{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,26]],"date-time":"2026-01-26T09:18:09Z","timestamp":1769419089148,"version":"3.49.0"},"reference-count":28,"publisher":"Georg Thieme Verlag KG","issue":"01","license":[{"start":{"date-parts":[[2026,1,25]],"date-time":"2026-01-25T00:00:00Z","timestamp":1769299200000},"content-version":"vor","delay-in-days":24,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arq Neuropsiquiatr"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>The Activity Limitation Measure (ACTIVLIM) is a self-reported instrument consisting of 22 daily activity items graded on 3 levels (easy, difficult, or impossible).<\/jats:p>\n                  <jats:p>To translate, culturally adapt, and validate the Brazilian Portuguese version of the ACTIVLIM for individuals with neuromuscular disorders.<\/jats:p>\n                  <jats:p>The present was a cross-sectional observational study. The translation process followed standardized guidelines, including steps such as forward translation, synthesis, back-translation, expert committee review, and pretesting (psychometric analysis). A total of 268 individuals with neuromuscular disorders filled out the Brazilian ACTIVLIM. Test-retest reliability was assessed in a subgroup of 60 participants, who were evaluated twice by the same physiotherapist with an interval of one month.<\/jats:p>\n                  <jats:p>The intraclass correlation coefficient (ICC) for intrarater reliability was of 0.95. Internal consistency was high (Cronbach's alpha\u2009=\u20090.940). External validity showed strong correlations involving ACTIVLIM scores and the scores on the Vignos scale (r\u2009=\u2009\u22120.907), the Brooke scale (r\u2009=\u2009\u22120.908), and the Functional Independence Measure (r\u2009=\u20090.864), all with p\u2009&lt;\u20090.001. Proximal muscle strength in the upper (r\u2009=\u20090.748) and lower limbs (r\u2009=\u20090.793), measured through the Medical Research Council scale, also correlated significantly with ACTIVLIM scores. Linear regression identified that the scores on the Vignos (R2\u2009=\u20090.8236), and Brooke scales (R2\u2009=\u20090.8132), as well as proximal muscle strength in the lower (R2\u2009=\u20090.6480) and upper limbs (R2\u2009=\u20090.5805), were the main predictors of ACTIVLIM variance.<\/jats:p>\n                  <jats:p>The Brazilian Portuguese version of the ACTIVLIM demonstrated strong reliability and validity. Its scores were significantly associated with disability level, functional independence, and muscle strength in individuals with neuromuscular disorders.<\/jats:p>","DOI":"10.1055\/s-0045-1814398","type":"journal-article","created":{"date-parts":[[2026,1,25]],"date-time":"2026-01-25T23:30:22Z","timestamp":1769383822000},"page":"001-008","source":"Crossref","is-referenced-by-count":0,"title":["Brazilian version of the ACTIVLIM: translation, cultural adaptation, and validation for neuromuscular disorders"],"prefix":"10.1055","volume":"84","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8170-7766","authenticated-orcid":false,"given":"Ana Carolina Costa","family":"Santos","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo, Faculdade de Medicina, Departamento de Neurologia, S\u00e3o Paulo SP, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6444-8723","authenticated-orcid":false,"given":"Daniela Melo de","family":"Almeida","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo, Faculdade de Medicina, Departamento de Neurologia, S\u00e3o Paulo SP, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4663-7878","authenticated-orcid":false,"given":"Nathalia de Brito","family":"Pereira","sequence":"additional","affiliation":[{"name":"Pontif\u00edcia Universidade Cat\u00f3lica de S\u00e3o Paulo, Faculdade de Ci\u00eancias Humanas e da Sa\u00fade, Curso de Fisioterapia, S\u00e3o Paulo SP, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5792-5878","authenticated-orcid":false,"given":"Andr\u00e9 Macedo Serafim","family":"Silva","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo, Faculdade de Medicina, Departamento de Neurologia, S\u00e3o Paulo SP, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4991-6760","authenticated-orcid":false,"given":"Edmar","family":"Zanoteli","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo, Faculdade de Medicina, Departamento de Neurologia, S\u00e3o Paulo SP, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6252-7287","authenticated-orcid":false,"given":"Mariana Callil","family":"Voos","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo, Faculdade de Medicina, Departamento de Neurologia, S\u00e3o Paulo SP, Brazil."},{"name":"Pontif\u00edcia Universidade Cat\u00f3lica de S\u00e3o Paulo, Faculdade de Ci\u00eancias Humanas e da Sa\u00fade, Curso de Fisioterapia, S\u00e3o Paulo SP, 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