ABSTRACT
OBJECTIVE: To translate, to perform a cultural adaptation of and to test the reproducibility of the Cochin Hand Functional Scale questionnaire for Brazil. METHODS: First, the Cochin Hand Functional Scale questionnaire was translated into Portuguese and was then back-translated into French. These translations were reviewed by a committee to establish a Brazilian version of the questionnaire to be tested. The validity and reproducibility of the Cochin Hand Functional Scale questionnaire was evaluated. Patients of both sexes, who were aged 18 to 60 years and presented with rheumatoid arthritis affecting their hands, were interviewed. The patients were initially interviewed by two observers and were later interviewed by a single rater. First, the Visual Analogue Scale for hand pain, the Arm, Shoulder and Hand Disability questionnaire and the Health Assessment Questionnaire were administered. The third administration of the Cochin Hand Functional Scale was performed fifteen days after the first administration. Ninety patients were assessed in the present study. RESULTS: Two questions were modified as a result of the assessment of cultural equivalence. The Cronbach's alpha value for this assessment was 0.93. The intraclass intraobserver and interobserver correlation coefficients were 0.76 and 0.96, respectively. The Spearman's coefficient indicated that there was a low level of correlation between the Cochin Hand Functional Scale and the Visual Analogue Scale for pain (0.46) and that there was a moderate level of correlation of the Cochin Scale with the Health Assessment Questionnaire (0.66) and with the Disability of the Arm, Shoulder and Hand questionnaire (0.63). The average administration time for the Cochin Scale was three minutes. CONCLUSION: The Brazilian version of the Cochin Hand Functional Scale was successfully translated and adapted, and this version exhibited good internal consistency, reliability and construct validity.
Subject(s)
Humans , Male , Female , Adolescent , Adult , Middle Aged , Young Adult , Hand , Pain Measurement/methods , Surveys and Questionnaires , Rheumatic Fever/diagnosis , Brazil , Cultural Characteristics , Disability Evaluation , Language , Reproducibility of Results , TranslationsABSTRACT
Em uma lesão por queimadura, existe o prejuízo e/ou perdas de funções da pele além de complicações pulmonares quando associado à inalação de gases aquecidos. Objetivou-se com o estudo avaliar o efeito de um programa de hidroterapia e cinesioterapia respiratória associado a massoterapia sobre as variáveis respiratórias em uma voluntária portadora de queimadura na região torácica e cervical que foi submetida à avaliação fisioterapêutica constituída de espirometria, pico de fluxo expiratório, força muscular respiratória, mobilidade toracoabdominal e aplicação de Escala Análoga Visual (EVA) para avaliação de dor, desconforto e aderência cicatricial. O tratamento englobou alongamentos gerais para membros superiores e coluna cervical, recursos terapêuticos manuais, hidroterapia associada a cinesioterapia respiratória. Os resultados indicaram melhora da ADM de cervical e membros superiores, dos volumes, fluxos, capacidades e endurance respiratórias, da sensação de dor e desconforto. Verificou uma melhora nas variáveis respiratórias e amplitude de movimento, permitindo a reabilitação funcional e bem-estar do paciente grande queimado.
A burn injury can induce decrease of some or all skin function and can cause pulmonary complications when occur an association of warm gases inhalation. The aim of this work was to evaluate the effect of a hydrotherapy, respiratory kinesiotherapy and massotherapy program in respiratory volumes and flows in a burn volunteer with scars in thoracic and cervical regions. This volunteer was submitted to a physical therapy evaluation with range motion measurement (ROM) of cervical and arms (shoulder), spirometry, peak flow and respiratory muscular strength, thoracoabdominal mobility and application of Visual Analogous Scales (EVAs) for pain, discomfort and cicatrix malleability. The treatment was constituted by muscle stretching for superior member and cervical column, massotherapy using Cyriax, Watterwald, classic massage and respiratory kinesiotherapy performed in a 60 minutes session, totalizing 10 sessions. The results showed an increase in shoulder and cervical ROM, in respiratory capacities and strength and a decrease in pain and discomfort. Therefore it can be concluded in this program using hydrotherapy, respiratory kinesiotherapy and massotherapy was benefic for burned patient inducing an improvement in functional and welfare.