Work

Assessment of the Brazilian Portuguese Version Selective Control Assessment of the Lower Extremity (SCALE) After Translation and Cross-Cultural Adaptation

Year: 2026

Type: article

Abstract: Background/Objectives: This study aims to translate and validate the Selective Control Assessment of the Lower Extremity (SCALE) tool from English into Portuguese. Methods: SCALE was translated into Portuguese independently by two native Portuguese translators and synthesized into a single manuscript: SCALE-BR. Using this test in patients with spastic cerebral palsy, the internal consistency (Cronbach’s α), reliability by intra-class correlation (ICC), and validity compared with the Gross Motor Function Classification System (GMFCS) scores were evaluated. Results: 30 patients diagnosed with spastic cerebral palsy were assessed, with a predominance of males (66.7%), a mean age of 12.9 ± 7.9 (4–38 years) and a majority of diparetic patients (73.3%) and GMFCS I (53.3%). Spearman’s correlation coefficient, R2 = −0.84, p < 0.001, revealed an inverse relationship between the SCALE instrument and the GMFCS, corroborating the findings in the literature. There was an excellent intra- and interobserver agreement (ICC > 0.75). Conclusions: The Portuguese version of the questionnaire was effective, proving to be reproducible and reliable among different evaluators and patients, with an inverse correlation with the GMFCS as expected in the literature.

Source: Children

DOI: 10.3390/children13010115

Authors: Douglas Manuel Carrapeiro Prina, Elizabeth de Alvarenga Borges da Fonseca, Pothyra Campos Pascoal, Francesco Camara Blumetti, Monica Paschoal Nogueira

Institutions: Instituto de Assistência Médica ao Servidor Público Estadual, Hospital Israelita Albert Einstein

Language: English

Topic: Cerebral Palsy and Movement Disorders

Subfield: Psychiatry and Mental health

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $2,896