Cross-cultural adaptation and reliability analysis of the Brazilian version of Pediatric Balance Scale (PBS)

Brazilian Journal of Physical Therapy

Lílian G. K. Ries²  Stella M. Michaelsen²  Patrícia S. A. Soares¹  Vanessa C. Monteiro¹  Kátia M. G. Allegretti¹ 

[1] ,Universidade do Estado de Santa Catarina Postgraduate Program in Physical Therapy Florianópolis SC ,Brazil

关键词: cerebral palsy;    balance;    pediatrics;    assessment;    reliability;    physical therapy;    paralisia cerebral;    equilíbrio;    pediatria;    avaliação;    confiabilidade;    fisioterapia;   

DOI  :  10.1590/S1413-35552012005000026

来源: SciELO

【 摘 要 】

BACKGROUND: The Pediatric Balance Scale (PBS) was developed from a modified version of the Berg Balance Scale aiming to obtain a balance scale more appropriate for the child population. OBJECTIVES: To adapt the PBS into Brazilian-Portuguese and to evaluate the intra and inter-rater reliability of the Brazilian-Portuguese version of PBS. METHODS: To perform the cross-cultural adaptation of the American version of PBS four translators were involved, who have performed two translations and their respective back-translations. Then, a review by a multidisciplinary committee and a subsequent an assessment of the equivalence of meaning between the back-translations and the original English scale were performed by 3 and 30 healthcare professionals respectively. The intra-rater reliability of the final version of the Brazilian-Portuguese PBS was evaluated using a test-retest design with one-week interval. The Brazilian-Portuguese version of the PBS was tested twice on the same day by two different raters to test the inter-rater reliability. The inter-rater reliability, which was measured from a video of the volunteers performance, was evaluated by comparing the score given by five raters independently. Reliability was evaluated by Intraclass Correlation Coefficient (ICC). Fifteen volunteers (11±2.7 years) diagnosed with Cerebral Palsy (CP) classified at level I and II on the Gross Motor Function Classification System (GMFCS) were assessed. RESULTS: The reliability of the PBS total score for both intra-rater (ICC=0.85) and inter-rater (ICC=0.91) was excellent. The inter-rater reliability (measured from the video) for the total score was also classified as excellent (ICC=0.98). CONCLUSION: The results showed adequate reliability for the PBS for pediatric population with CP diagnostic classified at level I and II on the GMFCS.

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