Graduate Program in Rehabilitation Sciences, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
Physical Therapy, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
Phys Occup Ther Pediatr. 2021;41(4):372-389. doi: 10.1080/01942638.2020.1859663. Epub 2020 Dec 20.
Translate the assessment into Brazilian-Portuguese, determine its face validity, evaluate the reliability of the total score and score per item, investigate whether the child's gross motor level (classified by the Gross Motor Function Classification System-GMFCS) influences the reliability levels, and estimate responsiveness to change. The translation followed four stages: translation, synthesis, back-translation, and review. For face validity, ten physical therapists evaluated item relevance. Children and adolescents with cerebral palsy (n = 50, 5-18 years of age) GMFCS I and II were evaluated by two therapists for inter and intra-rater reliability. Thirty of these participants were recruited for the instrument's responsiveness evaluation and reassessed (n = 28) after three months of treatment. Minimal Detectable Change (MDC), and Minimal Clinically Important Difference (MCID) were estimated. The back-translated version was similar to the English version. All test items were considered relevant by the physical therapists. Total score intra and inter-rater reliability were excellent for both GMFCS levels (ICC = 0.94-0.99). Items' intra- and inter- rater reliability varied from low to almost perfect (kw=-0.14-0.94). MDC90 and MDC95 values were 3.90-6.35 and 4.63-7.54, respectively. MCID values were 3.57-4.56. The translated version of the showed excellent face validity and reliability and was able to document longitudinal change.
将评估翻译成巴西葡萄牙语，确定其表面效度，评估总分和每个项目的信度，调查儿童的粗大运动水平（根据粗大运动功能分类系统-GMFCS 进行分类）是否影响可靠性水平，并估计对变化的反应能力。翻译分为四个阶段：翻译、合成、回译和审查。为了进行表面效度评估，十位物理治疗师评估了项目的相关性。5 至 18 岁的脑瘫儿童和青少年（GMFCS I 和 II 级，n=50）由两位治疗师进行了内部和外部信度评估。其中 30 名参与者被招募进行仪器的反应能力评估，并在三个月的治疗后重新评估（n=28）。最小可检测变化（MDC）和最小临床重要差异（MCID）进行了估计。回译版本与英文版本相似。所有测试项目都被物理治疗师认为是相关的。对于两个 GMFCS 水平，总分的内部和外部信度均为优秀（ICC=0.94-0.99）。项目的内部和外部信度从低到几乎完美（kw=-0.14-0.94）不等。MDC90 和 MDC95 值分别为 3.90-6.35 和 4.63-7.54。MCID 值为 3.57-4.56。该评估的翻译版本具有良好的表面效度和可靠性，并且能够记录纵向变化。
