Universidade Federal de Minas Gerais, Departamento de Pediatria, Belo Horizonte MG, Brazil.
Columbia University Irving Medical Center, Department of Rehabilitation and Regenerative Medicine, New York, United States.
Arq Neuropsiquiatr. 2024 Jul;82(7):1-7. doi: 10.1055/s-0044-1788587. Epub 2024 Jul 29.
The Hammersmith Functional Motor Scale Expanded (HFMSE) has been widely used to assess the motor function of patients with spinal muscular atrophy (SMA) older than 2 years, with the ability to sit and/or walk.
To translate, cross-culturally adapt and validate the HFMSE to Brazilian Portuguese.
The translation process and cross-cultural adaptation followed international guidelines recommendations. The reliability and applicability of the Brazilian version consisted of the application of the HFMSE (in Brazilian Portuguese) to 20 patients with types 2 and 3 SMA. Two examiners assessed the participants for interrater reliability, through the analysis of Kappa reliability agreement (k) and intraclass correlation coefficient (ICC).
The HFMSE was successfully translated and cross culturally adapted to Brazilian Portuguese. Twenty participants with types 2 and 3 SMA were enrolled in the study (type 2 = 6; type 3 = 14). The ICC for the total score showed very high reliability (ICC =1.00), and the reliability of each of the items individually was considered excellent (Kappa > 0.80).
The Brazilian version of the HFMSE proved to be valid and reliable for the evaluation of SMA patients older than 2 years with the ability to sit and/or walk.
Hammersmith 功能性运动量表扩展版（HFMSE）已被广泛用于评估 2 岁以上、能够坐立和/或行走的脊髓性肌萎缩症（SMA）患者的运动功能。
将 HFMSE 翻译、跨文化调适并验证为巴西葡萄牙语版本。
翻译过程和跨文化调适遵循国际指南建议。巴西版本的可靠性和适用性包括将 HFMSE（巴西葡萄牙语版）应用于 20 名 2 型和 3 型 SMA 患者。两名评估者通过分析kappa 可靠性一致性（k）和组内相关系数（ICC）来评估参与者的评分者间可靠性。
HFMSE 成功地被翻译和跨文化调适为巴西葡萄牙语版本。20 名 2 型和 3 型 SMA 患者入组本研究（2 型=6；3 型=14）。总分的 ICC 显示出非常高的可靠性（ICC=1.00），并且每个项目的可靠性都被认为是极好的（kappa＞0.80）。
对于能够坐立和/或行走的 2 岁以上 SMA 患者，巴西葡萄牙语版的 HFMSE 被证明是有效且可靠的评估工具。
