The SARAH Network of Rehabilitation Hospitals; Brasília, Brazil.
Graduate Program in Health Sciences, Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM), Sao Paulo, Brazil.
Disabil Rehabil. 2024 Aug;46(16):3709-3716. doi: 10.1080/09638288.2023.2251877. Epub 2023 Aug 25.
To translate and investigate inter-rater reliability, internal consistency, content validity, and construct validity of the Brazilian-Portuguese Version of the Brachial Plexus Outcome Measure Scale (BPOM-Br).
The translation followed international guidelines. Inter-rater reliability was tested with 51 individuals with Neonatal Brachial Plexus Palsy (NBPP), aged between 4 to 16 years old. To determine concurrent construct validity, children were also assessed with the Mallet Scale. Statistical analysis included Bland-Altman, Intraclass Correlation Coefficient (ICC), Floor and Ceiling and effect, and Pearson correlation.
The majority of the sample consisted of children with upper NBPP (75.2%), mean age of 8.9 years old. BPOM-Br showed appropriate content validity (comprehensiveness) according to rehabilitation professionals. It also showed excellent inter-rater reliability (ICC = 0.90) and internal consistency (α = 0.91). Bland-Altman analysis showed bias close to zero. Finally, BPOM-Br showed overall significant positive correlations with the Mallet scale items (rs= 0.31 to 0.78 < 0.05), indicating adequate concurrent validity.
BPOM-Br is a consistent, reliable, and valid instrument to assess activity of school-aged children with NBPP.IMPLICATIONS FOR REHABILITATIONThe Brazilian-Portuguese Version of the Brachial Plexus Outcome Measure Scale (BPOM-Br) presents understandable items and no ceiling and floor effects.The BPOM-Br provides a valid and reliable version for use in Brazilian school-aged children with neonatal brachial plexus palsy.It is important to promote its use both in clinical practice and in research as a specific evaluation of activity domain.
翻译并研究巴西-葡萄牙语版臂丛神经损伤后功能评定量表（BPOM-Br）的评分者间信度、内部一致性、内容效度和结构效度。
翻译遵循国际指南。使用 51 名年龄在 4 至 16 岁的新生儿臂丛神经损伤患儿评估评分者间信度。为了确定同时存在的结构效度，还使用马勒量表对儿童进行评估。统计分析包括 Bland-Altman、组内相关系数（ICC）、地板效应和天花板效应以及效应量和 Pearson 相关性。
大多数样本由上型新生儿臂丛神经损伤患儿组成（75.2%），平均年龄为 8.9 岁。BPOM-Br 根据康复专业人员的意见显示出适当的内容效度（全面性）。它还表现出良好的评分者间信度（ICC=0.90）和内部一致性（α=0.91）。Bland-Altman 分析显示偏差接近零。最后，BPOM-Br 与马勒量表项目总体呈显著正相关（rs=0.31 至 0.78 < 0.05），表明具有适当的同时效度。
BPOM-Br 是一种一致、可靠和有效的工具，可用于评估学龄期新生儿臂丛神经损伤患儿的活动能力。
巴西-葡萄牙语版臂丛神经损伤后功能评定量表（BPOM-Br）的项目易于理解，不存在天花板效应和地板效应。BPOM-Br 为评估巴西学龄期新生儿臂丛神经损伤患儿提供了一种有效和可靠的版本。在临床实践和研究中推广其使用非常重要，因为它是活动领域的特异性评估工具。
