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Cross-cultural adaptation, reliability and validity of the Spanish version of the upper limb functional index
Journal article   Open access   Peer reviewed

Cross-cultural adaptation, reliability and validity of the Spanish version of the upper limb functional index

Antonio I Cuesta-Vargas and Charles P Gabel
Health and Quality of Life Outcomes, Vol.11, 126
2013
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url
https://doi.org/10.1186/1477-7525-11-126View
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Abstract

upper limb psychometrics outcome measure Spanish
Background: The Upper Limb Functional Index (ULFI) is an internationally widely used outcome measure with robust, valid psychometric properties. The purpose of study is to develop and validate a ULFI Spanish-version (ULFI-Sp). Methods: A two stage observational study was conducted. The ULFI was cross-culturally adapted to Spanish through double forward and backward translations, the psychometric properties were then validated. Participants (n= 126) with various upper limb conditions of >12 weeks duration completed the ULFI-Sp, QuickDASH and the Euroqol Health Questionnaire 5 Dimensions (EQ-5D-3 L). The full sample determined internal consistency, concurrent criterion validity, construct validity and factor structure; a subgroup (n= 35) determined reliability at seven days. Results:The ULFI-Sp demonstrated high internal consistency (α = 0.94) and reliability (r = 0.93). Factor structure was one-dimensional and supported construct validity. Criterion validity with the EQ-5D-3 L was fair and inversely correlated (r = -0.59). The QuickDASH data was unavailable for analysis due to excessive missing responses. Conclusions: The ULFI-Sp is a valid upper limb outcome measure with similar psychometric properties to the English language version.

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