Cross-cultural adaptation, reliability and validity of the German Shoulder Pain and Disability Index (SPADI)

Angst, Felix; Goldhahn, Jörg; Pap, G.; Mannion, Anne F.; Roach, Kathryn E.; Siebertz, D; Drerup, Susann; Schwyzer, Hans‐Kaspar; Simmen, Beat R.

doi:10.1093/rheumatology/kel040

Cited by 137 publications

(133 citation statements)

References 17 publications

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“…Only 1 previous study assessed agreement for the Quick-DASH, 34 and 2 for the SPADI, 1,15 and the results were consistent with those of the present study.…”

Section: Internal Responsivenesssupporting

confidence: 91%

Clinimetric Testing Supports the Use of 5 Questionnaires Adapted Into Brazilian Portuguese for Patients With Shoulder Disorders

Puga¹,

Lópes²,

Shiwa³

et al. 2013

J Orthop Sports Phys Ther

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isorders of the shoulder region cause pain and limitation in movement and can affect functional abilities, professional and sports activities, as well as activities of daily living, and can ultimately affect quality of life.7 Studies conducted in Europe and North America estimated that roughly half of the population has at least 1 episode of shoulder pain a year, which results in high cost of treatment. 7,39,47 Current practice standards suggest that standard clinical measurements of muscle strength and joint mobility should be supplemented by the use of self-report questionnaires to measure pain, disability, and quality of life in these patients. 11,22,30 In the last decade, a large number of questionnaires have been developed to assess function and clinical changes in individuals with shoulder disorders. 6,17,42 A systematic review 17 identified 38 questionnaires for upper-limb disorders, including self-assessment instruments used in isolation or in conjunction with objective measures. Another review, 6 limited to self-report instruments, identified 16 questionnaires. Together with a recent systematic review on 4 questionnaires that measure function in patients with shoulder pain, 42 these reviews provide evidence that there is no single, ideal instrument for patients with shoulder disorders. The choice of a questionnaire to use in clinical practice or research must be based on the type of patients, the intended construct/outcome to measure, practical considerations (ease and time of application), measurement properties of the instrument, and whether the instrument has been translated and cross-culturally adapted for the targeted population. 6,17,18 Two of the most frequently cited questionnaires in the literature are the T T STUDY DESIGN: Clinical measurement. T T OBJECTIVES:To cross-culturally adapt the Shoulder Pain and Disability Index (SPADI) into Brazilian Portuguese and to test the measurement properties of the Brazilian Portuguese versions of the SPADI, the short form of the Disabilities of the Arm, Shoulder and Hand, the Patient-Specific Functional Scale, a numeric pain rating scale, and the Global Perceived Effect scale in patients with shoulder disorders. T T BACKGROUND:Most instruments for shoulder disorders were developed in English. For their use in Brazil, translation into Brazilian Portuguese, cross-cultural adaptation, and testing of measurement properties of these instruments are required. T T METHODS:The SPADI was translated and cross-culturally adapted according to current guidelines. Measurement properties of internal consistency, reproducibility, construct validity, ceiling and floor effects, and responsiveness of all instruments were tested in 100 patients with shoulder disorders. The patients filled out the questionnaires on 3 occasions: at baseline, 24 to 48 hours after baseline, and 4 weeks after baseline. T T RESULTS:The instruments showed adequate internal consistency (Cronbach alpha between .78 and .93) and a good level of agreement, as reflected by low standard errors of measureme...

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“…Only 1 previous study assessed agreement for the Quick-DASH, 34 and 2 for the SPADI, 1,15 and the results were consistent with those of the present study.…”

Section: Internal Responsivenesssupporting

confidence: 91%

Clinimetric Testing Supports the Use of 5 Questionnaires Adapted Into Brazilian Portuguese for Patients With Shoulder Disorders

Puga¹,

Lópes²,

Shiwa³

et al. 2013

J Orthop Sports Phys Ther

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“…Studies of the SPADI have indicated adequate measurement properties. 15,115 The MDC at the 90% confidence level has been reported to be 18.1, 118 the MDC at the 95% confidence level has been reported to be 18.0, 3 and the minimal clinically important difference has been reported to be 8.0 98 Clinicians should use validated functional outcome measures, such as the DASH, the ASES, or the SPADI. These should be utilized before and after interventions intended to alleviate the impairments of body function and structure, activity limitations, and participation restrictions associated with adhesive capsulitis.…”

Section: Outcome Measuresmentioning

confidence: 99%

Shoulder Pain and Mobility Deficits: Adhesive Capsulitis

Kelley¹,

Shaffer²,

Kuhn³

et al. 2013

Journal of Orthopaedic & Sports Physical Therapy

281

222

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The Orthopaedic Section of the American Physical Therapy Association (APTA) has an ongoing effort to create evidence-based practice guidelines for orthopaedic physical therapy management of patients with musculoskeletal impairments described in the World Health Organization's International Classification of Functioning, Disability, and Health (ICF). The purpose of these clinical practice guidelines is to describe the peer-reviewed literature and make recommendations related to adhesive capsulitis. J Orthop Sports Phys Ther 2013;43(5):A1–A31. doi:10.2519/jospt.2013.0302

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“…Initially, the SPADI was proposed in Visual Analogue Scale (VAS) 6 , and subsequently validated on Numeric Rating Scale (NRS) 22 and cross-culturally adapted and validated for German 23 and Slovak 24 languages. Several studies have supported the use of SPADI on clinical practice and research [25][26][27][28] , since it is a specific questionnaire for the shoulder joint; has all the psychometric properties evaluated; has short questions with answers in NRS format that facilitate its completion, requiring about 3 to 10 minutes to be completed 22,25,26 .…”

Section: Introductionmentioning

confidence: 99%

Versão Brasileira do Shoulder Pain and Disability Index: tradução, adaptação cultural e confiabilidade

Martins¹,

Napoles²,

Hoffman³

et al. 2010

Rev. bras. fisioter.

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Objectives: To translate and culturally adapt the Shoulder Pain and Disability Index (SPADI) into Brazilian-Portuguese and to assess its reliability. Methods: The first step was the translation, synthesis, back-translation, revision by the committee, pre-testing and evaluation of documents by the committee and the author of the SPADI. The revised version by the committee was applied to 90 subjects with shoulder dysfunction, aged over 18 years from different education and sociocultural levels. The items misunderstood by 20% or more of patients were reformulated and reapplied until they reach values lower than 20%. The second stage consisted of two applications of SPADI to 32 patients with shoulder dysfunction in a interval ranging from 2 to 7 days. The data from the translation were analyzed descriptively, the test-retest reliability by Intraclass Correlation Coefficient (ICC) and the internal consistency by Cronbach's Alpha.Results: Some expressions have been adapted to the Brazilian population and the items in the pain and disability subscales were changed for an easier reading in Portuguese Language. The pre-test revealed a need to change only one item of the pain domain and to administer the questionnaire by interview, since it was repeated three times and in the first two applications with self-reported questionnaire the patients had not been reporting their symptoms with regards to the past week and also they have not been properly used the item "Not Applicable". The test-retest reliability ranged from 0.90 to 0.94 and the internal consistency ranged from 0.87 to 0.89. Conclusion:After the translation and cultural adaptation, it was obtained a reliable version of SPADI-Brazil.Key words: quality of life; questionnaires; translations; shoulder. Resumo Objetivos: Traduzir e adaptar culturalmente o questionário Shoulder Pain and Disability Index (SPADI) para a Língua Portuguesa doBrasil e avaliar sua confiabilidade. Métodos: A primeira etapa consistiu na tradução, síntese, retro-tradução, revisão pelo Comitê, pré-teste e avaliação dos documentos pelo comitê e pelo autor do SPADI. A versão revisada pelo Comitê foi aplicada a 90 indivíduos com disfunção no ombro, com faixa etária acima de 18 anos e níveis educacional e sociocultural variados. Os itens não compreendidos por 20% ou mais dos pacientes foram reformulados e reaplicados até alcançarem valores menores que esse. A segunda etapa consistiu de duas aplicações do SPADI a 32 pacientes com disfunção de ombro, no intervalo de 2 a 7 dias. Os dados de tradução foram analisados descritivamente, a confiabilidade teste-reteste, pelo Coeficiente de Correlação Intraclasse (ICC) e a consistência interna, pelo Alpha de Cronbach. Resultados: Algumas expressões foram adaptadas à população brasileira, e os itens da escala de dor e incapacidade foram alterados para maior facilidade de leitura na Língua Portuguesa. O pré-teste revelou a necessidade de se alterar apenas um item de dor e de se aplicar o questionário por entrevista, pois ele se repetiu três vezes e, nas...

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Cross-cultural adaptation, reliability and validity of the German Shoulder Pain and Disability Index (SPADI)

Abstract: The German SPADI is a practicable, reliable and valid instrument, and can be recommended for the self-assessment of shoulder pain and function.

Cited by 137 publications

References 17 publications

Clinimetric Testing Supports the Use of 5 Questionnaires Adapted Into Brazilian Portuguese for Patients With Shoulder Disorders

Clinimetric Testing Supports the Use of 5 Questionnaires Adapted Into Brazilian Portuguese for Patients With Shoulder Disorders

Shoulder Pain and Mobility Deficits: Adhesive Capsulitis

Versão Brasileira do Shoulder Pain and Disability Index: tradução, adaptação cultural e confiabilidade

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