The Brazilian-Portuguese version of the Upper Extremity Functional Index (UEFI): Translation, cross-cultural adaptation and measurement properties for Brazilian adults after a burn injury.

OBJECTIVES: To translate, cross-culturally adapt, validate, verify the reliability and estimate the minimal detectable change (MDC) of the UEFI to Brazilian Portuguese (UEFI-Br) for burns. METHODS: The study was carried out with 131 Brazilian burn cases at two time points, at discharge and at the first outpatient follow-up (15-21 days after discharge) in a Burn Treatment Center. The adaptation process of the UEFI was based on international recommendations. The Burn Specific Health Scale-Brief-Br (BSHS-B-Br) was also applied in order to analyze construct validity of the UEFI-Br and distribution-based methods were used to estimate its MDC. RESULTS: Intra- and inter-rater reliability were good with ICC of 0.986 (CI 95 %: 0.98-0.99) and 0.969 (CI 95 %: 0.955-0.979), respectively, at discharge and 0.997 (CI 95 %: 0.996-0.998) and 0.987 (CI 95 %: 0.981-0.991), respectively, at the first outpatient follow-up appointment. We found good internal consistency with Cronbach's α values of 0.987 and 0.996, respectively, at the two times. The SEM was 4.42 and 2.31 at the first and second time points, respectively. The UEFI-Br scores demonstrated strong correlation with the Burn Specific Health Scale-Brief-Br (BSHS-B-Br) function domain scores (r = 0.87-0.90). No significant correlation was found between UEFI-Br scores and participants' characteristics. The MDC of the UEFI-Br lies between 11 and 13 points. CONCLUSION: The Brazilian version of the UEFI-Br, a useful tool to assess upper limb function and disability, is a valid and reliable tool for use with Brazilian burn survivors. The MDC for the instrument was determined to be 11-13 points.

Six-minute walk test in burned subjects: Applicability, reproducibility and performance at hospital discharge.

INTRODUCTION: Despite its clinical relevance in several populations, there is no evidence on applicability of the 6-min walk test (6MWT) in burned subjects. OBJECTIVES: To verify the applicability and reproducibility of the 6MWT in burned individuals and to analyze patients' performance in this test at hospital discharge. METHODS: In a cross-sectional study, burned individuals performed two 6MWT at hospital discharge, according to international standardization. In addition to walked distance, physiological and symptomatic variables were collected. Clinical history and demographic data were also recorded. RESULTS: One hundred individuals were evaluated (70 men, 10 [6-18]% total body surface area burned). There was excellent agreement between the two 6MWT (ICC = 0.97). However, 73% of subjects increased the walked distance in the second test (23 [-9-47]m or 5 [-2-10]%; P = 0.001). Considering the best 6MWT, the walked distance was 488 [396-718]m (80 [65-92]%pred), and 51% of the individuals had limited functional exercise capacity. Additionally, participants without lower limb involvement presented better 6MWT than others (P < 0.0001). CONCLUSION: The 6MWT was applicable, well tolerated and reproducible at hospital discharge in burned individuals. However, there was considerable learning effect between the first and second test. Finally, the reduced exercise capacity observed reinforces need for early rehabilitation in this population.

Elaboração de vídeo educativo sobre uso da malha compressiva após queimadura / Educational video on use of compression garmet after burn

Introdução: As vestes compressivas são parte do tratamento ambulatorial das queimaduras profundas. Muitas vezes, os pacientes acabam por não utilizar a malha compressiva devido, principalmente, ao incômodo, à vergonha e ao desconhecimento sobre a importância do uso. Objetivo: Descrever o processo de construção de um vídeo educativo sobre a importância do uso da malha compressiva para indivíduos que sofreram queimaduras. Métodos: A construção do material educativo ocorreu nas seguintes etapas: revisão da literatura, análise dos dados coletados, elaboração e avaliação de roteiro e filmagem de três pacientes e dois pais e/ou responsáveis, no Ambulatório do Centro de Tratamento de Queimados do Hospital Universitário da Universidade Estadual de Londrina (CTQ/HU/UEL) e edição do vídeo. Resultados: Obteve-se um vídeo educativo que aborda a cicatrização hipertrófica, a colocação da malha compressiva, esclarecimentos de dúvidas e dicas de cuidados. Conclusão: O desenvolvimento de tecnologias educativas direcionadas ao tratamento do paciente vítima de queimadura constitui grande desafio, havendo a necessidade urgente em desenvolver novos materiais.

Introduction: The compressive garments are part of outpatient treatment of deep burns. Often patients end up not using the compression garment mainly due to discomfort, shame and ignorance of the importance of using. Objective: To describe the process of building an educational video on the importance of using the compression garment for individuals who have suffered burns. Methods: The construction of educational material occurred in the following steps: literature review, data analysis, drafting and review script and shooting of three patients and two parents and/or guardians in the Outpatient Burn Treatment Center University Hospital of the State University of Londrina (CTQ/HU/UEL) and editing the video. Results: An educational video that addresses the hypertrophic scarring, the placement of the compression garment, clarification of doubts and care tips was obtained. Conclusion: The development of educational technologies targeted to the treatment of burn victim patient is a great challenge and there is an urgent need to develop new materials.