scholarly journals Brazilian version of the Functional Gait Assessment: translation, reliability, and validity for use on stroke patients

2021 ◽  
Vol 29 ◽  
pp. 1-22
Author(s):  
Paulo Fonseca ◽  
Kelven Antonio Da Silva ◽  
Vanessa Donato do Vale ◽  
Claudia Santos Oliveira ◽  
Vera Lúcia Dos Santos Alves
Keyword(s):  
Correlation Coefficient ◽  
Intraclass Correlation Coefficient ◽  
Interrater Reliability ◽  
Walking Speed ◽  
Intraclass Correlation ◽  
Stroke Survivors ◽  
Stroke Patients ◽  
Fast Walking ◽  
Brazilian Version ◽  
Functional Gait

Objective. Translate and adapt the Functional Gait Assessment (FGA) to Brazilian Portuguese as a measure of balance during gait in stroke patients and determine its validity and reliability based on evidence of its measurement properties. Method. A convenience sample of 45 stroke survivors (average of seven months since diagnosis) was included (mean age: 55 years; 51% women). The instrument under consideration was translated and back-translated. The performance of the FGA was assessed by two raters to determine intrarater and interrater reliability. Concurrent and discriminant validity were investigated using the Berg Balance Scale (BBS) as well as normal and fast walking speed. Results. No difficulties with the translation were found during the application of the tests. Therefore, no structural or conceptual changes to the translated version were needed to achieve cultural equivalence. Intrarater (intraclass correlation coefficient=0.93) and interrater reliability (intraclass correlation coefficient=0.90) were almost perfect for the total scores. The reliability of single items was also strong, ranging from 0.74 to 0.95. Concurrent validity with other measures of gait and balance was moderate to substantial. The FGA was correlated (p<0.001) with the BBS (0.71), normal walking speed (0.66), and fast walking speed (0.70). Conclusion. The Brazilian version of the FGA is a reliable, valid instrument for assessing functional gait performance in stroke survivors.

scholarly journals Reliability of the Brazilian version of HCR-20 Assessing Risk for Violence

2009 ◽  
Vol 31 (3) ◽  
pp. 253-256 ◽  
Author(s):  
Lisieux Elaine de Borba Telles ◽  
Vivian Peres Day ◽  
Jorge Oscar Folino ◽  
José Geraldo Vernet Taborda
Keyword(s):  
Risk Management ◽  
Correlation Coefficient ◽  
Intraclass Correlation Coefficient ◽  
Intraclass Correlation ◽  
Psychiatric Institute ◽  
Clinical Evaluations ◽  
Brazilian Version ◽  
Consensus Values ◽  
Forensic Psychiatric ◽  
The Individual

OBJECTIVE: Assessing risk for violence is a complex task often based on not objective or structured clinical evaluations. HCR-20 Assessing Risk for Violence has been used in several countries to increase the accuracy of this exam. The purpose of this study was to inform on central aspects of this instrument, as well as the results of the reliability assessment of the HCR-20 Assessing Risk for Violence in a Brazilian inpatient criminal population. METHOD: Two examiners independently assessed a random sample of 30 patients that were under criminal commitment at the Mauricio Cardoso Forensic Psychiatric Institute RESULTS: Mean consensus values means were as follows: Historical = 13.1; Clinical = 4.8 and Risk management = 5.8. The value of the Intraclass Correlation Coefficient for the score of subscale Historical was 0.97, for subscale Clinical it was 0.94, and for subscale Risk management, 0.96. As to the individual items of the HCR-20 Assessing Risk for Violence, the result of the Intraclass Correlation Coefficient was good to excellent (mean = 0.97; interval, from 0.60 to 0.99). CONCLUSION: The interrater reliability of the Brazilian version of the HCR-20 Assessing Risk for Violence scale was similar to the results of studies in other countries.

scholarly journals Intrarater and Interrater Reliability of Infrared Image Analysis of Forearm Acupoints before and after Moxibustion

2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Jiali Lou ◽  
Yongliang Jiang ◽  
Hantong Hu ◽  
Xiaoyu Li ◽  
Yajun Zhang ◽  
...  
Keyword(s):  
Image Analysis ◽  
Correlation Coefficient ◽  
Temperature Change ◽  
Intraclass Correlation Coefficient ◽  
Interrater Reliability ◽  
Intraclass Correlation ◽  
Infrared Image ◽  
Infrared Images ◽  
Intrarater Reliability ◽  
Before And After

The objective of this study was to determine the intrarater and interrater reliabilities of infrared image analysis of forearm acupoints before and after moxibustion. In this work, infrared images of acupoints in the forearm of 20 volunteers (M/F, 10/10) were collected prior to and after moxibustion by infrared thermography (IRT). Two trained raters performed the analysis of infrared images in two different periods at a one-week interval. The intraclass correlation coefficient (ICC) was calculated to determine the intrarater and interrater reliabilities. With regard to the intrarater reliability, ICC values were between 0.758 and 0.994 (substantial to excellent). For the interrater reliability, ICC values ranged from 0.707 to 0.964 (moderate to excellent). Given that the intrarater and interrater reliability levels show excellent concordance, IRT could be a reliable tool to monitor the temperature change of forearm acupoints induced by moxibustion.

Assessment of Occupational Functioning for Screening of Patients to Occupational Therapy in General Psychiatric Care

1998 ◽  
Vol 18 (4) ◽  
pp. 193-206 ◽  
Author(s):  
Lena Haglund ◽  
Lars-Hakan Thorell ◽  
Jan Walinder
Keyword(s):  
Occupational Therapy ◽  
Correlation Coefficient ◽  
Intraclass Correlation Coefficient ◽  
Interrater Reliability ◽  
Psychiatric Care ◽  
Rating Scale ◽  
Intraclass Correlation ◽  
Case Analysis ◽  
Occupational Therapist ◽  
Swedish Version

A Swedish version of the Occupational Case Analysis Interview and Rating Scale (OCAIRS-S) has been tested earlier for interrater reliability. The present study, using the second version of OCAIRS-S and including a sample of 145 patients, showed interrater correlations between .88 and .96 (Intraclass Correlation Coefficient). The results indicate that OCAIRS-S predicts which patients should be included in and excluded from occupational therapy and identifies patients who should be observed more before making such decisions. The study indicates a need for further investigations regarding which components in OCAIRS-S influence the occupational therapist in judging the patient's need for occupational therapy.

scholarly journals The reliability and validity of goniometric elbow measurements in adults: A systematic review of the literature

2018 ◽  
Vol 10 (4) ◽  
pp. 274-284 ◽  
Author(s):  
Suzanne F van Rijn ◽  
Elisa L Zwerus ◽  
Koen LM Koenraadt ◽  
Wilco CH Jacobs ◽  
Michel PJ van den Bekerom ◽  
...  
Keyword(s):  
Correlation Coefficient ◽  
Intraclass Correlation Coefficient ◽  
Interrater Reliability ◽  
Literature Search ◽  
Meta Analysis ◽  
Intraclass Correlation ◽  
Reliability And Validity ◽  
Diagnostic Reliability ◽  
Measuring Tool ◽  
Simple Measuring

Background The universal goniometer is a simple measuring tool. With this review we aimed to investigate the reliability and validity of the universal goniometer in measurements of the adults' elbow. Methods Preferred Reporting Items for Systematic reviews and Meta-Analysis guidelines were followed and our study protocol was published online at PROSPERO. A literature search was conducted on relevant studies. Methodological quality was assessed using the Quality Appraisal of Diagnostic Reliability (QAREL) scoring system. Results Out of 697 studies yielded from our literature search, 12 were included. Six studies were rated as high quality. The intrarater reliability intraclass correlation coefficient ranged from 0.45 to 0.99, the interrater reliability ranged from intraclass correlation coefficient 0.53–0.97. One study providing instructions on goniometric alignment did not find a difference in expert versus non-expert examiners. Another study in which examiners were not instructed found a higher interrater reliability in expert examiners. One study investigating the validity of the goniometer in elbow measurements found a maximum standard error of the mean of 11.5° for total range of motion. Discussion Overall, the studies showed high intra- and interrater reliability of the universal goniometer. The reliability of the universal goniometer in non-expert examiners can be increased by clear instructions on goniometric alignment.

scholarly journals Cultural adaptation to Brazil and psychometric performance of the “Evidence-Based Practice Questionnaire”

2014 ◽  
Vol 27 (5) ◽  
pp. 405-411 ◽  
Author(s):  
Karina Rospendowiski ◽  
Neusa Maria Costa Alexandre ◽  
Marilia Estevam Cornélio
Keyword(s):  
Construct Validity ◽  
Psychometric Properties ◽  
Correlation Coefficient ◽  
Intraclass Correlation Coefficient ◽  
Cultural Adaptation ◽  
Evidence Based Practice ◽  
Intraclass Correlation ◽  
Evidence Based ◽  
Measurement Instruments ◽  
Brazilian Version

Objectives To culturally adapt the instrument “Evidence-Based Practice Questionnaire” (EBPQ) to the Portuguese language and assess its psychometric qualities. Methods The steps of cultural adaptation of measurement instruments were followed. Reliability was verified through internal consistency, stability by test-retest, and construct validity by the contrasted groups approach. Results High Cronbach’s alpha (0.91 to 0.68) and satisfactory Intraclass Correlation Coefficient (0.90) were obtained in all domains. In assessing construct validity, significant differences were found between groups of nurses with different backgrounds. Conclusion The steps of cultural adaptation of measurement instruments have been successfully completed. The Brazilian version obtained presents reliable psychometric properties for its use in this population.

scholarly journals Reliability of Measurement of Glenohumeral Internal Rotation, External Rotation, and Total Arc of Motion in 3 Test Positions

2014 ◽  
Vol 49 (5) ◽  
pp. 640-646 ◽  
Author(s):  
Mark A. Kevern ◽  
Michael Beecher ◽  
Smita Rao
Keyword(s):  
Internal Rotation ◽  
Correlation Coefficient ◽  
Intraclass Correlation Coefficient ◽  
Interrater Reliability ◽  
External Rotation ◽  
Intraclass Correlation ◽  
Test Procedure ◽  
Intrarater Reliability ◽  
Testing Procedures ◽  
Test Position

Context: Athletes who participate in throwing and racket sports consistently demonstrate adaptive changes in glenohumeral-joint internal and external rotation in the dominant arm. Measurements of these motions have demonstrated excellent intrarater and poor interrater reliability. Objective: To determine intrarater reliability, interrater reliability, and standard error of measurement for shoulder internal rotation, external rotation, and total arc of motion using an inclinometer in 3 testing procedures in National Collegiate Athletic Association Division I baseball and softball athletes. Design: Cross-sectional study. Setting: Athletic department. Patients or Other Participants Thirty-eight players participated in the study. Shoulder internal rotation, external rotation, and total arc of motion were measured by 2 investigators in 3 test positions. The standard supine position was compared with a side-lying test position, as well as a supine test position without examiner overpressure. Results: Excellent intrarater reliability was noted for all 3 test positions and ranges of motion, with intraclass correlation coefficient values ranging from 0.93 to 0.99. Results for interrater reliability were less favorable. Reliability for internal rotation was highest in the side-lying position (0.68) and reliability for external rotation and total arc was highest in the supine-without-overpressure position (0.774 and 0.713, respectively). The supine-with-overpressure position yielded the lowest interrater reliability results in all positions. The side-lying position had the most consistent results, with very little variation among intraclass correlation coefficient values for the various test positions. Conclusions: The results of our study clearly indicate that the side-lying test procedure is of equal or greater value than the traditional supine-with-overpressure method.

Interrater Reliability of Muscle Ultrasonography Image Acquisition by Physical Therapists in Patients Who Have or Who Survived Critical Illness

2020 ◽  
Vol 100 (9) ◽  
pp. 1701-1711 ◽  
Author(s):  
Kirby P Mayer ◽  
Sanjay Dhar ◽  
Evan Cassity ◽  
Aaron Denham ◽  
Johnny England ◽  
...  
Keyword(s):  
Skeletal Muscle ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Correlation Coefficient ◽  
Intraclass Correlation Coefficient ◽  
Interrater Reliability ◽  
Physical Therapists ◽  
Physical Therapist ◽  
Image Acquisition ◽  
Intraclass Correlation

Abstract Objective Previous studies have demonstrated that muscle ultrasound (US) can be reliably performed at the patient bedside by novice assessors with minimal training. The primary objective of this study was to determine the interrater reliability of muscle US image acquisition by physical therapists and physical therapist students. Secondarily, this study was designed to elucidate the process for training physical therapists to perform peripheral skeletal muscle US. Methods This was a cross-sectional observational study. Four novices and 1 expert participated in the study. Novice sonographers engaged in a structured training program prior to implementation. US images were obtained on the biceps brachii, quadriceps femoris, and tibialis anterior muscles in 3 groups: patients in the intensive care unit, patients on the hospital ward, and participants in the outpatient gym who were healthy. Reliability of image acquisition was analyzed compared with the expert sonographer. Results Intraclass correlation coefficient values ranged from 0.76 to 0.97 with an average for all raters and all muscles of 0.903, indicating excellent reliability of image acquisition. In general, the experienced physical therapist had higher or similar intraclass correlation coefficient values compared with the physical therapist students in relation to the expert sonographer. Conclusions Excellent interrater reliability for US was observed regardless of the level of experience, severity of patient illness, or patient setting. These findings indicate that the use of muscle US by physical therapists can accurately capture reliable images in patients with a range of illness severity and different clinical practice settings across the continuum of care. Impact Physical therapists can utilize US to obtain images to assess muscle morphology. Lay Summary Physical therapists can use noninvasive US as an imaging tool to assess the size and quality of peripheral skeletal muscle. This study demonstrates that physical therapists can receive training to reliably obtain muscle images in patients admitted to the intensive care unit who may be at risk for muscle wasting and may benefit from early rehabilitation.

Measurement of Foot Dorsiflexion

2004 ◽  
Vol 94 (6) ◽  
pp. 573-577 ◽  
Author(s):  
Rolf Scharfbillig ◽  
Sheila D. Scutter
Keyword(s):  
Correlation Coefficient ◽  
Ankle Joint ◽  
Intraclass Correlation Coefficient ◽  
Interrater Reliability ◽  
Intraclass Correlation ◽  
Adolescent Population ◽  
Ankle Joint Dorsiflexion

The Lidcombe template was introduced in 1991 for the nonweightbearing assessment of ankle joint dorsiflexion, and it has shown excellent reliability in impaired and unimpaired adult populations. We discuss limitations of the original template and test the reliability of a modified apparatus in an adolescent population. Intrarater and interrater reliability were assessed for 14 children (28 limbs) aged 7 to 14 years, returning intraclass correlation coefficient (1,1) results of greater than 0.99 for both aspects of reliability. (J Am Podiatr Med Assoc 94(6): 573–577, 2004)

scholarly journals Cross-cultural adaptation and psychometric properties of the Brazilian-Portuguese version of the Quality of Prenatal Care Questionnaire (QPCQ)

2019 ◽  
Vol 53 ◽  
pp. 1 ◽  
Author(s):  
Rodrigo Dias Nunes ◽  
Gabriel Cremona Parma ◽  
Andressa Cardoso de Campo ◽  
Paula Locatelli ◽  
Jefferson Traebert
Keyword(s):  
Item Response Theory ◽  
Prenatal Care ◽  
Item Response ◽  
Correlation Coefficient ◽  
Intraclass Correlation Coefficient ◽  
Intraclass Correlation ◽  
Response Theory ◽  
Altman Plot ◽  
Brazilian Version

OBJECTIVE: To translate and to observe the psychometric measures of the Brazilian version of the Quality of Prenatal Care Questionnaire. METHODS: The translation protocol followed the standards of the International Society for Pharmacoeconomics and Outcomes Research. Descriptive statistics were performed to identify characteristics of 280 literate postpartum women in a public hospital. We examined the internal consistency using Cronbach’s alfa. To determine the test-retest reproducibility and the instrument’s stability, we performed the intraclass correlation coefficient and Bland and Altman plot between two applications. We investigated the item’s properties using the item response theory. RESULTS: The overall Cronbach’s alpha index was 0.975. The intraclass correlation coefficient was 0.995 (95%CI 0.993–0.996) and a uniform distribution was visualized at the Bland and Altman plot. The item response theory identified the discriminatory power and the difficulty level of the instrument and of each item. The instrument showed acute angulation of the expected total score, and good concentrate information and good standard error curves, preserving the latent construct and its original items. CONCLUSIONS: This analysis concluded that the Brazilian version of the Quality of Prenatal Care Questionnaire is a high-quality, reliable and valid questionnaire to determine the quality of prenatal care among Brazilian women. The questionnaire is suitable for the cultural context represented.

Proposing a new short screening test for upper limb apraxia

2021 ◽  
pp. 030802262199856
Author(s):  
Mai Yamada ◽  
Masahiko Koyanagi ◽  
Miyo Kawaguchi ◽  
Yuki Sato ◽  
Mitsuhiro Tsujihata ◽  
...  
Keyword(s):  
Correlation Coefficient ◽  
Intraclass Correlation Coefficient ◽  
Upper Limb ◽  
Screening Test ◽  
Intraclass Correlation ◽  
Stroke Patients ◽  
Special Equipment ◽  
Rater Reliability ◽  
Verbal Instructions ◽  
Limb Apraxia

Background Apraxia has a major impact on activities of daily living in stroke patients. The proper assessment and treatment of apraxia is important for maintaining a good quality of life. We developed a short evaluation test for upper limb apraxia. Patients and Methods The present Screening Test of Gestures for Stroke consists of 10 items for each verbal instruction and imitation. Each item includes three meaningless gestures, three meaningful gestures and four pantomimes. The Screening Test of Gestures for Stroke is scored based on a 3-point system: 10, 5 or 0 (maximum score: 200). The test took approximately 2–5 min to complete. We recruited 65 patients admitted to our hospital with left hemisphere stroke and 50 healthy subjects. Results The reliability of the Screening Test of Gestures for Stroke was as follows: the intraclass correlation coefficient of intra-rater reliability was 0.93 for both verbal instructions and imitations, and the intraclass correlation coefficient total scores for inter-rater reliability for verbal instructions and for imitations were 0.97 and 0.95, respectively. The alpha coefficient was ≥0.80. Conclusions The Screening Test of Gestures for Stroke is a reliable and valid bedside test that has a short assessment time, does not require special equipment and can evaluate upper limb apraxia in stroke patients from the acute to the chronic phase.

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