title: Locomotive syndrome in the elderly: translation, cultural adaptation, and Brazilian validation of the tool 25-Question Geriatric Locomotive Function Scale.
abstract: OBJECTIVE
  The term Locomotive Syndrome refers to conditions in which the elderly are at high risk of inability to ambulate due to problems in locomotor system. For Locomotive Syndrome screening, the 25-Question Geriatric Locomotive Function Scale was created. The objective here was to translate, adapt culturally to Brazil, and study the psychometric properties of 25-Question Geriatric Locomotive Function Scale.
  
  
  METHODS
  The translation and cultural adaptation of 25-Question Geriatric Locomotive Function Scale were carried out, thus resulting in GLFS 25-P, whose psychometric properties were analyzed in a sample of 100 elderly subjects. Sociodemographic data on pain, falls, self-perceived health and basic and instrumental functionalities were determined. GLFS 25-P was applied three times: in one same day by two interviewers, and after 15 days, again by the first interviewer.
  
  
  RESULTS
  GLFS 25-P showed a high internal consistency value according to Cronbach's alpha coefficient (0.942), and excellent reproducibility, according to intraclass correlation, with interobserver and intraobserver values of 97.6% and 98.4%, respectively (p<0.01). Agreements for each item of the instrument were considerable (between 0.248 and 0.673), according to Kappa statistic. In its validation, according to the Pearson's coefficient, regular and good correlations were obtained for the basic (BADL) and instrumental (IADL) activities of daily living, respectively (p<0.01). Statistically significant associations with chronic pain (p<0.001), falls (p=0.02) and self-perceived health (p<0.001) were found. A multivariate analysis showed a significantly higher risk of Locomotive Syndrome in the presence of chronic pain (OR 15.92, 95% CI 3.08-82.27) and with a worse self-perceived health (OR 0.23, 95% CI 0.07-0.79).
  
  
  CONCLUSIONS
  GLFS 25-P proved to be a reliable and valid tool in Locomotive Syndrome screening for the elderly population.
authors.affiliation: Universidade Federal de São Paulo (UNIFESP), Programa de Geriatria, São Paulo, SP, Brazil. Electronic address: daniela74_tavares@hotmail.com.
authors.forename: Daniela Regina Brandão
authors.initials: DR
authors.lastname: Tavares
authors.affiliation: Universidade Federal de São Paulo (UNIFESP), Serviço de Dor e Doenças Osteoarticulares, Disciplina de Geriatria e Gerontologia (DIGG), São Paulo, SP, Brazil.
authors.forename: Fania Cristina
authors.initials: FC
authors.lastname: Santos
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001938:Brazil; D054521:Cultural Competency; D004185:Disability Evaluation; D005260:Female; D020233:Gait Disorders, Neurologic / Q000175:diagnosis* / Q000208:ethnology / Q000503:physiopathology*; D015577:Geriatric Assessment / Q000379:methods*; D006801:Humans; D008124:Locomotion / Q000502:physiology*; D008297:Male; D008875:Middle Aged; D051346:Mobility Limitation; D053580:Muscle Strength / Q000502:physiology; D004856:Postural Balance / Q000502:physiology; D011594:Psychometrics; D015203:Reproducibility of Results; D013577:Syndrome; D014175:Translating
keywords: Assessment tool; Elderly; GLFS-25; Idoso; Instrumento de avaliação; Locomotive syndrome; Síndrome locomotora