title: Cultural adaptation to Brazilian Portuguese of the Face, Legs, Activity, Cry, Consolability revised (FLACCr) scale of pain assessment.
abstract: OBJECTIVE
  to perform the translation into Brazilian Portuguese and cultural adaptation of the Face, Legs, Activity, Cry, Consolability revised (FLACCr) scale, with children under 18 years old, affected by cerebral palsy, presenting or not cognitive impairment and unable to report their pain.
  
  
  METHODS
  methodological development study of translation into Portuguese and cultural adaptation of the FLACCr. After approval by the ethics committee, the process aimed at translation and back-translation, evaluation of translation and back-translation using the Delphi technique and assessment of cultural equivalence. The process included the five categories of the scale and the four application instructions, considering levels of agreement equal to or greater than 80%.
  
  
  RESULTS
  it was necessary three rounds of the Delphi technique to achieve consensus among experts. The agreement achieved for the five categories was: Face 95.5%, Legs 90%, Activity 94.4%, Cry 94.4% and Consolability 99.4%. The four instructions achieved the following consensus levels: 1st 99.1%, 2nd 99.2%, 3rd 99.1% and 4th 98.3%.
  
  
  CONCLUSIONS
  the method enabled the translation and cultural adaptation of the FLACCr. This is a study able to expand the knowledge of Brazilian professionals on pain assessment in children with CP.
authors.affiliation: Escola Paulista de Enfermagem, Universidade Federal de São Paulo, São Paulo, SP, BR.
authors.forename: Edna Aparecida
authors.initials: EA
authors.lastname: Bussotti
authors.affiliation: Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, BR.
authors.forename: Ruth
authors.initials: R
authors.lastname: Guinsburg
authors.affiliation: Escola Paulista de Enfermagem, Universidade Federal de São Paulo, São Paulo, SP, BR.
authors.forename: Mavilde da Luz Gonçalves
authors.initials: Mda L
authors.lastname: Pedreira
mesh_terms: D001938:Brazil; D002547:Cerebral Palsy / Q000150:complications*; D002648:Child; D003448:Crying; D003466:Cultural Characteristics; D005145:Face; D005260:Female; D006801:Humans; D007866:Leg; D008297:Male; D009068:Movement; D010146:Pain / Q000175:diagnosis* / Q000209:etiology*; D010147:Pain Measurement / Q000379:methods*; D011187:Posture; D014177:Translations