a College of Physical Education , Universidade de Brasilia (UnB) , Brasília , DF , Brazil.
b Spinal Cord Injury Department, SARAH Rehabilitation Hospital Network/SARAH , Brasilia , DF , Brazil.
Physiother Theory Pract. 2019 Sep;35(9):860-872. doi: 10.1080/09593985.2018.1458356. Epub 2018 Apr 16.
: To translate, culturally adapt and validate the Adapted Manual Wheelchair Circuit (AMWC) into Brazilian-Portuguese. : Cross-sectional study. : Sixty-six men (median age of 30.5 years [percentiles 25 and 75: 24.0; 38.3 years]) with traumatic spinal cord injury were consecutively enrolled and divided into two groups: tetraplegia (TP) and paraplegia (PP). The participants performed the AMWC-Brazil and were evaluated by the Spinal Cord Injury Measure version III (SCIM-III). Translation, translation synthesis, back-translation, committee review and construct validity were adopted for the cross-cultural adaptation. Construct validity was performed by testing whether the test scores were significantly correlated (Spearman's correlation coefficient) to the subjects' injury level, age, time since injury, body mass index (BMI) and SCIM-III scale. : All the AMWC-Brazil's outcomes were significantly correlated with SCIM-III total score and subscales (P ≤ 0.01). However, when the analyses were stratified over injury level, only the TP showed a high correlation between the AMWC-Brazil's outcomes and the SCIM-III. For construct validity, 4 of 5 hypotheses were confirmed. Only BMI was not a significant predictor of the AMWC-Brazil outcomes. : The AMWC was successfully translated to the Brazilian-Portuguese (AMWC-Brazil) and presented high and satisfactory construct validity.
: 目的：将《改良手动轮椅循环测试（AMWC）》翻译、文化调适并验证为巴西葡萄牙语版本。 : 研究类型：横断面研究。 : 共纳入 66 名男性（中位数年龄 30.5 岁[25 和 75 百分位数：24.0；38.3 岁]），均为创伤性脊髓损伤，分为四肢瘫（TP）和截瘫（PP）两组。所有参与者均完成了 AMWC-Brazil 测试，并采用脊髓损伤评估量表第三版（SCIM-III）进行评估。翻译、翻译合成、回译、委员会评审和结构效度验证用于文化调适。结构效度通过测试测试分数与受试者损伤水平、年龄、损伤后时间、体重指数（BMI）和 SCIM-III 量表是否显著相关（Spearman 相关系数）来进行。 : AMWC-Brazil 的所有结果与 SCIM-III 总分及各亚量表均显著相关（P≤0.01）。然而，当按损伤水平进行分层分析时，只有 TP 组的 AMWC-Brazil 结果与 SCIM-III 之间具有高度相关性。对于结构效度，有 5 个假设中的 4 个得到了验证。只有 BMI 不是 AMWC-Brazil 结果的显著预测因素。 : AMWC 成功地被翻译为巴西葡萄牙语版本（AMWC-Brazil），并具有高度满意的结构效度。
