Cross-cultural adaptation and validation of the International Cooperative Ataxia Rating Scale (ICARS) to Brazilian Portuguese

ABSTRACT Introduction: The clinical assessment of patients with ataxias requires reliable scales. We aimed to translate, adapt and validate the International Cooperative Ataxia Rating Scale (ICARS) into Brazilian Portuguese. Methods: The steps of this study were forward translation, translation synt...

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Veröffentlicht in:Arquivos de neuro-psiquiatria 2018-10, Vol.76 (10), p.674-684
Hauptverfasser: Maggi, Fernanda Aparecida, Braga-Neto, Pedro, Chien, Hsin Fen, Gama, Maria Thereza Drumond, Rezende, Flávio Moura, Saraiva-Pereira, Maria Luiza, Jardim, Laura Bannach, Voos, Mariana Callil, Pedroso, José Luiz, Barsottini, Orlando Graziani Povoas
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container_issue 10
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container_title Arquivos de neuro-psiquiatria
container_volume 76
creator Maggi, Fernanda Aparecida
Braga-Neto, Pedro
Chien, Hsin Fen
Gama, Maria Thereza Drumond
Rezende, Flávio Moura
Saraiva-Pereira, Maria Luiza
Jardim, Laura Bannach
Voos, Mariana Callil
Pedroso, José Luiz
Barsottini, Orlando Graziani Povoas
description ABSTRACT Introduction: The clinical assessment of patients with ataxias requires reliable scales. We aimed to translate, adapt and validate the International Cooperative Ataxia Rating Scale (ICARS) into Brazilian Portuguese. Methods: The steps of this study were forward translation, translation synthesis, backward translation, expert committee meeting, preliminary pilot testing and final assessment. Thirty patients were enrolled in the preliminary pilot testing and 61 patients were evaluated for construct validity, internal consistency, intra- and inter-rater reliability and external consistency. Results: This study showed good validity of the construct and high internal consistency for the full scale, except for the oculomotor domain (Cronbach's alpha = 0.316, intraclass correlation coefficients intra- = 82.4% and inter- = 79.2%). A high correlation with the Scale for the Assessment and Rating of Ataxia was observed. We found good intra-rater agreement and relative inter-rater disagreement, except in the posture and gait domain. Conclusion: The present ICARS version is adapted for the Brazilian culture and can be used to assess our ataxic patients.
doi_str_mv 10.1590/0004-282X20180098
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We aimed to translate, adapt and validate the International Cooperative Ataxia Rating Scale (ICARS) into Brazilian Portuguese. Methods: The steps of this study were forward translation, translation synthesis, backward translation, expert committee meeting, preliminary pilot testing and final assessment. Thirty patients were enrolled in the preliminary pilot testing and 61 patients were evaluated for construct validity, internal consistency, intra- and inter-rater reliability and external consistency. Results: This study showed good validity of the construct and high internal consistency for the full scale, except for the oculomotor domain (Cronbach's alpha = 0.316, intraclass correlation coefficients intra- = 82.4% and inter- = 79.2%). A high correlation with the Scale for the Assessment and Rating of Ataxia was observed. We found good intra-rater agreement and relative inter-rater disagreement, except in the posture and gait domain. 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1678-4227
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subjects Ataxia
Gait
NEUROSCIENCES
Posture
PSYCHIATRY
Spinocerebellar ataxias
translating
Translation
validation studies
title Cross-cultural adaptation and validation of the International Cooperative Ataxia Rating Scale (ICARS) to Brazilian Portuguese
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