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Brazilian Journal of Physical Therapy
On-line version ISSN 1809-9246
MICHAELSEN, SM; NATALIO, MA; SILVA, AG and PAGNUSSAT, AS. Reliability of the translation and adaptation of the Test d'Évaluation des Membres Supérieurs des Personnes Âgées (TEMPA) to the Portuguese language and validation for adults with hemiparesis. Rev. bras. fisioter. [online]. 2008, vol.12, n.6, pp. 511-519. Epub Nov 30, 2008. ISSN 1809-9246. http://dx.doi.org/10.1590/S1413-35552008005000012.
INTRODUCTION: The Test d'Évaluation des Membres Supérieurs de Personnes Âgées (TEMPA) is composed of standardized tasks that represent activities of daily living. This test evaluates upper limb function in individuals with motor deficits. In addition to measuring time and functional level, this instrument also provides analysis of the tasks performed. OBJECTIVE: The aims were: to translate and to adapt the TEMPA form and administration manual to the Portuguese language; and to assess interrater and test-retest reliability and the validity of TEMPA for patients with hemiparesis. METHODS: Twenty-three patients (61±13 years) with hemiparesis (30±29 months) and 23 controls (60±12 years) participated in this study. The interrater reliability was tested by comparing the results from two examiners, in evaluations on the same day. The test-retest reliability was tested by comparing the results from evaluations repeated within a one-week interval. The validity of TEMPA for hemiparetics was assessed by correlation with the Fugl-Meyer scale (FMS). RESULTS: The results showed adequate interrater reliability (intraclass correlation coefficient - ICC=0.93) and test-retest reliability (ICC=0.99) for the total scores. In patients with moderate to severe motor deficits (FMS<50), all the items showed adequate test-retest and interrater reliability (ICC between 0.70 and 1.00). In patients with mild motor deficits (FMS>50), the reliability regarding speed of execution and total functional score (interrater, ICC=0.79 and test-retest, ICC=0.78) was adequate. The correlation of TEMPA with FMS was r=-0.85 (p=0.001). CONCLUSIONS: The results suggest that the Brazilian version of TEMPA is reliable and that it is valid for patients with hemiparesis.
Keywords : translations [adaptation]; upper limb function; hemiparesis; reliability.