Validade de construto do Functional Impairment Test-Hand and Neck/Shoulder and Arm (FIT-HANSA) para trabalhadores com queixas no membro superior de um hospital terciário

Autores

  • Natalia Claro Silva Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo
  • Lívia  Nahas Pinola Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo
  • Flávia Pessoni Faleiros Macêdo Ricci Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo
  • Thais Marques  Fifolato Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo
  • Ester Rodrigues do Carmo Lopes Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo
  • Karen Ayumi Kawano Suzuki Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo
  • Marisa de Cássia Registro Fonseca Centro de Reabilitação, Hospital das Clínicas de Ribeirão Preto, Faculdade de Medicina de Ribeirão Preto

DOI:

https://doi.org/10.11606/issn.2317-0190.v27i3a176784

Palavras-chave:

Transtornos Traumáticos Cumulativos, Fadiga Muscular, Extremidade Superior, Estudo de Validação

Resumo

O Functional Impairment Test-Hand and Neck/Shoulder/Arm (FIT-HaNSA) é um instrumento que avalia a resistência à fadiga e o desempenho do membro superior por meio de funções motoras grossas comumente utilizadas no dia a dia. Objetivo: Analisar a validade de construto do FIT-HaNSA em trabalhadores com sintomas no membro superior, por meio da correlação entre a resistência à fadiga do segmento com os escores de força muscular do ombro, cotovelo e mão, com a capacidade para o trabalho (ICT) e com a disfunção do membro superior (QUICK DASH-Br). Métodos: Trinta e nove trabalhadores de um hospital terciário com idade média de 42,9 anos (DP13,29) foram recrutados. Os instrumentos de medida Isocinético Biodex System 4 Pro™, dinamômetro de preensão palmar JAMAR®, QuickDASH-Br e ICT foram aplicados e correlacionados com o FIT-HaNSA. O Coeficiente de Correlação de Pearson (r) foi utilizado para quantificar a associação entre os instrumentos. Resultados: O FIT-HaNSA apresentou de fraca a moderada correlação entre a força muscular do ombro, cotovelo e mão (r= 0,18 – 0,58), porém significativas para ombro e mão. A associação entre o FIT-HaNSA com o QuickDASH-Br e ICT se mostraram fracas (r= -0,38 e 0,21). Conclusão: Nosso estudo forneceu evidências preliminares com relação às relações esperadas e validade do FIT-HaNSA como instrumento de medida para a avaliação da fadiga e desconforto em trabalhadores com queixas no membro superior.

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2020-09-30

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