THE UNITÉ RHUMATOLOGIQUE DES AFFECTIONS DE LA MAIN (URAM): TRANSLATION INTO PORTUGUESE, CULTURAL ADAPTATION AND VALIDATION.

OBJECTIVE

To translate and culturally adapt the Unité Rhumatologique des Affections de la Main (URAM) scale, a specific instrument for functional assessment in Dupuytren's disease (DD), into Brazilian Portuguese.

METHODS

Following the methodology of Beaton (2000), the scale underwent five stages: translation, synthesis, back-translation, expert committee, and pre-testing. After adaptation, the Brazilian version of the scale (URAM-BR) was administered to 40 patients with Dupuytren's contracture. Internal consistency was tested using Cronbach's alpha, reproducibility was analyzed using the intraclass correlation coefficient (ICC), and construct validity was analyzed by correlation with the Brazilian version of QuickDASH.

RESULTS

The URAM-BR showed excellent internal consistency (α = 0.930-0.938), significant reproducibility (ICC > 0.89), and moderate-to-strong construct validity (r = 0.69, p < 0.001). The adapted version proved to be clear, reliable, and appropriate to the Brazilian cultural context.

CONCLUSION

The URAM-BR is a valid, reliable, and reproducible instrument for functional assessment of patients with DD in Brazil. Level of evidence IV; Observational cross-sectional instrument validation study.