ABSTRACT
Abstract Objective: To translate the Neck Bournemouth Questionnaire to Brazilian Portuguese, cross-culturally adapt, and to verify its validity and its reliability. Methods: The development of the Brazilian version of Neck Bournemouth Questionnaire (Brazil-NBQ) was based on the guideline proposed by Guillemin. The applied process consisted of translation, back-translation, committee review and pre-test. Sixty-one volunteers presenting neck pain participated in this study. Thirty-five of them participated during pre-testing phase to verify the instrument comprehension, and the remaining 26 took part during psychometric analysis. Psychometric evaluation included interrater and intrarater reliability and construct validity (correlation among Brazil-NBQ, SF-36, Numerical rating score and Neck Disability Index). Results: Some terms and expressions were changed to obtain cultural equivalence for Brazil-NBQ during the translation phase. The NBQ showed an intrarater ICC of 0.96 and interrater ICC of 0.87. Construct validity analysis showed moderate correlations with SF-36 and strong correlation with Numerical rating score and Neck Disability Index. Conclusion: Neck Bournemouth Questionnaire was translated and culturally adapted to Portuguese language, and it demonstrated to be valid and reliable to evaluate patients’ neck pain.
Resumo Objetivo: Traduzir o Neck Bournemouth Questionnaire para o português do Brasil, adaptá-lo culturalmente e verificar a sua validade e confiabilidade. Métodos: O desenvolvimento da versão brasileira do Neck Bournemouth Questionnaire (NBQ-Brasil) foi baseado nas diretrizes propostas por Guillemin. O processo aplicado consistiu em tradução, retrotradução, revisão por um comitê e pré-teste. Participaram deste estudo 61 voluntários que apresentavam dor cervical; 35 deles participaram durante a fase de pré-teste para verificar a compreensão do instrumento e os 26 restantes durante a análise psicométrica. A avaliação psicométrica incluiu a análise da confiabilidade interavaliadores e intra-avaliador e da validade do construto (correlação entre o NBQ-Brasil, o SF-36, a escala numérica de dor e o Neck Disability Index). Resultados: Alguns termos e algumas expressões foram alterados para se obter equivalência cultural com o NBQ-Brasil durante a fase de tradução. O NBQ mostrou uma CCI intra-avaliador de 0,96 e CCI interavaliadores de 0,87. A análise da validade do construto mostrou correlações moderadas com o SF-36 e correlação forte com a escala numérica de dor e o Neck Disability Index. Conclusão: O Neck Bournemouth Questionnaire foi traduzido e adaptado culturalmente para o idioma português e demonstrou ser válido e confiável para avaliar a dor cervical dos pacientes.
Subject(s)
Humans , Male , Female , Adult , Young Adult , Psychometrics/methods , Translations , Surveys and Questionnaires , Neck Pain/diagnosis , Severity of Illness Index , Pain Measurement , Brazil , Chronic Disease , Reproducibility of Results , Neck Pain/physiopathology , Neck Pain/psychology , Disability Evaluation , Cultural Competency , Middle AgedABSTRACT
INTRODUCCIÓN: La consulta por dolor cervical (DC) es muy frecuente en elprimer nivel de atención, y afecta a dos tercios o más de la población general enalgún momento de su vida. Se experimenta por primera vez en la infancia o laadolescencia tomando un curso episódico, convirtiéndose en un predictor de lamorbilidad de esta dolencia en el adulto. OBJETIVOS: Determinar la fiabilidad yvalidez del instrumento, describir la intensidad y prevalencia de DC, establecer laCalidad de Vida Referida a Salud (CVRS), la discapacidad cervical y su influenciaen actividades de la vida diaria, y analizar la relación entre intensidad y discapacidadpor DC, y la CV en la población de estudio. MATERIAL Y MÉTODO: Estudioobservacional, descriptivo y correlacional, de diseño transversal, en alumnos del 2doaño de la FCM, de quienes se valoró: CVRS, discapacidad cervical y dolor. Lasvariables fueron estudiadas por el método de datos categorizados y análisis deregresión. Se consideró una significación de 0,05. RESULTADOS: Participaron 465estudiantes de 20,8±0,11 años, de los cuales el 57,73% fueron mujeres. Losinstrumentos demostraron alta validez y fiabilidad. La prevalencia puntual de DC fuedel 86,06%, con una intensidad del entre leve y moderada sin diferencias entre lossexos. La CVRS mostró ser mejor percibida en varones, sin cambios en el últimoaño. El 39,87% de la población tenía discapacidad leve y moderada, mayormente enmujeres, en actividades de lectura, concentración, generando cefalea. El análisismultivariado asoció las variables estudiadas de manera coherente, destacado losestados de mayor o menor CVRS percibida, con los diferentes grados dediscapacidad y la presencia o no de DC. CONCLUSIÓN: La población de estudiopresenta una prevalencia elevada de dolor cervical de intensidad baja a moderada,sobre todo en mujeres. El DC y su rol emocional podrían afectar capacidades básicasen los estudiantes que condicionarían el desempeño de su rol académico.
INTRODUCTION: The query for neck pain (NP) is very common in primary care,affecting two-thirds or more of the general population at some point in their lives. Itis first experienced in childhood or adolescence taking an episodic course, becominga predictor of morbidity of this medical condition in adults. OBJECTIVES: Todetermine the reliability and validity of the instrument, describe the intensity andprevalence of neck pain (NP), found Health-Related to Quality of Life (HRQoL),neck disability and their influence on activities of daily living, analyze therelationship between intensity and disability DC, and HRQoL in the studypopulation. MATERIAL AND METHODS: Observational, descriptive andcorrelational study, with cross-sectional design, in the 2nd year students of the FCM,who are assessed: HRQOL, disability and cervical pain. The variables were studiedby the method of categorical data and regression analysis, a significance of 0.05 wasconsidered. RESULTS: A total of 465 students from 20.8 ± 0.11 years, of which57.73% were women. The instruments demonstrated high validity and reliability.The point prevalence of NP was 86.06%, with an intensity of mild and moderatepain, with no difference between the sexes. The HRQoL proved to be betterperceived in males, unchanged over the last year. The 39.87% of the population hadmild to moderate disabilities, mostly in women, in reading activities, concentration,causing headache. Multivariate analysis associated variables studied consistentlyhighlighted states of varying perceived HRQoL, with varying degrees of disabilityand the presence or absence of NP. CONCLUSION: The study population has ahigh prevalence of neck pain of low to moderate intensity, especially in women. TheNP and emotional role could affect basic skills in students that condition theperformance of their academic role.
Subject(s)
Male , Female , Humans , Adolescent , Neck Pain/psychology , Students, Health Occupations , Students, Medical , Quality of Life , Disabled Persons , ArgentinaABSTRACT
Objective : Describe the functional, clinical and quality of life (QoL) profiles in patients with cervical dystonia (CD) with residual effect or without effect of botulinum toxin (BTX), as well as verify the existence of correlation between the level of motor impairment, pain and QoL. Method : Seventy patients were assessed through the Craniocervical dystonia questionnaire-24 (CDQ-24) and the Toronto Western Spasmodic Torticollis Rating Scale (TWSTRS). Results : The greater the disability, pain and severity of dystonia, the worse the QoL (p<0.0001). Greater severity relates to greater disability (p<0.0001). Pain was present in 84% of the sample, being source of disability in 41%. The most frequent complaints were: difficulty in keeping up with professional and personal demands (74.3%), feeling uneasy in public (72.9%), hindered by pain (68.6%), depressed, annoyed or bitter (47.1%), lonely or isolated (32.9%). Conclusion : The physical, social and emotional aspects are the most affected in the QoL of these patients. .
Objetivo : Descrever o perfil funcional, clínico e de qualidade de vida (QV) de pacientes com distonia cervical (DC) com efeito residual ou sem efeito da toxina botulínica (BTX), bem como verificar a existência de correlação entre o nível de comprometimento motor, dor e QV. Método : Setenta pacientes foram avaliados através do Craniocervical dystonia questionnaire-24 (CDQ 24) e Toronto Western Spasmodic Torticollis Rating Scale (TWSTRS). Resultados : Quanto maior a incapacidade, dor e gravidade da distonia pior a QV (p<0,0001). A maior gravidade está relacionada à maior incapacidade (p<0,0001). A dor esteve presente em 84% da amostra sendo fonte de incapacidade em 41%. Dificuldade em manter-se com as demandas profissionais e pessoais (74,3%), sentir-se desconfortável em público (72,9%), prejudicado pela dor (68,6%), deprimido, irritado ou amargurado (47,1%), solitário ou isolado (32,9%) foram as queixas mais frequentes. Conclusão : Os domínios físico, social e emocional são os mais prejudicados na QV desses pacientes. .
Subject(s)
Adult , Aged , Female , Humans , Male , Middle Aged , Young Adult , Activities of Daily Living , Quality of Life/psychology , Torticollis/physiopathology , Torticollis/psychology , Botulinum Toxins/therapeutic use , Motor Activity/physiology , Neck Pain/physiopathology , Neck Pain/psychology , Neurotoxins/therapeutic use , Severity of Illness Index , Socioeconomic Factors , Surveys and Questionnaires , Time Factors , Treatment Outcome , Torticollis/drug therapyABSTRACT
As part of the international CUPID investigation, we compared physical and psychosocial risk factors for musculoskeletal disorders among nurses in Brazil and Italy. Using questionnaires, we collected information on musculoskeletal disorders and potential risk factors from 751 nurses employed in public hospitals. By fitting countryspecific multiple logistic regression models, we investigated the association of stressful physical activities and psychosocial characteristics with site-specific and multisite pain, and associated sickness absence. We found no clear relationship between low back pain and occupational lifting, but neck and shoulder pain were more common among nurses who reported prolonged work with the arms in an elevated position. After adjustment for potential confounding variables, pain in the low back, neck and shoulder, multisite pain, and sickness absence were all associated with somatizing tendency in both countries. Our findings support a role of somatizing tendency in predisposition to musculoskeletal disorders, acting as an important mediator of the individual response to triggering exposures, such as workload.
Como parte da pesquisa internacional CUPID, comparamos os fatores de risco físico e psicossocial para distúrbios osteomusculares entre enfermeiras no Brasil e na Itália. Foram coletados dados com questionários sobre distúrbios osteomusculares e seus fatores de risco potenciais com 751 enfermeiros de hospitais públicos. Com modelos de regressão logística específicas para cada país, investigamos a associação entre atividades físicas estressantes e as características psicossociais, com dores em sítios específicos e múltiplos, assim como ausências motivadas por doença. Não encontramos clara relação entre dor lombar e levantamento de pesos, porém dores no pescoço e ombros foram as mais relatadas entre as enfermeiras que realizam trabalho prolongado, com braços elevados. As dores na lombar, pescoço, ombros e em múltiplos sítios foram associadas à tendência somatizante e à ausência por doença em ambos os países. Nossos achados reforçam o papel da tendência somatizante como fator predisponente para distúrbios osteomusculares, atuando como um importante mediador da resposta individual.