Translation of the Children Helping Out – Responsibilities, Expectations and Supports (CHORES) Questionnaire Into Brazilian-Portuguese: Semantic, Idiomatic, Conceptual and Experiential Equivalences and Application in Normal Children and Adolescents and in Children With Cerebral Palsy.
Translation of the Children Helping Out – Responsibilities, Expectations and Supports (CHORES) questionnaire into Brazilian-Portuguese: semantic, idiomatic, conceptual and experiential equivalences and application in normal children and adolescents and in children with cerebral palsy.
Filed under: Rehab Centers
Rev Bras Fisioter. 2012 Dec; 16(6): 515-522
Amaral M, Paula RL, Drummond A, Dunn L, Mancini MC
BACKGROUND: The participation of children with disabilities in daily chores in different environments has been a therapeutic goal shared by both parents and rehabilitation professionals, leading to increased demand for instrument development. The Children Helping Out: Responsibilities, Expectations and Supports (CHORES) questionnaire was created with the objective of measuring child and teenager participation in daily household tasks. OBJECTIVES: To translate the CHORES questionnaire into Brazilian Portuguese, evaluate semantic, idiomatic, experiential, and conceptual equivalences, apply the questionnaire to children and teenagers with and without disabilities, and test its test-retest reliability. METHOD: Methodological study developed through the following stages: (1) translation of the questionnaire by two different translators; (2) synthesis of translations; (3) back-translation into English; (4) analysis by an expert committee to develop the pre-final version; (5) test-retest reliability; (6) administration to a sample of 50 parents of children with and without disabilities. RESULTS: The CHORES translation was validated in all stages. The implemented adaptations aimed to improve the understanding of the instrument’s content by families of different socioeconomic and educational levels. The questionnaire showed strong consistency within a 7 to 14-day interval (ICCs=0.93 a 0.97; p=0.0001). After application, there was no need to change any items in the questionnaire. CONCLUSIONS: The translation of the CHORES questionnaire into Brazilian Portuguese offers a unique instrument for health professionals in Brazil, enabling the documentation of child and teenager participation in daily household tasks and making it possible to develop scientific investigation on the topic.
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Cardiovascular Fitness Is Unrelated to Mobility Limitations in Ambulant People With Traumatic Brain Injury.
Filed under: Rehab Centers
J Head Trauma Rehabil. 2013 Jan 23;
Williams G, Weragoda N, Paterson K, Clark R
OBJECTIVE:: The aim of this study was to evaluate the relationship between mobility, activity levels, and cardiovascular fitness in patients with traumatic brain injury (TBI) currently undergoing rehabilitation, and to determine whether mobility and cardiovascular fitness differs between people with TBI and matched healthy controls (HCs). DESIGN:: Cross-sectional cohort study. PARTICIPANTS:: Twenty-eight people with TBI and 28 matched HCs. OUTCOME MEASURES:: The primary outcome measure for mobility was the high-level mobility assessment tool. Steps per day was the outcome measure for activity level, and the physical work capacity at 130 (PWC130) submaximal VO2 Monark bike test was the primary outcome measure for cardiovascular fitness. RESULTS:: Results revealed no relationship (P > .05) between mobility, activity levels, and cardiovascular fitness in the TBI cohort. Participants with TBI had significantly reduced capacity for mobility (P < .001) and performed less physical activity (P = .002) than matched HCs; however, there was no significant difference in cardiovascular fitness (P = .094) between groups. CONCLUSIONS:: Despite reduced physical activity and a wide range in capacity to mobilize, no relationship was identified between mobility and cardiovascular fitness following TBI. HubMed – rehab
Self-Reported Head Injury Among Refugee Survivors of Torture.
Filed under: Rehab Centers
J Head Trauma Rehabil. 2013 Jan 23;
Keatley E, Ashman T, Im B, Rasmussen A
OBJECTIVE:: To examine the prevalence of self-reported head injury among treatment-seeking refugee survivors of torture, a population at high risk for such injuries. PARTICIPANTS:: A total of 488 survivors of torture accepted at a torture treatment clinic between January 1, 2008, and December 31, 2011. MAIN MEASURES:: Harvard Trauma Questionnaire, incidence of head injury and resulting loss of consciousness (LOC), chief physical complaints, general health scale, indicators of torture severity (length of detention, sexual assault, and number of different persecution types). RESULTS:: Of the 488 cases reviewed, 335 (69%) patients reported sustaining a blow to the head. Of the 335 with head injury, 185 (55%) reported LOC following the injury. Those who reported sustaining a head injury were significantly more likely to be men, to have a greater number of types of torture experiences, and report sleep disturbances and headaches as their primary medical complaints. CONCLUSIONS:: The high rates of head injury and head injury followed by LOC among treatment-seeking survivors of torture indicates the need for torture treatment centers to assess for possible brain injury. Our findings suggest that patients with possible traumatic brain injury (TBI) may be at a higher risk of negative physical outcomes than those without possible TBI.
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Three-stage mandible reconstruction after firearm injury.
Filed under: Rehab Centers
J Craniofac Surg. 2013 Jan; 24(1): e87-8
Xavier SP, Pontes Cde B, Silva ER, Santos Tde S, Zatiti SC, de Mello Filho FV
ABSTRACT: Firearm injuries in the lower jaw may cause significant loss of hard and soft facial tissues, resulting in aesthetic and functional deformity. In this article, we present a case of a patient who suffered avulsion of the soft and hard tissues of the left mandible body and symphysis. After the emergency treatment, the patient was referred to our service, and the treatment was performed in 3 stages: surgical reconstruction with vascularized fibula flap, distraction osteogenesis, and dental implant rehabilitation. During 5 years of follow-up period, the aesthetic and functional condition of the patient improved considerably.
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