Percorrer por autor "Cervaens, Mariana"
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- Cross-cultural adaptation, validity and reliability of the European Portuguese Version of the Kerlan-Jobe Orthopaedic Clinic Shoulder & Elbow Score (KJOC)Publication . Almeida, Gonçalo; Amaral, Luísa; Vilarinho, Rui; Magalhães, Bárbara; Silva, Fátima; Abreu, Verónica; Magalhães, André; Esteves, Mário; Cervaens, Mariana; Vilarinho, RuiThe Kerlan-Jobe Orthopaedic Clinic Shoulder & Elbow Score (KJOC) is used to identify dysfunctions and estimate injury risk in overhead sports athletes. Although it has been validated in several countries, a European Portuguese version is currently unavailable. This study aimed to translate, culturally adapt and assess psychometric properties (validity and reliability) of the European Portuguese KJOC (KJOC-PT). The KJOC-PT was translated and culturally adapted according to international guidelines. One hundred athletes were selected (median age 24 [IQR 17] years, 72% male) and divided into two groups: asymptomatic and symptomatic athletes. The convergent validity was assessed by correlating the KJOC-PT with the Disabilities of the Arm, Shoulder and Hand (DASH) and DASH-Sports. 31 athletes from the initial sample were considered to assess between-day reliability and agreement (Bland-Altman analysis). Floor and ceiling effects were also calculated. Sampling adequacy was assessed using the Kaiser Meyer-Olkin (KMO) test. Minor cultural and linguistic changes were made in the KJOC-PT. This version demonstrated excellent internal consistency (Cronbach’s α = 0.91 to 0.97) and moderate negative correlations for validity (KJOC-PT with DASH, rho = −0.595; with DASH-Sports, rho = −0.533, both p < 0.001). Good reliability (ICC2,1 = 0.77 to 0.89 [95%CI 0.36 to 0.96]), measurement error (SEM = 4.11 to 6.90; MDC = 11.39 to 19.13) and mean difference ranging from −0.08 ± 6.14 to 3 ± 9.17 were found. No floor effect (0%) and ceiling effects of 24.2% for the total sample (50% for asymptomatic and 5.1% for symptomatic athletes) were found. KJOC-PT is now available and is a valid and reliable instrument for use by athletes in overhead sports.
- The effect of neck-specific exercise with or without a behavioral approach in chronic whiplash-associated disorders: A systematic review and meta-analysisPublication . Correia, Luís; Carvalho, Paulo; Amaral, Luísa; Esteves, Mário; Vilarinho, Rui; Cervaens, Mariana; Vilarinho, Rui; Carvalho, PauloChronic whiplash-associated disorders describe a cluster of symptoms that result from a sudden neck acceleration/deceleration movement, including pain, musculoskeletal and neurological signs, inducing functional disability. The aim of this study was to compare the effects of physiotherapy treatment based on neck-specific exercises, with or without a behavioral approach, in individuals with whiplash-associated disorders. Computerized research was performed in PubMed, PEDro, National Institute for Health and Care Excellence, and ScienceDirect to identify randomized controlled trials that evaluated the effectiveness of neck-specific exercises, with or without a behavioral approach, for chronic whiplash. For the meta-analysis, the outcomes of pain and disability were assessed. Thirteen studies were included in the systematic review, with a total of 2427 participants of both sexes, with ages between 18 and 63 years. Although interventions with a behavioral approach decreased pain and disability more significantly in 4 and 6 studies when compared to neck-specific exercises without such an approach, respectively, the meta-analysis revealed no differences between them. Although interventions for chronic whiplash-associated disorders based on neck-specific exercises with a behavioral approach seem to be more effective in reducing pain and disability, there is no quantitative difference favoring one over the other.
- Impact of post-COVID-19 condition on health status and functional capacity: a cross-sectional studyPublication . Pereira, Andreia; Amaral, Luísa; Dias, Inês; Magalhães, André; Abreu, Verónica; Esteves, Mário; Vilarinho, Rui; Cervaens, Mariana; Vilarinho, RuiTo assess health status and functional capacity in adults with post-COVID-19 condition. Observational, retrospective cross-sectional study. Outpatients from the Physical Medicine and Rehabilitation Department of the Hospital Fernando Pessoa, Porto, Portugal, were included. A convenient sample included 54 participants aged over 18 years old (52.4 6 15.5 years, 61% female), with diagnosis of SARS-CoV-2 infection at least 12 weeks before the study, persistent or new-onset symptomatology consistent with post-COVID-19 condition. Clinical assessment included the collection of symptoms (COVID-19 Questionnaire and Modified Medical Research Council Dyspnea scale), lung function (spirometry), functional capacity (1-minute-sit-to-stand test and the 6-minute walk test), and emotional status (Anxiety, Depression, and Stress Scale). A total of 46.3% of participants reported fatigue, 29.6% dry cough, 24.1% dyspnea, 24.1% myalgia, 22.2% weakness, and 20.4% memory loss. On functional capacity, 1-minute-sit-to-stand (20.1 6 5.7) and 6-minute walk test (483.0 6 110.3) performances were lower than the predicted values (P , .001). Adults with post-COVID condition in this study demonstrated evidence of reduced health status and functional capacity. These findings highlight the potential long-term effects of COVID-19.
- Portuguese translation, cultural adaptation and psychometric properties of the temporomandibular joint scale: a cross-sectional studyPublication . Cervaens, Mariana; Vilarinho, Rui; Pereira, Jéssica; Magalhães, André; Esteves, Mário; Vilarinho, Rui; Abreu, Verónica; Amaral, LuísaThe temporomandibular joint (TMJ) scale assesses the severity of temporomandibular joint disorders (TMD), yet a European Portuguese translation is lacking. To translate, cross-culturally adapt and to examine the psychometric properties (construct validity and reliability) of the TMJ scale. Translation and cultural adaptation were carried out according to international recommendations, including initial translation, evaluation of this translation and cultural adaptation by a panel of experts, and back translation. The final Portuguese version was used to examine the reliability and validity, and participants with TMD were recruited from a Portuguese outpatient clinic. Reliability measures included internal consistency with Cronbach’s alpha and test-retest reliability with the intraclass correlation coefficient (ICC2,1). The Spearman correlation comparing the TMJ scale with the Fonseca and Helkimo indexes was used to assess the construct validity. A total of 63 participants (23 ± 2 years; 61,9% female) were included. Similar internal consistency was observed between the two moments of application (0.921 and 0.918), and test-retest reliability was excellent, with an ICC2,1 = 0.998 (95%CI: 0.988–0.999). Robust positive correlations (rho 0.554–0.611, p < 0.001) were found between the TMJ scale and Fonseca and Helkimo indexes. The European Portuguese version of TMJ scale is now available to improve the assessment of severity of TMD in routine clinical practice. This version is also reliable and valid.