Tradução e adaptação do instrumento quality of upper extremity skills test (QUEST) para o português brasileiro

Abstract

It is common for children diagnosed with cerebral palsy to have limitations in their upper limbs, and these limitations lead to restrictions in the performance of daily activities in these children. The use of appropriate tools to measure the motor performance of the upper limbs of this population can provide better guidance for setting treatment goals, selecting better intervention techniques, and measuring intervention outcomes. However, as seen in the literature, most of the instruments available for this purpose are in English and developed to be applied to the population of origin of the instrument, so it is necessary to translate and adapt an instrument to the Brazilian language and context. The Quality of Upper Extremity Skills Test (QUEST) is an assessment instrument developed for children with hemiplegic cerebral palsy between 18 months and eight years old, which aims to measure upper extremity skills in order to assess the quality of movements. This instrument consists of 36 items, divided into four domains: (1) dissociated movements, (2) grip, (3) protective reaction in extension, and (4) weight support. During the test, the child must perform various movements that correspond to each test domain. These movements are guided by verbal reinforcement, toys and/or direct demonstration. The study design is methodological and followed the following steps: [i] translation of the instrument by two independent translators; [ii] synthesis of the translations; [iii] back-translation into English; [iv] evaluation by a committee of experts. As a result, the pre-final version of the Quality of Upper Extremity Skills Test (QUEST) instrument translated into Brazilian Portuguese was prepared. It is concluded that the pre-final version of the instrument is adequately structured and ready to proceed to the subsequent stages of cross-cultural adaptation, which will be the cognitive analysis and psychometric tests.