Propriedades de medidas da Escala de Equilíbrio de Berg e do Timed Up Go Test em pacientes hospitalizados para tratamento de tumor encefálico
DOI:
https://doi.org/10.11606/issn.2317-0190.v31i4a228104Palavras-chave:
Neoplasias Encefálicas, Limitação da Mobilidade, Equilíbrio PosturalResumo
Objetivo: Analisar a confiabilidade e a validade convergente e discriminativa da Berg Balance Scale (BBS) e do Timed Up and Go (TUG) em pacientes internados para tratamento de tumor cerebral. Método: Foi realizado um estudo observacional prospetivo, incluindo pacientes com diagnóstico de tumores cerebrais de um hospital terciário de referência em Salvador, Brasil. O BBS e o TUG foram utilizados para avaliar o equilíbrio e a mobilidade funcional, respetivamente. Para avaliar a confiabilidade interexaminadores, os instrumentos foram aplicados por dois avaliadores independentes no mesmo dia, enquanto que para a confiabilidade intraexaminador, cada indivíduo foi avaliado duas vezes pelo mesmo avaliador em um período de 7 a 14 dias. A validação convergente e discriminativa foi analisada através da comparação de ambos os instrumentos com o Índice de Barthel Modificado (MBI). Resultados: Foram avaliados 43 doentes e observou-se uma excelente fiabilidade interavaliadores tanto para o TUG como para o BBS, com ICC= 0,981 (p<0,001) e ICC= 0,995 (p<0,001), respetivamente. A fiabilidade intra-avaliador foi classificada como boa para a BBS (ICC= 0,74; p<0,001) e para o TUG (ICC= 0,779; p<0,001). Ambos os instrumentos convergiram para o MBI (BBS Rho= 0,85; p<0,001; TUG Rho= -0,70; p<0,001) e ambos foram também capazes de discriminar os indivíduos de acordo com o seu nível de dependência funcional (p<0,001). Conclusão: A BBS e o TUG são válidos para avaliar o equilíbrio e a mobilidade funcional em indivíduos internados para tratamento de tumor cerebral.
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