02414nas a2200265   4500000000100000008004100001260001000042653001600052653002100068653003000089653001200119653002000131100001700151700001300168700001400181700002400195700002000219700001300239245013400252856005200386300001200438490000700450520167700457022001402134       2023                            d  bLepra10aTranslating10aValidation study10across-cultural adaptation10aleprosy10afoot impairment1 aRodrigues NC1 aSilva JG1 aKochem FB1 ade Freitas Cabral E1 aLapa e Silva JR1 aGomes MK00aTranslation, cross-cultural adaptation and validation of the Stanmore System for patients with foot drop due to leprosy in Brazil  uhttps://leprosyreview.org/article/94/3/20-23021  a218-2310 v943 a<p><strong>Introduction:&nbsp;</strong>From a functional point of view, foot drop causes a major impact on gait, due to loss of dorsiflexion. One of the most widely used scales for the postoperative evaluation of tendon transfer for foot drop is the Stanmore System. This study aimed to carry out the translation, cross-cultural adaptation, and validation of the Stanmore System, for use in Brazil.</p>

<p><strong>Methodology:&nbsp;</strong>The process of translating and adapting the questionnaire followed published guidelines.<sup>1–3</sup>&nbsp;The Content Validity Index (CVI) calculation was performed by the analysis of an expert committee, composed of five professionals. Validation was made through the analysis of internal consistency (Cronbach’s alpha), temporal stability (Intraclass Correlation Coefficient – ICC), convergent, and discriminant validity.</p>

<p><strong>Results:&nbsp;</strong>The total CVI of the scale was 0.91. The internal consistency was calculated using Cronbach’s alpha (𝛼 =&nbsp;0.595) and temporal stability using the Intraclass Correlation Coefficient per item, ranging from 0.89 to 0.99 (p-value &lt; 0.001), and the total of the scale (ICC = 0.98). Convergent (𝜌 =&nbsp;0.863) and discriminant (𝜌 = −0.263) validity were calculated using Spearman’s Correlation Coefficient in comparison with the results of the AOFAS (American Orthopaedic Foot and Ankle Society) and SALSA (Screening of Activity Limitation and Safety Awareness), respectively.</p>

<p><strong>Conclusion:&nbsp;</strong>The Brazilian version of the Stanmore System is valid and reliable for application in the Brazilian population.</p>
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