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Schwartz K, Vizin G, Boros S. Acute Musculoskeletal Complaints Vary According to the Perceived Stress Among Hungarian Professional Dancers. J Dance Med Sci 2024; 28:21-27. [PMID: 37818918 DOI: 10.1177/1089313x231200471] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/13/2023]
Abstract
Introduction: Studies showed that professional dance is often associated with a high degree of acute musculoskeletal injuries. These injuries' etiology predominantly describes their biomechanical or other extrinsic factors, but there is a limited number of scientific reports dealing with the perceived stress or mental health status concerning the physical complaints especially, among Hungarian professional dancers. Materials and Methods: In this study, we used validated questionnaires (RESTQ, SEFIP, Mental Health Test) filled out by Hungarian professional female dancers (N = 168) via an online platform anonymously and analyzed statistically. Results: Our findings showed a significantly positive relationship between musculoskeletal complaints and perceived stress, an elevated level of general stress, and a higher level of resilience in this population compared to the general population. Conclusion: Dancers demonstrate a heightened perception of stress; however, they exhibit elevated scores on resilience assessments, indicative of heightened functionality in their daily lives. Stress, per se, may not be directly regarded as a causative factor for acute musculoskeletal conditions, but it could potentially influence the severity of pain sensations and subjective pain levels in the context of existing injuries. Additional investigations are warranted to elucidate the precise mechanisms by which stress exacerbates the pain experience among dancers.
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Affiliation(s)
- Kristóf Schwartz
- Doctoral School of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary
- Institute of Health Promotion and Sport Sciences, ELTE Eötvös Loránd University, Budapest, Hungary
| | - Gabriella Vizin
- Department of Clinical Psychology and Addiction, ELTE Eötvös Loránd University, Budapest, Hungary
- Institute of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary
| | - Szilvia Boros
- Institute of Health Promotion and Sport Sciences, ELTE Eötvös Loránd University, Budapest, Hungary
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Júnior FBDS, Dibai-Filho AV, Brito Pinheiro CA, Fidelis-de-Paula-Gomes CA, Pinheiro JS, Girasol CE, Pontes-Silva A, Apahaza GHS, Bassi-Dibai D, Pires FDO. 15-item Roland-Morris disability questionnaire for general pain (RMDQ-g): Structural validity and criterion validity on Brazilian patients with chronic pain. Musculoskelet Sci Pract 2023; 66:102823. [PMID: 37421760 DOI: 10.1016/j.msksp.2023.102823] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/10/2023] [Revised: 06/08/2023] [Accepted: 07/03/2023] [Indexed: 07/10/2023]
Abstract
BACKGROUND Roland-Morris Disability Questionnaire for general pain (RMDQ-g) is an instrument adapted to assess disability in patients with pain in any region of the body. OBJECTIVE To perform the structural and criterion validity of the RMDQ-g in Brazilian patients with chronic pain. DESIGN A cross-sectional study. METHODS We included native speakers of Brazilian Portuguese, of both sexes, aged ≥18 years, with pain for at least 3 months in any region of the body. Participants eligible for the study responded to an online form containing personal and clinical data, and assessment instruments. We used the confirmatory factor analysis and considered the following fit indices: chi-square/degree of freedom (DF), comparative fit index (CFI), Tucker-Lewis index (TLI), root mean square error of approximation (RMSEA). In the comparison between models, we considered the structure with the lowest values of the Akaike information criterion (AIC) and sample-size adjusted Bayesian information criterion (SABIC). We assessed criterion validity via Spearman's correlation coefficient (rho) to correlate the long and short versions. RESULTS The study consisted of 297 participants with chronic pain. The main sites of pain were the lumbar region (40.7%), thoracic (21.5%), and neck (19.5%). Mean pain intensity was greater than 5 points. The 24-item long version and the 15-item short version had adequate fit indices (chi-square/DF ≤ 1.77, CFI ≥0.97, TLI ≥0.96, and RMSEA ≤0.05). However, when comparing structures, the short version was the most appropriate because it had the lowest values of AIC (2562.05) and SABIC (2577.72). Criterion validity was acceptable (rho = 0.94) and internal consistency as well (Cronbach's alpha = 0.87). CONCLUSION The structural validity and criterion validity of the RMDQ-g with one domain and 15 items is the most appropriate version and should be considered in the clinical environment and in research for measuring disability in patients with chronic pain in any region of the body.
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Affiliation(s)
| | - Almir Vieira Dibai-Filho
- Post-Graduate Program in Physical Education, Universidade Federal do Maranhão, São Luís, Brazil; Post-Graduate Program in Adult Health, Universidade Federal do Maranhão, São Luís, Brazil
| | | | | | - Jocassia Silva Pinheiro
- Post-Graduate Program in Rehabilitation and Functional Performance, Universidade de São Paulo, Ribeirão Preto, Brazil
| | - Carlos Eduardo Girasol
- Post-Graduate Program in Rehabilitation and Functional Performance, Universidade de São Paulo, Ribeirão Preto, Brazil
| | - André Pontes-Silva
- Post-Graduate Program in Physical Therapy, Universidade Federal de São Carlos, São Carlos, Brazil.
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dos Reis-Junior JR, Bassi-Dibai D, Morais DN, Pontes-Silva A, Mendes LP, Pinheiro JS, Fidelis-de-Paula-Gomes CA, Dibai-Filho AV. Translation, cross-cultural adaptation, and validation of the Athlete Fear Avoidance Questionnaire (AFAQ) into Brazilian Portuguese. BMC Musculoskelet Disord 2022; 23:974. [PMID: 36357871 PMCID: PMC9647760 DOI: 10.1186/s12891-022-05951-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/28/2022] [Accepted: 11/05/2022] [Indexed: 11/11/2022] Open
Abstract
Background Psychological factors play an important role in the adequate return of an athlete to sport. Our aim was to perform the translation, cross-cultural adaptation, and validation of the Athlete Fear Avoidance Questionnaire (AFAQ) into Brazilian Portuguese. Methods We performed the translation and cross-cultural adaptation and evaluated the structural validity, construct validity, and test–retest reliability. In addition to the AFAQ, we used the Numerical Pain Scale (NPS), Pain-Related Catastrophizing Thoughts Scale (PCTS), Self-Estimated Functional Inability because of Pain Questionnaire for athletes (SEFIP-sport), and Hospital Anxiety and Depression Scale (HADS). We used the exploratory factor analysis (EFA) to analyze the internal structure of the AFAQ. We used the Spearman’s correlation coefficient (rho) to determine the magnitude of correlation between the AFAQ and the other instruments. We evaluated the test–retest reliability and internal consistency by means of intraclass correlation coefficient (ICC) and Cronbach’s alpha, respectively. Results No adaptation was necessary to produce the AFAQ version in Brazilian Portuguese. We included 160 participants in the study. We identified the one-dimensionality of the AFAQ through the EFA with the implementation of parallel analysis (KMO = 0.83, p < 0.001 in Bartlett's Sphericity test). In construct validity, the magnitudes of correlation between the AFAQ and the other instruments ranged from 0.257 to 0.548. We identified adequate reliability (ICC = 0.85) and internal consistency (Cronbach’s alpha = 0.90). Conclusion The Brazilian version of the AFAQ with one domain and 10 items has adequate measurement properties in injured professional and recreational athletes. Supplementary Information The online version contains supplementary material available at 10.1186/s12891-022-05951-0.
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Kalatakis-dos-Santos AE, de Paula Gomes CAF, Pontes-Silva A, Mendes LP, de Oliveira Simões G, Gonçalves MC, de Oliveira Pires F, Bassi-Dibai D, Dibai-Filho AV. Fear of Return to Sport Scale (FRESS): a new instrument for use in injured professional or recreational athletes in rehabilitation. SPORT SCIENCES FOR HEALTH 2022; 19:1-10. [PMID: 35967547 PMCID: PMC9362635 DOI: 10.1007/s11332-022-00975-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2022] [Accepted: 05/26/2022] [Indexed: 11/06/2022]
Abstract
Objective To create, develop, and validate the Fear of Return to Sport Scale (FRESS) for injured professional or recreational athletes in rehabilitation. Methods This is a questionnaire validation study. To determine the structural and construct validity, 192 injured professional or recreational athletes of different sports modalities were included. We used a subsample with 32 participants to analyze test-retest reliability and internal consistency. Main outcome measures were the FRESS, Numerical Pain Scale (NPS), Pain-Related Catastrophizing Thoughts Scale (PCTS), Self-Estimated Functional Inability because of Pain Questionnaire for athletes (SEFIP-sport), and Hospital Anxiety and Depression Scale (HADS). Results Initially, 25 questions were proposed by the specialists. Of these, 4 questions were excluded due to similarity with others. After applying the content validity coefficient, 8 questions were excluded for presenting a value lower than 0.80, leaving 13 items. The exploratory factor analysis identified the one-dimensional structure of the FRESS with 13 items. However, five items were excluded for presenting high covariance with the error of several other FRESS items in the confirmatory factor analysis. Thus, the final version of the FRESS was defined with one domain and eight items. Regarding the construct validity, we observed a magnitude of correlation varying between 0.257 and 0.470 between the FRESS and the instruments used here. We observed adequate test-retest reliability (intraclass correlation coefficient = 0.896) and internal consistency (Cronbach's alpha = 0.868). Ceiling and floor effects were not observed. Conclusion The FRESS with one domain and eight items has acceptable measurement properties and its use in clinical and sports environments to measure the fear of returning to sport in injured professional or recreational athletes is supported. Supplementary Information The online version contains supplementary material available at 10.1007/s11332-022-00975-4.
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Affiliation(s)
| | | | - André Pontes-Silva
- Postgraduate Program in Adult Health, Universidade Federal do Maranhão, Avenida dos Portugueses, 1966, Vila Bacanga, São Luís, MA 65080805 Brazil
| | | | | | | | - Flavio de Oliveira Pires
- Postgraduate Program in Physical Education, Universidade Federal do Maranhão, São Luís, MA Brazil
- Department of Physical Education, Universidade Federal do Maranhão, São Luís, MA Brazil
| | - Daniela Bassi-Dibai
- Postgraduate Program in Programs Management and Health Services, Universidade Ceuma, São Luís, MA Brazil
| | - Almir Vieira Dibai-Filho
- Postgraduate Program in Physical Education, Universidade Federal do Maranhão, São Luís, MA Brazil
- Postgraduate Program in Adult Health, Universidade Federal do Maranhão, Avenida dos Portugueses, 1966, Vila Bacanga, São Luís, MA 65080805 Brazil
- Department of Physical Education, Universidade Federal do Maranhão, São Luís, MA Brazil
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Melo JSP, Dibai Filho AV, Oliveira CM, Pinheiro CAB, Rocha DS, Santana GND, Gomes CAFDP, Bassi-Dibai D. Self-Estimated functional inability because of pain questionnaire for workers: a reliability and construct validity study. REVISTA DA ASSOCIACAO MEDICA BRASILEIRA (1992) 2021; 67:1622-1626. [PMID: 34909888 DOI: 10.1590/1806-9282.20210681] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/16/2021] [Accepted: 08/14/2021] [Indexed: 12/15/2022]
Abstract
OBJECTIVE The objective of this study was to investigate the reliability and construct validity of the Self-Estimated Functional Inability because of Pain questionnaire for workers in a sample of Brazilian workers with musculoskeletal pain. METHODS This is a questionnaire validation study. Workers with musculoskeletal pain were included. Besides the Self-Estimated Functional Inability because of Pain questionnaire for workers, we used the following instruments to perform construct validity: the Work Ability Index and the Numerical Pain Rating Scale. A subsample answered the Self-Estimated Functional Inability because of Pain questionnaire for workers in two moments to calculate reliability by means of the intraclass correlation coefficient and internal consistency by means of the Cronbach's alpha. RESULTS A total of 190 Brazilian workers were included. Regarding the construct validity, we observed a correlation with magnitude above 0.50 between the Self-Estimated Functional Inability because of Pain questionnaire for workers and the Numerical Pain Rating Scale, given that these two instruments have similarity in the construct, and correlations above 0.30 between the Self-Estimated Functional Inability because of Pain questionnaire for workers and the domains 2, 3, and 4 of the Work Ability Index. Regarding reliability, we observed adequate reliability (intraclass correlation coefficient=0.864) and internal consistency (Cronbach's alpha=0.807). CONCLUSION The Self-Estimated Functional Inability because of Pain questionnaire for workers is a reliable and valid instrument to be used in Brazilian workers with musculoskeletal pain.
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Affiliation(s)
- Josane Soares Pinto Melo
- Universidade Ceuma, Postgraduate Program in Programs Management and Health Services - São Luís (MA), Brazil
| | - Almir Vieira Dibai Filho
- Universidade Federal do Maranhão, Postgraduate Program in Physical Education - São Luís (MA), Brazil
| | | | | | | | | | | | - Daniela Bassi-Dibai
- Universidade Ceuma, Postgraduate Program in Programs Management and Health Services - São Luís (MA), Brazil
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Campos JWDS, Dibai-Filho AV, Cordeiro MEC, Mariano ER, Souza SARD. Disability and pain in capoeira practitioners. REVISTA DA ASSOCIACAO MEDICA BRASILEIRA (1992) 2021; 67:1692-1695. [PMID: 34730677 DOI: 10.1590/1806-9282.20210740] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/29/2021] [Accepted: 08/30/2021] [Indexed: 11/22/2022]
Abstract
OBJECTIVE This study aims to analyze the level of disability and pain in capoeira practitioners. METHODS This is a cross-sectional study. Data collection took place at the training sites of participants. The Self-Estimated Functional Inability because of Pain questionnaire for athletes (SEFIP-sport) was used to assess the pain and disability. Descriptive analysis was performed with the presentation of variables through mean and standard deviation (SD) or absolute number and percentage. RESULTS The sample consisted of 65 capoeira practitioners. Of these, 42 (64.61%) reported pain or discomfort. The total score of the SEFIP-sport presented an average of 2.28 points (SD=2.65). The body regions with the highest reports of pain and disability were the knees, lower back, and wrist/hands. However, we observed a mild degree of disability measured by SEFIP-sport. CONCLUSIONS The knees, lower back, and wrists/hands were the regions of the body with the highest reports of pain and disability. However, the disability presented by capoeira practitioners was slight.
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Affiliation(s)
- Jorge William de Sá Campos
- Universidade Federal do Maranhão, Departamento de Educação Física - São Luís (MA), Brazil.,Universidade Federal do Maranhão, Grupo de Estudo e Pesquisa em Luta, Artes Marciais e Esportes de Combate - São Luís (MA), Brazil.,Universidade Federal do Maranhão, Grupo de Pesquisa em Reabilitação, Exercício e Movimento - São Luís (MA), Brazil
| | - Almir Vieira Dibai-Filho
- Universidade Federal do Maranhão, Departamento de Educação Física - São Luís (MA), Brazil.,Universidade Federal do Maranhão, Grupo de Pesquisa em Reabilitação, Exercício e Movimento - São Luís (MA), Brazil
| | - Mayra Elaine Costa Cordeiro
- Universidade Federal do Maranhão, Departamento de Educação Física - São Luís (MA), Brazil.,Universidade Federal do Maranhão, Grupo de Pesquisa em Reabilitação, Exercício e Movimento - São Luís (MA), Brazil
| | - Eder Rodrigo Mariano
- Universidade Federal do Maranhão, Departamento de Educação Física - São Luís (MA), Brazil.,Universidade Federal do Maranhão, Grupo de Estudo e Pesquisa em Luta, Artes Marciais e Esportes de Combate - São Luís (MA), Brazil
| | - Sérgio Augusto Rosa de Souza
- Universidade Federal do Maranhão, Departamento de Educação Física - São Luís (MA), Brazil.,Universidade Federal do Maranhão, Grupo de Estudo e Pesquisa em Luta, Artes Marciais e Esportes de Combate - São Luís (MA), Brazil
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