Measurement properties of the Brazilian versions of Fear-Avoidance Beliefs Questionnaire and Tampa Scale of Kinesiophobia in individuals with shoulder pain.

PURPOSE: To verify the measurement properties of the Brazilian versions of Fear-avoidance Beliefs Questionnaire (FABQ) and Tampa Scale of Kinesiophobia (TSK) in individuals with shoulder pain. METHODS: Individuals with shoulder pain (>18 years) were included in this study. Structural validity was verified by exploratory factor analysis, which was used to identify dimensionality of the FABQ and TSK. Test-retest reliability was assessed with intraclass correlation coefficient(3,1) and internal consistency with Cronbach's alpha. Floor or ceiling effects were also investigated. Responsiveness was verified by effect sizes and area under the receiver operating characteristic curve (AUC). RESULTS: Exploratory factor analysis identified two and one factor in the FABQ and TSK, respectively. FABQ and TSK presented moderate to good reliability and adequate internal consistency (Cronbach's alpha > 0.70). The floor effect was present in one factor of the FABQ. The FABQ and TSK showed small to moderate effect sizes and did not show adequate AUC. CONCLUSION: FABQ and TSK are multidimensional and unidimensional instruments, respectively. Those instruments presented moderate to good reliability and the responsiveness was considered to be suboptimal in individuals with shoulder pain.

Psychometric properties of the Brazilian version of the Bournemouth questionnaire for low back pain: validity and reliability.

OBJECTIVES: The Bournemouth Questionnaire is a comprehensive and short form multidimensional instrument developed to evaluate the health status of individuals with low back pain. The objective of this study was to verify the construct validity and the test-retest reliability of the Brazilian version of Bournemouth Questionnaire in individuals with low back pain. METHODS: This is a methodological study that included 65 patients with low back pain. The Brazilian Bournemouth Questionnaire was applied twice, and the test-retest reliability was assessed using intraclass correlation coefficient (ICC), standard error of measurement (SEM), minimum detectable change (MDC), and internal consistency. The construct validity of the Brazilian Bournemouth Questionnaire was assessed using the numeric pain rating scale (NPRS) and also with the following questionnaires: Roland-Morris Questionnaire (RMDQ), Oswestry Disability Index (ODI), and the Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36). RESULTS: The total score of the Brazilian Bournemouth Questionnaire showed ICC of 0.82 (95% CI: 0.72, 0.90), Cronbach´s alpha of 0.85, SEM of 5.97, and MDC of 15.54, without evidence of ceiling and floor effects. The total score of the Brazilian Bournemouth Questionnaire was correlated to the NPRS for current (r = 0.64), highest (r = 0.49), and lowest (r = 0.67) pain as well as scores on the RMDQ (r = 0.58), ODI (r = 0.42), and SF-36 (r = -0.58). CONCLUSION: The total score of the Brazilian version of the Bournemouth Questionnaire is valid and reliable to be used with patients with low back pain.

The Brazilian version of the Bournemouth questionnaire for low back pain: translation and cultural adaptation.

BACKGROUND: The Bournemouth questionnaire is a multidimensional instrument for evaluating health domains among patients with low back pain. OBJECTIVE: The objective of this study was to translate and cross-culturally adapt the Bournemouth questionnaire for individuals with low back pain, to Brazilian Portuguese. DESIGN AND SETTINGS: This was a cross-sectional study conducted at the Federal University of São Carlos. METHODS: The Brazilian version of the Bournemouth questionnaire was developed following the processes of translation, back-translation, committee review and pre-testing. The translation phase involved two independent bilingual translators whose mother language was Brazilian Portuguese. The back-translation phase involved two independent translators whose mother language was English. In order to verify comprehension of the questionnaire, 44 individuals (43.1% men) with low back pain, and with mean age of 45.4 ± 13.8 years, participated in the pre-testing phase. RESULTS: During the translation phase, some terms and expressions were changed to obtain cultural equivalence to the original Bournemouth questionnaire. In the pre-testing phase, each item of the questionnaire showed a comprehension level of over 90%. CONCLUSION: The Bournemouth questionnaire was translated and culturally adapted to the Portuguese language, to be used among individuals with low back pain.

The Brazilian version of the Bournemouth questionnaire for low back pain: translation and cultural adaptation

ABSTRACT BACKGROUND: The Bournemouth questionnaire is a multidimensional instrument for evaluating health domains among patients with low back pain. OBJECTIVE: The objective of this study was to translate and cross-culturally adapt the Bournemouth questionnaire for individuals with low back pain, to Brazilian Portuguese. DESIGN AND SETTINGS: This was a cross-sectional study conducted at the Federal University of São Carlos. METHODS: The Brazilian version of the Bournemouth questionnaire was developed following the processes of translation, back-translation, committee review and pre-testing. The translation phase involved two independent bilingual translators whose mother language was Brazilian Portuguese. The back-translation phase involved two independent translators whose mother language was English. In order to verify comprehension of the questionnaire, 44 individuals (43.1% men) with low back pain, and with mean age of 45.4 ± 13.8 years, participated in the pre-testing phase. RESULTS: During the translation phase, some terms and expressions were changed to obtain cultural equivalence to the original Bournemouth questionnaire. In the pre-testing phase, each item of the questionnaire showed a comprehension level of over 90%. CONCLUSION: The Bournemouth questionnaire was translated and culturally adapted to the Portuguese language, to be used among individuals with low back pain.

Comparação da força, potência muscular, agilidade e flexibilidade entre as posições de praticantes de futebol com idades entre 10 e 15 anos / Strength, muscle power, agility and flexibility comparison among soccer field positions in players aged between 10 and 15 years old

O futebol é um esporte que exige habilidades individuais e capacidades físicas. Estas características podem ser especificas às posições no campo, a fim de otimizar o desempenho e rendimento atlético. No entanto, ainda há necessidade de estudos para verificar se há diferença na força e potência muscular, agilidade e flexibilidade entre as posições em campo de crianças e adolescentes praticantes de futebol. O objetivo desse estudo é comparar o desempenho de força e potência muscular, agilidade e flexibilidade entre as posições de praticantes de futebol com idades entre 10 e 15 anos e do gênero masculino. Participaram 39 indivíduos recrutados de uma escola de futebol, com idade média de 13,1 ± 1,94 anos, tempo de prática de futebol de 5,9 ± 2,6 anos, do gênero masculino, classificados de acordo com a posição no campo. Foram realizados os testes: Single Hop Test, Shuttle Run, Teste Sentar e Alcançar e a avaliação de força dos membros inferiores por meio do dinamômetro isométrico. Os resultados foram comparados entre as posições em campo dos atletas, e não houve diferenças significativas em nenhuma das variáveis analisadas (p > 0,05). Os praticantes de futebol com idades entre 10 e 15 anos não apresentaram diferença de força e potência muscular, agilidade, flexibilidade entre as posições em campo...(AU)

Soccer is a sport that requires individuals abilities and physical fitness. These characteristics may vary according to the field position, in order to improve athletic performance and efficiency. However, there is a lack of studies that verified differences on strength, muscle power, agility and flexibility among field positions in children and adolescents soccer players. The aim of the present study is to compare muscle strength, muscle power, agility and flexibility performance among field positions of male soccer players aged between 10 and 15 years old. Thirty-nine male individuals recruited from a soccer school , with mean age of 13.1 ± 1.94 years, practice time of 5.9 ± 2.6 years, were assigned according to field positions. Single Hop Test, Shuttle Run, Sit and Reach and isometric dynamometer for lower limb strength assessment were performed. The results of the all tests comparisons showed no significant difference among field positions (p > 0.05). Soccer players aged between 10 and 15 years old showed no difference on strength, muscle power, agility and flexibility performance among soccer field positions...(AU)

Efeito imediato da manipulação thrust aplicada na coluna cervical alta sobre a abertura ativa da boca: ensaio clínico randomizado / Immediate effects of upper cervical thrust manipulation on active mouth opening: randomized clinical trial

Objetivo - Determinar a influência imediata da técnica de alta velocidade e baixa amplitude (HVLA) aplicada na coluna cervical alta na abertura ativa da boca. As desordens temporomandibulares são afecções da articulação temporomandibular e suas estruturas periarticulares, sendo um dos sinais característicos a redução na amplitude de depressão da mandíbula. Métodos - Participaram do estudo 83 voluntários com idade entre 18 e 33 anos e dor na coluna cervical, distribuídos aleatoriamente em dois grupos, o experimental, submetidos a técnica HVLA (n= 41) e o grupo placebo (n=42). Cada sujeito teve a abertura da boca mensurada três vezes antes e após o tratamento por um avaliador cego. Resultados - O grupo em que a técnica HVLA foi aplicada na coluna cervical alta promoveu aumento imediato na abertura da boca, visto que a ADM de depressão da mandíbula no momento após intervenção, como a diferença pré e pós-intervenção foram maiores no grupo experimental comparado ao grupo placebo. Conclusão - A aplicação da HVLA sobre os músculos suboccipitais pode promover aumento na abertura da boca em sujeitos sintomáticos na região da coluna cervical imediatamente após a intervenção.

Objective - To determine the immediate influence of high velocity and low aplitude (HVLA) technique applied to upper cervical spine in active mouth opening. Temporomandibular disorders are affections of the temporomandibular joint and periarticular structures, which one of signs is a depression ampleness reduction of the jaw. Methods - The study included 83 volunteers aged between 18 and 33 years and pain inthe cervical spine, divided in two groups, the experimental subject to HVLA (n = 41) and placebo (n = 42 ). Each subject had the opening of the mouth measured three times before and after treatment by a blinded evaluator. Results - The group which HVLA was applied to the upper cervical spine promoted and immediate increase in mouth opening, since the ADM of depression at the time of the jaw after the intervention, as the difference before and after intervention, were higher in the experimental group compared to placebo group. Conclusion - The application of the HVLA on the upper cervical spine may promote an increase in mouth opening in subjects with symptomatic cervical spine region immediately after the intervention.

A atuação da fisioterapia na mielite transversa aguda: estudo de caso / The performance of physiotherapy in acute transverse myelitis: case study

Objetivo - Este estudo teve como objetivo acompanhar a evolução de um paciente com Mielite transversa aguda analisando as alterações da força muscular, equilíbrio, amplitude de movimento, atividades funcionais e da vida diária. Métodos - A pesquisa foi desenvolvida na clínica de fisioterapia da Universidade Paulista de maio de 2006 a junho de 2009, utilizando para coleta dos dados o teste de força muscular manual, escala de espasticidade Ashworth, goniômetro para a amplitude de movimento, análise do prontuário e questionários. Resultados - O paciente relatado nesse caso demonstrou melhora lenta e progressiva durante os três anos em que foi acompanhado pela fisioterapia na força muscular e no equilíbrio, assim, o beneficiando na marcha, nas atividades funcionais e da vida diária. Conclusão - A fisioterapia ajudou o paciente a adquirir força muscular e equilíbrio, melhorando a marcha, as transferências, as atividades funcionais e da vida diária. Além disso, estimulou e motivou o paciente a vencer suas limitações físicas, trouxe esclarecimentos sobre a patologia e o prognóstico, e o encorajou a retornar a vida social.

Objective - This study had objective monitor the progress of a patient with acute transverse myelitis analyzing the changes in strength muscle, balance, range of motion, daily living and functional activities. Methods - The study was conducted at the clinic of Physiotherapy at the Universidade Paulista in May 2006 to June 2009, using the data collection muscle strength manual test, Ashworth's scale of spasticity, goniometer for the movement amplitude, analysis of medical records and questionnaire. Results - The patient reported in this case demonstrated improvement slow and progressive during the three years that was accompanied by physiotherapy in strength muscle and balance, therefore, the benefit in functional march, and daily of life activities. Conclusion - Physiotherapy helped the patient to acquire strength muscle and balance, improving the march and transfers, functional activities of daily life. In addition, stimulated and motivated the patient to overcome their physical limitations, brought clarifications on the pathology and prognosis, and encouraged to return to social life.

A influência do exercício proprioceptivo em atletas de basquete avaliada pela baropodometria e estabilometria computadorizada / The influence of proprioception exercises in basketball players evaluated by baropodometry

A propriocepção é importante como elemento da manutenção postural e do equilíbrio, que é controlado por desequilíbrios permanentes que se corrigem ou se compensam. O objetivo deste trabalho foi avaliar, através da baropodometria e estabilometria computadorizada, a influência da propriocepção em seis atletas masculinos de um time de basquete, com idades entre 15 e 18 anos. A avaliação baropodométrica e estabilométrica computadorizada foi feita em seis atletas de basquete do sexo masculino, 48 horas antes das 12 intervenções proprioceptivas que duraram 20 minutos e se estendam por 1 mês, 3 vezes por semana, sendo reavaliados 48 horas após a última sessão. Após os treinos proprioceptivos, foi observada maior simetria da pressão plantar, menor pico de pressão e aumento da superfície plantar na maioria dos jogadores, porém, houve aumento das oscilações ântero-posterior, látero-lateral e do corpo. Este estudo concluiu que após a realização dos exercícios proprioceptivos, houve um maior equilíbrio entre o pico de pressão de contato nos pés, permitindo afirmar que ocorreu um efeito aferente das atividades neuromusculares para o reequilíbrio da distribuição das pressões de contato, o que interferiu na localização do centro de força, de corrente da provável adaptação do sistema sensório motor às novas informações de postura e equilíbrio.

The proprioception is an important element of postural maintenance and equilibrium, which is controlled by permanent disequilibrium, that is corrected or compensated by itself. The aim of this study was evaluate through computerized baropodometry and stabilometry the influence of proprioception in six male athletes, with ages between 15 and 18 years old of the cadet basketball team. The baropodometric and stabilometric evaluation was made on six male basketball players, 48 hours before 12 interventions working with proprioception which lasted 20 minutes and extended for 1 month, 3 times a week, reevaluate them for 48 hours after the last session. After the proprioceptive training, it was observed greater symmetry of plantar pressure, lower peak pressure and an increase of the plantar area in most players, however, there was an increase of oscillations anterior-posterior, lateral-lateral and oscillations of the body. This study concluded that after the proprioceptive exercises, there was a higher equilibrium between thepeak of contact pressure in foot, which allows us to say that an afferent effect occurred in the neuromuscular activities to reestablish the equilibrium the distribution of the contact pressures, which interfered positively in the location of the center, probably resulting from the sensory-motor system adaptation to the new information of posture and equilibrium.