakness, a stereotyped posture, and sensory deficits. These difficulties make attempts to use the AUL less frequent, and favor compensatory strategies in which the unaffected limb is used to perform functional activities. This can culminate in a cycle that results in decreased cortical representation of the affected segment because of disuse, thus developing the phenomenon known as "learned nonuse" 2 .Traditionally, the functionality of the AUL has been evaluated by observing motor performance during tests conducted in the clinic. However, the use of the AUL in this context often fails to reflect how the child actually performs in the real world 3,4 . The relationship between performance assessed by tests in the clinic environment and the spontaneous use of the AUL outside the therapeutic setting has not been established. Clinic-based tests do not take into consideration the phenomenon of learned nonuse, and therefore the effects of rehabilitation on everyday function are not properly evaluated 3,4 . A standardized instrument developed specifically to evaluate the function and spontaneous use of the AUL in children aged 2-8 years with CP is the Pediatric Motor Activity Log AbsTRACTThe standardized instrument developed to assess the use of the affected upper limb in children with cerebral palsy (CP) is the Pediatric Motor Activity Log Revised (PMAL-R). Objectives: To translate PMAL-R and adapt for the Brazilian culture; analyze the reliability and the internal consistency of the Brazilian version. Method: Translation of PMAL-R to the Portuguese-Brazil and back translation. The back-translated version was revised by the authors of the scale. The final version was administered to a sample of 24 patients with spastic hemiparesis CP between 2-8 years. Results: The reliability intra and inter-rater were suitable (how often = 0.97 and 0.98, how well = 0.98 and 0.99 respectively) and so the internal consistency (0.98). Conclusion: The Brazilian version of PMAL-R has adequate internal consistency, reliability intra and inter raters and can be used to assess the spontaneous use of the upper limb of children with CP type spastic hemiparesis, aged 2-8 years.Keywords: cerebral palsy; upper extremity; activities of daily living; evaluation. ResuMoA Pediatric Motor Activity Log-Revised (PMAL-R) é um instrumento padronizado desenvolvido para avaliar o uso do membro superior afetado em crianças com paralisia cerebral (PC). Objetivos: Traduzir a PMAL-R e fazer sua adaptação transcultural para o Português do Brasil; analisar a confiabilidade e a consistência interna da versão brasileira. Métodos: Tradução e retrotradução da PMAL-R. A ve...

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Adaptação transcultural para o Brasil do Sistema de Classificação da Função Motora Grossa (GMFCS)

Cited by 54 publications

References 18 publications

Parental Stress and Social Support of Caregivers of Children With Cerebral Palsy

Parental Stress and Social Support of Caregivers of Children With Cerebral Palsy

Confiabilidade do Sistema de Classificação da Função Motora Grossa Ampliado e Revisto (GMFCS E & R) entre estudantes e profissionais de saúde no Brasil

Translation and cross cultural adaptation of the Pediatric Motor Activity Log-Revised scale

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