The Upper Extremity Functional Index (UEFI): Cross-Cultural Adaptation, Reliability, and Validity of the Italian Version

Abstract

Introduction.The Italian version of the Upper Extremity Functional Index (UEFI) may help assess shoulder function in patients with shoulder problems, especially athletes. Objective. Translate and cross-culturally adapt UEFI into Italian; verify UEFI validity and reliability in professional and amateur athletes with upper limb musculoskeletal disorders, shoulder, in particular. Methods. This study was conducted with 150 participants with musculoskeletal disorders of the upper limb. UEFI, the short version of the Disability of the Arm, Shoulder and Hand scale (Quick DASH), the Shoulder Pain and Disability Index, and the Short Form-36 Health Survey (SF-36) were administered. Acceptability was assessed in terms of refusal rate, rates of missing responses, and administration time; test-retest reliability was assessed with intraclass correlation coefficient (ICC); internal consistency was assessed with Cronbach's alpha coefficient, and validity was assessed by Pearson's correlation coefficients. Results. Cronbach's alpha coefficients for the UEFI on test and retest were α = 0.979 and α = 0.985, respectively. The average measure ICC was 0.917. The UEFI score demonstrated strong negative correlations with SPADI total score (-0.636), Quick DASH score (-0.685), and SF-36 score (-0.327). Conclusions. The Italian version of UEFI is acceptable, valid, and reliable.