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上肢功能指数简版在巴西慢性上肢肌肉骨骼功能障碍患者中的效度:10项条目研究

Validity of the short version of the Upper Limb Functional Index with 10 items in Brazilian patients with chronic musculoskeletal dysfunction in the upper limb.

作者信息

Rocha Daniel Santos, Takahasi Henrique Yuji, Gomes Cid André Fidelis de Paula, Dibai-Filho Almir Vieira

机构信息

Universidade Federal do Maranhão, Postgraduate Program in Physical Education - São Luís (MA), Brazil.

Sarah Network of Rehabilitation Hospitals - São Luís (MA), Brazil.

出版信息

Rev Assoc Med Bras (1992). 2025 Aug 8;71(7):e20242013. doi: 10.1590/1806-9282.20242013. eCollection 2025.

Abstract

OBJECTIVE

The aim of this study was to validate the structural and criterion validity of the short version of the Upper Limb Functional Index with 10 items in Brazilian patients with musculoskeletal dysfunction in the upper limb.

METHODS

The structure of the Upper Limb Functional Index with 10 items and with one domain was tested using confirmatory factor analysis with model fit evaluated using comparative fit index, Tucker-Lewis index, root mean square error of approximation, standardized root mean square residual, and chi-square/degree of freedom. Criterion validity was assessed using Spearman's correlation coefficient (rho) to correlate the Brazilian versions of Upper Limb Functional Index with 25 items and Upper Limb Functional Index with 10 items.

RESULTS

We included 150 patients, mostly women, with an average age of 52.21±12.09 years, diagnosed with chronic musculoskeletal dysfunction in the upper limbs. The Upper Limb Functional Indexwith 10 items showed sufficient fit indices (CFI=0.970, TLI=0.962, RMSEA=0.054, SRMR=0.078, chi-square/DF=1.43). Criterion validity showed an excellent correlation between Upper Limb Functional Indexwith 25 items and Upper Limb Functional Index with 10 items, with rho=0.900 (p<0.001).

CONCLUSION

The Upper Limb Functional Index with 10 items demonstrated sufficient unidimensional structure and high correlation with the original version. We recommend the use of Upper Limb Functional Index with 10 items for assessing upper limb functioning in Brazilian patients with chronic musculoskeletal dysfunction.

摘要

目的

本研究旨在验证上肢功能指数简版(10项)在巴西上肢肌肉骨骼功能障碍患者中的结构效度和效标效度。

方法

采用验证性因子分析对包含10项且只有一个维度的上肢功能指数结构进行测试,使用比较拟合指数、塔克-刘易斯指数、近似均方根误差、标准化均方根残差和卡方/自由度来评估模型拟合度。使用斯皮尔曼相关系数(rho)评估效标效度,以将巴西版25项上肢功能指数与10项上肢功能指数进行相关性分析。

结果

我们纳入了150例患者,大多数为女性,平均年龄为52.21±12.09岁,被诊断为上肢慢性肌肉骨骼功能障碍。10项上肢功能指数显示出足够的拟合指数(CFI=0.970,TLI=0.962,RMSEA=0.054,SRMR=0.078,卡方/自由度=1.43)。效标效度显示25项上肢功能指数与10项上肢功能指数之间具有极好的相关性,rho=0.900(p<0.001)。

结论

10项上肢功能指数表现出足够的单维结构且与原始版本具有高度相关性。我们建议使用10项上肢功能指数来评估巴西慢性肌肉骨骼功能障碍患者的上肢功能。

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