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24. Reliability and Validity of the Avoidance of Daily Activities Photo Scale for Patients with Shoulder Pain (ADAP Shoulder Scale)

Author

Ansanello, Walter, Reis, Felipe José Jandre, Tozzo, Marcela Camargo, Zatiti, Salomão Chade Assan, Meulders, Ann, Vlaeyen, Johan W. S., de Oliveira, Anamaria Siriani, Ansanello, Walter, Reis, Felipe José Jandre, Tozzo, Marcela Camargo, Zatiti, Salomão Chade Assan, Meulders, Ann, Vlaeyen, Johan W. S., and de Oliveira, Anamaria Siriani

Abstract

Objective: The Avoidance of Daily Activities Photo Scale for Patients With Shoulder Pain (ADAP Shoulder Scale) was developed to assess pain-related avoidance behavior during daily activities in people with shoulder pain. However, its measurement properties must be verified according to international guidelines. As such, this study investigated the following 4 measurement properties of the ADAP Shoulder Scale: reliability, measurement errors, convergent validity, and floor and ceiling effects. Methods: The sample comprised 100 individuals with chronic shoulder pain (43 men and 57 women; mean duration of symptoms of 29.7 [SD = 89.0] months; mean age of 44.9 [SD = 15.9] years). The mean test–retest reliability range was 5 days via the ICC. Measurement errors included the standard error of measurement and the minimal detectable change. Convergent validity was analyzed by applying the Pearson correlation with the Tampa Scale for Kinesiophobia, Pain Catastrophizing Scale, and Shoulder Pain and Disability Index. Results: The ADAP Shoulder Scale showed excellent test–retest reliability, both in all domains and in the total score [ICC(2,1) = 0.94; 95% CI = 0.92–0.96]. The standard errors of measurement for the free-movement, high-effort, and self-care domains were 8.1%, 6.0%, and 7.6%, respectively. The minimal detectable change for the total score of the ADAP Shoulder Scale was 16.0%. The total score of the ADAP Shoulder Scale was low to moderately correlated with the total scores of the Tampa Scale for Kinesiophobia (r = 0.52), Pain Catastrophizing Scale (r = 0.30), and Shoulder Pain and Disability Index (r = 0.72). No floor or ceiling effects were detected in the total score. Conclusions: The ADAP Shoulder Scale is a reliable, valid instrument for assessing avoidance behavior in adults who have chronic shoulder pain and are not athletes. Impact: This study provides evidence that the ADAP Shoulder Scale is appropriate for clinical and practical use in people with chronic s

Published
2023

27. Impairment on Cardiovascular Autonomic Modulation in Women with Migraine

Author

Rossi, Denise Martineli, primary, de Souza, Hugo Celso Dutra, additional, Bevilaqua-Grossi, Débora, additional, Vendramim, Ana Carolina Carmona, additional, Philbois, Stella Vieira, additional, Carvalho, Gabriela Ferreira, additional, Dach, Fabíola, additional, Mascarenhas, Sérgio, additional, and de Oliveira, Anamaria Siriani, additional

Published
2022
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30. Development of the Avoidance Daily Activities Photo Scale for Patients With Shoulder Pain

Author

Ansanello, Walter, Reis, Felipe José Jandre, Tozzo, Marcela Camargo, Zatiti, Salomão Chade Assan, Meulders, Ann, Vlaeyen, Johan W. S., de Oliveira, Anamaria Siriani, Ansanello, Walter, Reis, Felipe José Jandre, Tozzo, Marcela Camargo, Zatiti, Salomão Chade Assan, Meulders, Ann, Vlaeyen, Johan W. S., and de Oliveira, Anamaria Siriani

Abstract

OBJECTIVES: The purpose of this study was to develop the Avoidance of Daily Activities Photo Scale (ADAP shoulder scale) to measure shoulder pain-related avoidance behavior in patients with shoulder pain and evaluate and report the structural validity and internal consistency of the scale.METHODS: Potential daily activities involving the shoulder were selected from the activities and participation domain of the International Classification of Functioning, Disability and Health (ICF). The selected activities were presented to an expert panel, health care professionals, and patients with shoulder pain with the question, "How much do you think it is important to ask patients with shoulder pain about this activity?" Activities attaining a content validity index (CVI) of ≥0.8 were represented using a digitally colored photograph. Activity photographs were evaluated by health care professionals and patients with shoulder pain. Photographs with a CVI of ≥0.8 were included in the scale. To evaluate structural validity and internal consistency of the scale, exploratory factor analysis was performed to determine the presence of any scale domain. Cronbach alpha was calculated to indicate the internal consistency of each domain.RESULTS: Of the 107 preselected activities, 21 attained a CVI of ≥0.8. Eighteen photographs (CVI ≥ 0.8) were included in the scale after being analyzed by 120 health care professionals and 50 patients with shoulder pain. Exploratory factor analysis (N = 156) showed that the ADAP shoulder scale consists of 3 domains: "free movement," "high effort," and "self-care." The internal consistencies of the domains were 0.92, 0.89, and 0.92, respectively.CONCLUSION: The ADAP shoulder scale included 15 photographs distributed in 3 domains. All domains had a high internal consistency. The scale is easily applicable, well understood, and relevant for shoulder pain.IMPACT: The ADAP Shoulder Scale can be used to rate shoulder pain-related

Published
2022

31. Additional file 1 of Causal mechanisms of a scapular stabilization intervention for patients with subacromial pain syndrome: a secondary analysis of a randomized controlled trial

Author

Hotta, Gisele Harumi, Alaiti, Rafael Krasic, Ribeiro, Daniel Cury, McQuade, Kevin James, and de Oliveira, Anamaria Siriani

Abstract

Additional file 1: Figure S1. Sensitivity analysis plots for each single mediator model for pain. The correlation between the error terms in the mediator and outcome regression models (ρ) is plotted against the average causal mediation effect (ACME). The estimated ACME (assuming sequential ignorability) is the dashed line and the 95% confidence intervals are represented by the shaded regions. Figure S2. Sensitivity analysis plots for each single mediator model for shoulder function. The correlation between the error terms in the mediator and outcome regression models (ρ) is plotted against the average causal mediation effect (ACME). The estimated ACME (assuming sequential ignorability) is the dashed line and the 95% confidence intervals are represented by the shaded regions.

Published
2022
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32. Critical and theoretical perspective on scapular stabilization: what does it really mean, and are we on the right track?

Author

McQuade, Kevin J., Borstad, John, and de Oliveira, Anamaria Siriani

Subjects
Therapeutics, Physiological -- Methods -- Patient outcomes, Physical therapy -- Methods -- Patient outcomes, Scapula -- Injuries, Health
Abstract

Stabilization exercises have been a focus and mainstay of many therapeutic and performance training programs in the past decade. Whether the focus is core stabilization for the spine or scapular stabilization, clinicians and trainers alike have endorsed these programs, largely on the basis of conceptual theory and anecdotal experience. The notion that an unstable scapula is related to shoulder dysfunction and pathology is well accepted, but is it accurate? The aim of this perspective article is to challenge the concept of scapular stabilization through the application of biomechanical and motor control constructs. The objectives are to critically examine current beliefs about scapular stabilization, to discuss definitions of stabilization and stability in the context of the scapulothoracic region, and to evaluate key evidence regarding scapular stabilization and scapular dyskinesia. Several new approaches that may affect the understanding of normal and atypical scapula motion are explored. Finally, a historical analogy is presented and future research and clinical directions are suggested. The aims are to lead readers to the essential concepts implied on scapular stabilization, to increase the critical thought process in rehabilitation practice, and to suggest some open topics to be explored in future research., The notion that an unstable scapula is related to shoulder dysfunction and pathology is well accepted. (1,2) The prevailing theory asserts that for proper function of the glenohumeral joint, the [...]

Published
2016
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48. Atletas de tênis, beach tennis e sedentários relatam dor e incapacidade semelhantes no ombro.

Author

Silva Soares, Isabella Raquel, Braga Fonteles, Antonio Samuel, Amaral Fortes, Jefferson Pacheco, de Oliveira, Anamaria Siriani, and Uchoa Santos Júnior, Francisco Fleury

Abstract

Copyright of Fisioterapia Brasil is the property of Atlantica Editora and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Published
2024

49. Confiabilidade intraexaminador do dinamômetro isométrico para ombro em sedentários, atletas de beach tennis e tênis.

Author

Silva Soares, Isabella Raquel, Braga Fonteles, Antonio Samuel, Amaral Fortes, Jefferson Pacheco, de Oliveira, Anamaria Siriani, and Uchoa Santos Júnior, Francisco Fleury

Abstract

Copyright of Fisioterapia Brasil is the property of Atlantica Editora and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Published
2024

50. Spanish version of the Perme Intensive Care Unit Mobility Score: Minimal detectable change and responsiveness.

Author

Wilches Luna, Esther Cecilia, de Oliveira, Anamaria Siriani, Perme, Christiane, and Gastaldi, Ada C.

Subjects
*APACHE (Disease classification system), *ARTIFICIAL respiration, *CONFIDENCE intervals, *CRITICALLY ill, *INTENSIVE care units, *LONGITUDINAL method, *RESEARCH methodology, *PATIENTS, *STATISTICS, *RESEARCH methodology evaluation, *DATA analysis software, *FUNCTIONAL assessment, *PHYSICAL therapists' attitudes, *DESCRIPTIVE statistics, *EARLY ambulation (Rehabilitation), *PHYSICAL mobility, *ADULTS, RESEARCH evaluation
Abstract

Purpose: The purpose of this study was to determine the minimal detectable change (MDC) and responsiveness of the Perme Score when used in the adult intensive care unit (ICU) population. Methods: This is a prospective longitudinal study which was conducted from November 2016 to July 2017 in Cali, Colombia. Four physical therapists with observer and evaluator roles, applied the Perme Score upon ICU admission and discharge. The Consensus‐based Standards for the Selection of Health Measurement Instruments Protocol standards to analyze sensitivity to change were used. The sample size was defined considering the lowest concordance proportion reported (68.6%), and a Kappa Index of 0.2784 or higher to guarantee an adequate n, and a 95% reliability level. Results: One hundred and forty‐two patients were enrolled in the study. There were 51.4% men with an average age of 58 ± 17 years. Invasive mechanical ventilation was employed in 42.0% of the patients. The MDC for the Perme Score was 1.36, and 80% of patients demonstrated higher or equal values, detecting a significant difference in the type of weaning and the length of stay in the ICU (p < 0.005). Conclusions: The Perme Score has an MDC of 1.36 points and shows evidence of being sensitive to change. Therefore, the findings validate the responsiveness of the instrument. [ABSTRACT FROM AUTHOR]

Published
2021
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