Translation and cultural adaptation of the Hip Outcome Score to the Portuguese language

Oliveira, Liszt Palmeira de; Cardinot, Themis Moura; Castillo, Letícia Nunes Carreras Del; Queiroz, Marcelo Cavalheiro; Polesello, Giancarlo Cavalli

doi:10.1016/j.rboe.2014.03.011

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Revista Brasileira de Ortopedia

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Original Articles • Rev. bras. ortop. 49 (03) • May-June 2014 • https://doi.org/10.1016/j.rboe.2014.03.011 copy

Translation and cultural adaptation of the Hip Outcome Score to the Portuguese language^☆ ☆ Please cite this article as: de Oliveira LP, Moura Cardinot T, Nunes Carreras Del Castillo L, Cavalheiro Queiroz M, Cavalli Polesello G. Tradução e adaptação cultural do Hip Outcome Score para a língua portuguesa. Rev Bras Ortop. 2014;49:297-304. , ^☆☆ ☆☆ Work performed in the Department of Surgical Specialties, School of Medical Sciences, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, RJ, Brazil.

Authorship SCIMAGO INSTITUTIONS RANKINGS

OBJECTIVE:

to translate the Hip Outcome Score clinical evaluation questionnaire into Portuguese and culturally adapt it for Brazil.

METHODS:

the Hip Outcome Score questionnaire was translated into Portuguese following the methodology consisting of the steps of translation, back-translation, pretesting and final translation.

RESULTS:

the pretesting was applied to 30 patients with hip pain without arthrosis. In the domain relating to activities of daily living, there were no difficulties in comprehending the translated questionnaire. In presenting the final translation of the questionnaire, all the questions were understood by more than 85% of the individuals.

CONCLUSION:

the Hip Outcome Score questionnaire was translated and adapted to the Portuguese language and can be used in clinical evaluation on the hip. Additional studies are underway with the objective of evaluating the reproducibility and validity of the Brazilian translation.

Hip; Translation; Questionnaires; Evaluation of results

Questions on activities of daily living	No difficulty at all	Slight difficulty	Moderate difficulty	Extreme difficulty	Unable to do	Not applicable	Not answered	Total
Standing for 15 min	10	11	6	2	1	0	0	30
Getting into and out of a car	4	12	7	7	0	0	0	30
Putting on socks and shoes	9	9	6	6	0	0	0	30
Going up steep slopes	6	12	3	8	0	1	0	30
Going down steep slopes	9	9	11	1	0	0	0	30
Going up a flight of stairs	9	10	1	10	0	0	0	30
Going down a flight of stairs	12	8	9	1	0	0	0	30
Stepping onto and off curbs	17	3	8	0	0	2	0	30
"Exaggerated" squatting	0	7	11	9	3	0	0	30
Getting into and out of a bath tub	11	5	1	4	0	9	0	30
Sitting for 15 min	18	6	3	2	0	1	0	30
Starting to walk	16	7	5	2	0	0	0	30
Walking for approximately 10 min	18	6	4	2	0	0	0	30
Walking for 15 min or more	6	14	7	3	0	0	0	30
Twisting/turning of the affected leg	1	9	12	8	0	0	0	30
Turning over in bed	6	10	11	3	0	0	0	30
Light to moderate work (standing and walking)	14	9	6	1	0	0	0	30
Heavy work (pushing/pulling, climbing, carrying)	3	3	15	5	1	3	0	30
Recreational activities	6	6	12	4	0	2	0	30
	175	156	138	78	5	18	0	570
	30.7%	27.4%	24.2%	13.7%	0.9%	3.2%	0.0%	100.0%
Questions on sports	No difficulty at all	Slight difficulty	Moderate difficulty	Extreme difficulty	Unable to do	Not applicable	Not answered	Total
Running 1.5 km	2	7	8	3	9	1	0	30
Jumping	2	12	5	6	3	2	0	30
Swinging objects, like a golf club	7	6	6	6	0	5	0	30
Landing on the ground after a jump	3	9	4	3	5	6	0	30
Starting and stopping rapidly	6	11	5	3	4	1	0	30
Abrupt change of direction/lateral movement	0	12	9	8	0	1	0	30
Low-impact activities such as walking rapidly	8	8	9	3	2	0	0	30
Capacity to do activities with your normal technique	8	12	3	2	4	1	0	30
Capacity to participate in a desired sport for as long as you would like	0	6	8	8	6	2	0	30

	36	83	57	42	33	19	0	270
	13.3%	30.7%	21.1%	15.6%	12.2%	7.0%	0.0%	100.0%

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[1] ^* Corresponding author. E-mail: lisztpalmeira@yahoo.com.br (L.P. de Oliveira).

Hip Outcome Score (HOS)
Activity of Daily Living Scale
Please answer every question with one response that most closely describes to your condition within the past week.
If the activity in question is limited by something other than your hip mark not applicable (N/A).
	No difficulty at all	Slight difficulty	Moderate difficulty	Extreme difficulty	Unable to do	N/A
Standing for 15 minutes	□	□	□	□	□	□
Getting into and out of anaverage car	□	□	□	□	□	□
Putting on socks and shoes	□	□	□	□	□	□
Walking up steep hills	□	□	□	□	□	□
Walking down steep hills	□	□	□	□	□	□
Going up 1 flight of stairs	□	□	□	□	□	□
Going down 1 flight of stairs	□	□	□	□	□	□
Stepping up and down curbs	□	□	□	□	□	□
Deep squatting	□	□	□	□	□	□
Getting into and out of abath tub	□	□	□	□	□	□
Sitting for 15 minutes	□	□	□	□	□	□
Walking initially	□	□	□	□	□	□
Walking approximately 10 minutes	□	□	□	□	□	□
Walking 15 minutes or greater	□	□	□	□	□	□
Because of your hip how much difficulty do you have with:
	No difficulty at all	Slight difficulty	Moderate difficulty	Extreme difficulty	Unable to do	N/A
Twisting/pivoting on involved leg	□	□	□	□	□	□
Rolling over in bed	□	□	□	□	□	□
Light to moderate work(standing, walking)	□	□	□	□	□	□
Heavy work (push/pulling,climbing, carrying)	□	□	□	□	□	□
Recreational activities	□	□	□	□	□	□
How would you rate your current level of function during your usual activities of daily living from 0to 100 with 100 being
your level of function prior to yo ur hip problem and 0 being the inab ility to perform any of your usualdaily activities?
□□□.0%
Hip Outcome Score (HOS)
Sports Scale
Because of your hip how much difficulty do you have with:
	No difficulty at all	Slight difficulty	Moderate difficulty	Extreme difficulty	Unable to do	N/A
Running one mile	□	□	□	□	□	□
Jumping	□	□	□	□	□	□
Swinging objects like a golf club	□	□	□	□	□	□
Landing	□	□	□	□	□	□
Starting and stopping quickly	□	□	□	□	□	□
Cutting/lateral movements	□	□	□	□	□	□
Low impact activities like fastwalking	□	□	□	□	□	□
Ability to perform activity with your normal technique	□	□	□	□	□	□
Ability to participate in your desiredsport as long as you would like	□	□	□	□	□	□
How would you rate your current level of function during your sports related activities from 0 to 100with 100 being yourlevel of function prior to your hip problem and 0 being the inability to perform any of your usual dailyactivities?
□□□.0 %
How would you rate your current level of function?
□Normal
□Nearly normal
□Abnormal
□Severely abnormal

Escore de resultados do quadril
Escala de atividades da vida diária
Por favor, responda todas as questõescom uma resposta que melhor descreve suas condições na última semana.
Se a atividade em questão é limitada por algo diferente do que o seu quadril , marque não se aplica (N/A).
	Sem dificuldade	Pequena dificuldade	Moderada dificuldade	Extrema dificuldade	Não consegue fazer	N/A
Ficar de pé por 15 minutos	□	□	□	□	□	□
Entrar e sair do carro	□	□	□	□	□	□
Calçar meias e sapatos	□	□	□	□	□	□
Subir ladeira inclinada	□	□	□	□	□	□
Descer ladeira inclinada	□	□	□	□	□	□
Subir um lance de escada	□	□	□	□	□	□
Descer um lance de escada	□	□	□	□	□	□
Subir e descer do meio -fio	□	□	□	□	□	□
Agachamento exagerado	□	□	□	□	□	□
Entrar e sair da banheira	□	□	□	□	□	□
Sentar por 15 minutos	□	□	□	□	□	□
Início da caminhada	□	□	□	□	□	□
Andar por aproximadam ente 10 minutos	□	□	□	□	□	□
Andar por 15 minutos ou mais	□	□	□	□	□	□
Por causa do seu quadril, quanta dificuldade você tem para:
	Sem dificuldade	Pequena dificuldade	Moderada dificuldade	Extrema dificuldade	Não consegue fazer	N/A
Girar/virar sobre a perna acometida	□	□	□	□	□	□
Virar -se na cama	□	□	□	□	□	□
Trabalho leve a moderado (ficar de pé e andar)	□	□	□	□	□	□
Trabalho pesado (empurrar/puxar/escalar/carregar)	□	□	□	□	□	□
Atividades recreativas	□	□	□	□	□	□
Como você quantificaria seu nível funcional durante as atividades usuais da vida diária de 0 a 100, com 100 sendo seu nível de função antes do seu problema de quadril e 0 sendo a impossibilidade de fazer quaisquer atividades usuais da vida diária?
□□□.0 %
Escore de resultados do quadril
Escala de esportes
Por causa do seu quadril, quanta dificuldade você tem para:
	Sem dificuldade	Pequena dificuldade	Moderada dificuldade	Extrema dificuldade	Não consegue fazer	N/A
Correr 1,5 km	□	□	□	□	□	□
Pular	□	□	□	□	□	□
Balançar objetos, como numa tacada de golfe	□	□	□	□	□	□
Aterrisar no solo após salto	□	□	□	□	□	□
Iniciar e parar rapidamente	□	□	□	□	□	□
Mudança brusca de direção/movimentos laterais	□	□	□	□	□	□
Atividades de baixo impacto, como andar rapidamente	□	□	□	□	□	□
Capacidade de fazer atividades com sua técnica normal	□	□	□	□	□	□
Capacidade de participar do seu esporte desejado durante o tempo que você gostaria	□	□	□	□	□	□
Como você quantificaria seu nível funcional durante as atividades esportivas, variando de 0 a 100, sendo 100 o nível de função nessas atividades antes do problema de quadril e 0 a impossibilidade de fazer quaisquer atividades usuais da vida diária?
□□□.0 %
Como você quantifica seu nível funcional atual?
□Normal
□Quase normal
□Anormal
□Muito normal