ArticleActa ortopedica brasileira2026
THE UNITÉ RHUMATOLOGIQUE DES AFFECTIONS DE LA MAIN (URAM): TRANSLATION INTO PORTUGUESE, CULTURAL ADAPTATION AND VALIDATION.
Article in Acta ortopedica brasileira, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objective: To translate and culturally adapt the Unité Rhumatologique des Affections de la Main (URAM) scale, a specific instrument for functional assessment in Dupuytren's disease (DD), into Brazilian Portuguese. Methods: Following the methodology of Beaton (2000), the scale underwent five stages: translation, synthesis, back-translation, expert committee, and pre-testing. After adaptation, the Brazilian version of the scale (URAM-BR) was administered to 40 patients with Dupuytren's contracture. Internal consistency was tested using Cronbach's alpha, reproducibility was analyzed using the intraclass correlation coefficient (ICC), and construct validity was analyzed by correlation with the Brazilian version of QuickDASH. Results: The URAM-BR showed excellent internal consistency (α = 0.930-0.938), significant reproducibility (ICC > 0.89), and moderate-to-strong construct validity (r = 0.69, p < 0.001). The adapted version proved to be clear, reliable, and appropriate to the Brazilian cultural context. Conclusion: The URAM-BR is a valid, reliable, and reproducible instrument for functional assessment of patients with DD in Brazil.
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