Traducao, adaptacao cultural e confiabilidade da versão Brasileira da medida de independencia funcional para crianças (Wee Fim)

Abstract

The aim of this study was to translate into Portuguese of Brazil, the original version of the Functional Independence Measure for Children (Wee FIM) with cultural adjustment and verify its extent of ownership (reproducibility) so that it can be used as a instrument to assess functional independence in Brazilian children with Cerebral Palsy. The questionnaire was translated and culturally adapted for the Brazilian population according to the internationally accepted methodology. The Wee FIM was administered by interview to caregivers of patients with cerebral palsy. To evaluate reproducibility, caregivers of patients were interviewed twice, the first assessment by two interviewers separately and again within a period of seven days by one of the interviewers. The Pearson correlation coefficient and intraclass correlation coefficient were used to evaluate reproducibility. At the stage of translation and cultural adaptation were evaluated 42 patients and only one question was modified. During the phase of reproductibility 8 patients were evaluated. The mean age was 4.57 years. Prevailed male, tetraparesia, level V of the Gross Motor Function Classification System (GMFCS). The intra and interobserver reproducibility were statistically significant (Pearson 1,000 and intraclass 0,999 respectively). The correlations between the Wee FIM and GMFCS were statistically significant (Spearman -0,716 and -0.507). These results show that the Brazilian version of the Wee FIM has good cultural equivalence and good reproducibility.