Reprodutibilidade da versão brasileira da Medida de Independência Funcional
DOI:
https://doi.org/10.5935/0104-7795.20010002Keywords:
Functional Independence Measure, Reproductivity, Cultural Equivalence, Functional Evaluation, TranslationAbstract
A Brazilian version of Functional Independence Measure (FIM) was developed in a translation process to Brazilian Portuguese by a bilingual medical team and a professional translator, followed by a reverse translation to English by an independent traslator. No problems of cultural equivalence were identified in the resultant version when it was presented to a group of 25 clinicians trained in its use. Eight rehabilitation centers participated in the gathering of data for the study of reproductibility. Two independent observers evaluated, between December 1999 and January 2000, all adult stroke patients with more than 4 months of impairment onset at the same day and only one of these clinicians repeated the observation after one week (test/retest). A total of 164 patients were examined, kappa agreement values in each of the FIM items varied between two observers form 0,50 (feeding) to 0,64 (bladder control), at test/retest they varied from 0,61 (dressing below waist) to 0,77 (toilet transfer). MIF subscales showed good correlation at test/retest (Pearson: 0,91 – 0,98; ICC: 0,91 – 0,98) and between two observers (Pearson: 0,87 – 0,98; ICC: 0,87 – 0,98). Analysis of variance shows good agreement for these subscales between two observers and at test/retest condition. We conclude that the Brazilian version of FIM has good cultural equivalence and reproductivity.
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