[ research report ]

BRUNA BORGES WAGECK, PT1 • MARCOS AMARAL DE NORONHA, PT, PhD1,2 • ALEXANDRE DIAS LOPES, PT, PhD3
RONALDO ALVES DA CUNHA, PT4 • RICARDO HISAYOSHI TAKAHASHI, PT5 • LEONARDO OLIVEIRA PENA COSTA, PT, PhD3

Cross-cultural Adaptation
and Measurement Properties
of the Brazilian Portuguese Version
of the Victorian Institute of Sport
Assessment-Patella (VISA-P) Scale

P
atellar tendinopathy is an injury related to structural damage
in the distal and proximal regions of the patellar tendon.22
This injury generally occurs in individuals who engage
in sports and recreational activities that require sudden
TTSTUDY DESIGN: Clinical measurement.
TTOBJECTIVES: To translate, adapt, and test the
measurement properties of the Brazilian Portu-
guese version of the Victorian Institute of Sport
Assessment-Patella (VISA-P) questionnaire.
TTBACKGROUND: It is important to objectively
measure symptoms and functional limitations
related to patellar tendinopathy using outcome
measures that have been validated in the language
of the target population. Cross-cultural adapta-
tions are also useful to enhance the understanding
of the measurement properties of an assessment
tool, regardless of the target language.
TTMETHODS: The VISA-P questionnaire was
translated into Brazilian Portuguese, culturally
adapted, and titled VISA-P Brazil. It was then
administered on 2 occasions with a 24- to 48-hour
interval between them, and a third time after a
month of physical therapy treatment. The following
measurement properties were analyzed: internal
consistency, test-retest reliability, agreement,
construct validity, floor and ceiling effects, and
responsiveness.
TTRESULTS: The VISA-P Brazil had high internal
consistency (Cronbach α = .76; if item deleted,
Cronbach α = .69-.78), excellent reliability and
agreement (intraclass correlation coefficient =
0.91; 95% confidence interval: 0.85, 0.95; standard
error of measurement, 5.2 points; minimal detect-
able change at the 90% confidence level, 12.2
points), and good construct validity (Pearson r =
0.60 compared to Lysholm). No ceiling and floor
effects were detected for the VISA-P Brazil, and the
responsiveness, based on 32 patients receiving
physical therapy intervention for 1 month, demon-
strated a large effect size of 0.97 (95% confidence
interval: 0.68, 1.25).
TTCONCLUSION: The VISA-P Brazil is a
reproducible and responsive tool and can be
used in clinical practice and research to assess
the severity of pain and disability of patients
with patellar tendinopathy. J Orthop Sports Phys
Ther 2013;43(3):163-171. Epub 14 January 2013.
doi:10.2519/jospt.2013.4287
TTKEY WORDS: Brazil, knee, patellar tendinopathy,
questionnaire, tendinopathy
acceleration and deceleration, and in ath-
letes who perform repetitive movements
such as jumping, climbing, and kicking.
These activities are known to have the po-
tential to overload the extensor apparatus
of the knee.7,22
Lian et al,13 in a study that included
612 athletes from different sports, re-
ported a prevalence of patellar tendi-
nopathy of 14.2%. This injury is twice as
prevalent in men as it is in women11 and
keeps 33% of athletes away from their
sports activities for more than 6 months,
forcing 50% of these athletes into early
retirement.2 Furthermore, it affects ap-
proximately 45% of volleyball athletes,
as this is a sport with actions that in-
volve several risk factors for patellar
tendinopathy.11
Due to the high prevalence of patellar
tendinopathy in athletes, early diagnosis
and treatment are essential to avoid ex-
tended periods away from sports activi-
ties. Clinical instruments to determine
the severity and the level of disability
resulting from patellar tendinopathy are
highly useful because they can assess the
evolution of the condition and serve as

1
Universidade do Estado de Santa Catarina, Florianópolis, Santa Catarina, Brazil. 2La Trobe Rural Health School, Bendigo, Victoria, Australia. 3Universidade da Cidade de São
Paulo, São Paulo, Brazil. 4Physical Therapy Department, Sports Orthopaedic Trauma Center, Universidade Federal de São Paulo, São Paulo, Brazil. 5Saúde Plena, São Paulo, Brazil.
The protocol for this study was approved by the Institutional Review Board at Universidade do Estado de Santa Catarina. The authors certify that they have no affiliations with or
financial involvement in any organization or entity with a direct financial interest in the subject matter or materials discussed in the manuscript. Address correspondence to Dr
Marcos Amaral de Noronha, La Trobe University, PO Box 199, Bendigo, Victoria, Australia 3552. E-mail: m.denoronha@latrobe.edu.au t Copyright ©2013 Journal of Orthopaedic
& Sports Physical Therapy

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TABLE 1 Participant Characteristics*
Patellar Pain at the Time Subgroup Receiving Treatment
of Assessment (n = 52) for Patellar Pain (n = 32)
Age, y 23.4  6.8 22.0  6.1
Gender (female), n (%) 14 (26.9%) 11 (34.4%)
VISA-P
First occasion 59.1 17.5 55.2  15.6
Second occasion 60.9  19.0 58.2  19.2
Third occasion ... 70.3  19.7
Lysholm questionnaire
First occasion 72.0  15.9 70.0  15.3
Second occasion 74.4  17.0 71.7  16.9
Third occasion ... 76.7  17.1
Abbreviation: VISA-P, Victorian Institute of Sport Assessment-Patella.
*Values are mean  SD unless otherwise indicated.
an important parameter for decisions on and disability in people with patellar ten-
return to activities and sports.6 dinopathy.7 Furthermore, the informa-
Imaging tests, such as magnetic reso- tion from this study, along with the data
nance imaging and ultrasound, are useful from previous German,14 Swedish,7 Span-
in the diagnosis of patellar tendinopathy; ish,9 and Dutch25 cross-cultural adapta-
however, although imaging technology tions of the VISA-P, may also contribute
can help to determine the severity of the to a better understanding of the measure-
injury, it must be conducted in special- ment properties of the VISA-P, regard-
ized clinics11,19,24 and is not capable of less of the language version. Therefore,
assessing pain and disability associated the objective of the present study was
with the condition. The Victorian Insti- to translate and cross-culturally adapt
tute of Sport Assessment-Patella (VISA- the VISA-P questionnaire to Brazilian
P)3 is designed to quantify the severity of Portuguese and assess its measurement
pain and disability in people with patel- properties.
lar tendinopathy and is a useful tool to
evaluate and monitor changes related to METHODS
this injury over time. The VISA-P was
T
originally developed in Australia, which he study was approved by the
has limited its application to culturally Human Research Ethics Committee
similar English-speaking countries.15 of Universidade do Estado de Santa
To be useful in other languages, this Catarina (approval number 07/2010).
questionnaire must be translated and
cross-culturally adapted to the language VISA-P Questionnaire
and culture of interest, and its measure- The VISA-P scale is an 8-item ques-
ment properties must be verified to allow tionnaire related to the symptoms and
future comparisons and inclusions with disabilities of individuals with patellar
different populations.1 Given that the tendinopathy (APPENDIX). Six of the 8
VISA-P is not available to the Brazilian questions are scored on a Likert scale,
population, its cross-cultural adaptation with scores ranging from 0 to 10, with
will provide clinical and research profes- 10 representing no pain or disability and
sionals in Brazil and other Portuguese- 0 representing maximum severity of the
speaking countries a valuable, low-cost disease. Question number 7 is a Likert-
tool for quantifying the severity of pain type question with 4 possible answers (0,
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]
4, 7, or 10). The eighth and final question
is divided into 3 response categories, only
1 of which may be answered (8A, 8B, or
8C), depending on the perception of pain
during sports activities, with scores rang-
ing from 0 to 30 points. The total score
on the VISA-P, which represents the se-
verity of the respondent’s condition in
numerical terms, ranges from 0 to 100
points, with a maximum score indicating
the absence of symptoms and disability.23
Translation Procedure
The translation of the VISA-P question-
naire for patellar tendinopathy followed
the methods described by Beaton et
al.1 This procedure has been frequently
used in other cross-cultural adaptations
of questionnaires into Portuguese.2,4,16
First, 2 translators translated the VISA-P
independently from English into Brazil-
ian Portuguese. The separate translations
were later compared and consolidated
into a consensus version of the question-
naire. A back-translation from Brazil-
ian Portuguese into English was then
performed independently by 2 different
translators, who compared their work
and reached consensus on an English
version of the VISA-P. A specialist com-
mittee audited all of the translations,
compared them, and discussed them
with the translators to resolve any dis-
crepancies and to develop a final version
of the VISA-P to be tested in Brazil, titled
VISA-P Brazil (APPENDIX). After consider-
ation, the specialist committee decided to
include an illustration of the lunge exer-
cise, as the term lunge is not used often
among health professionals in Brazil and
a lack of understanding of the term could
affect scores on the questionnaire. The in-
clusion of the illustration was intended to
ensure that respondents fully understood
the question. The committee also initially
decided to include the option “not appli-
cable” to question 7, to account for those
respondents who did not perform regular
physical activity, which was scored as 0
points, as was the option “no.” The option
“not applicable” was then later removed
from the VISA-P Brazil.
2/20/2013 3:15:34 PM
 Participants
The VISA-P Brazil was administered
to 52 participants (38 males and 14 fe-
males; mean  SD age, 23.4  6.8 years)
with patellar tendinopathy, who were re-
cruited through rehabilitation clinics and
sports clubs (TABLE 1). Patellar tendinopa-
thy was defined by the presence of patel-
lar pain during palpation and during the
squat test,8,13 regardless of whether the
individual was undergoing treatment for
this condition. To take part in the study,
the participant had to be between 16 and
50 years of age and able to read and write
in Portuguese.
Measurement Properties
The individuals or legal guardians who
agreed to participate in the study and
met the inclusion criteria signed a con-
sent form after receiving an explanation
of the study’s objectives and procedures.
Six physical therapists assisted in data
collection. After the participants received
a brief explanation of the questionnaire,
the questionnaire was self-administered
on 2 occasions, with a 24- to 48-hour in-
terval between them. Participants were
free to ask questions, if necessary, when
completing the questionnaire. The 24-
to 48-hour interval was chosen because
significant changes in clinical status that
could have influenced responses were un-
likely to occur in this short a time. A sub-
group undergoing treatment for patellar
tendinopathy completed the question-
naire on a third occasion 30 days later.
We recorded the score for the VISA-P
Brazil and for the Portuguese version of
the Lysholm questionnaire for later anal-
ysis. The Lysholm questionnaire18 was se-
lected to assess construct validity because
it has been validated in Brazil and assess-
es the symptoms and function of the knee
joint; however, it is not specific for detect-
ing or monitoring patellar tendinopathy.
We found no validated instruments in the
Portuguese language that were designed
to evaluate patellar tendinopathy. The
Lysholm questionnaire18 is composed of 8
closed-ended questions, and the final re-
sult is expressed in nominal and ordinal
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43-03 Wageck.indd 165
scores (excellent, 95 to 100 points; good,
84 to 94 points; regular, 65 to 83 points;
poor, 64 or fewer points). This question-
naire was translated into Portuguese and
validated in 2006.18
Internal Consistency Internal consis-
tency was assessed using the Cronbach
alpha. This test indicates the level of ho-
mogeneity between items within an in-
strument (or its subscales). We used the
test “Cronbach alpha if item deleted” to
verify Cronbach alpha with the exclusion
of each of the questions, 1 at a time. This
process is useful to determine whether a
specific question affects the consistency
of the instrument. A low Cronbach alpha
indicates low correlation between items
designed to measure the same construct,
whereas a very high Cronbach alpha in-
dicates redundancy between 1 or more
items. The recommended value for Cron-
bach alpha is between .70 and .95.21
Test-Retest Reliability Reliability can
be defined as the instrument’s ability to
distinguish variation in measurements
between testing occasions under stable
conditions. For this analysis, all partici-
pants completed the questionnaire on 2
occasions, with a 24- to 48-hour interval
between them. Test-retest reliability was
assessed using intraclass correlation co-
efficients (ICC2,1). The minimum value
recommended for this measurement
property is 0.70.20,21
Agreement This property was assessed
using both the standard error of mea-
surement (SEM) and minimal detect-
able change at the 90% confidence level
(MDC90). The SEM reflects the error of
the instrument itself and is calculated by
using the standard deviation of the dif-
ference between the first and the second
measurements, divided by the square
root of 2 (SD difference/√2). The MDC90
was calculated using the formula 1.645
× √2 × SEM. MDC90 refers to the mini-
mal amount of change in score between
2 testing occasions necessary to exceed
error margins with a predefined level of
confidence (the level of confidence cho-
sen for this study was 90%). Both the
SEM and MDC90 are expressed in the
units of measurement.5,21
Construct Validity Construct validity
refers to “the extent to which scores on
a particular instrument relate to other
measures in a manner that is consistent
with theoretically derived hypotheses
concerning the concepts that are being
measured.”21 The relationship between
the VISA-P Brazil and the Brazilian ver-
sion of the Lysholm questionnaire was
analyzed using the Pearson correlation.
Because these questionnaires assess
similar (but not identical) constructs, a
positive correlation of at least moderate
strength was expected (r0.5).12,21 We
used only the results from the initial as-
sessment for this analysis.
Ceiling and Floor Effects Ceiling and
floor effects are limitations of an instru-
ment’s ability to assess the entire spec-
trum of a condition’s severity with the
items it contains. For example, the VISA-
P questionnaire would be considered to
have a floor effect if more than 15% of re-
spondents scored the minimum possible
score, meaning that these participants
(over 15%) would have the most severe
form of patellar tendinopathy, leading to
absolute maximum pain and disability.
Because it is unlikely that more than 15%
of participants in a study would have the
worst possible score, it is more likely that
this represents a limitation of the ques-
tionnaire to detect the entire spectrum of
severity of the condition in question.15,21
The ceiling effect follows the same ratio-
nale: if more than 15% of respondents
with patellar tendinopathy had a maxi-
mum score of 100, it would suggest that
they had no pain and disability, despite
their clinical condition.
Responsiveness This measurement de-
termines whether the instrument can
detect clinical changes, however slight,
over time. It was assessed through the
response of a subgroup of 32 participants
diagnosed with patellar tendinopathy
who underwent varied physical therapy
treatments that were not controlled by
the researchers. This subgroup answered
the questionnaires a third time, 4 weeks
after the initial testing. Effect sizes were
2/20/2013 3:15:36 PM
 [ research report
determined by calculating the differences
in the means of baseline and follow-up
data, divided by the standard deviation
at baseline.10 Effect sizes are expressed as
units of standard deviation at baseline. A
value of 0.20 or less represents a change
of approximately 20% of the baseline
standard deviation and is considered
small. A value of 0.50 is considered mod-
erate, whereas a value of 0.80 or greater
is viewed as large.10
RESULTS
A
total of 52 participants with
patellar tendinopathy completed
the VISA-P Brazil questionnaire
on the first and second occasions (24 to
48 hours apart). Of these, 32 were receiv-
ing treatment for patellar tendinopathy
and also completed the questionnaire 1
month after the first assessment.
Internal Consistency
The Cronbach alpha for internal consis-
tency was .76, and the Cronbach alpha if
item deleted (for each question) varied
from .69 to .78.
Test-Retest Reliability
The ICC2,1 was 0.91, with a 95% confidence
interval (CI) of 0.85 to 0.95 (TABLE 2).
Agreement
The SEM was 5.2 points and the MDC90
was 12.2 points.
Construct Validity
The level of association between the
VISA-P Brazil and Lysholm question-
naires was 0.60 (TABLE 2).
Ceiling and Floor Effects
No ceiling or floor effects were found, as
only 4% of the participants scored the
maximum or minimum possible score
(TABLE 2), which is less than the 15%
threshold typically used to indicate ceil-
ing and floor effects.
Responsiveness
Data on the 32 participants who received
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43-03 Wageck.indd 166
Summary of Measurement Properties
TABLE 2
of the VISA-P Brazil Questionnaire
Measurement Property
Internal consistency
Cronbach alpha
Alpha if item deleted (range)
Test-retest reliability
ICC2,1
Construct validity
Pearson r, using Lysholm as comparison
Agreement
Standard error of measurement
Minimal detectable change at 90% confidence level
Ceiling and floor effects
Percent of patients with maximum or minimum scores
Responsiveness
Effect size, VISA-P
Effect size, Lysholm
Abbreviations: ICC, intraclass correlation coefficient; VISA-P, Victorian Institute of Sport
Assessment-Patella.
*95% confidence interval.
physical therapy treatment for 1 month
indicated an effect size of 0.97 (95% CI:
0.68, 1.25) for the VISA-P and 0.44 (95%
CI: 0.14, 0.73) for the Lysholm question-
naire (TABLE 2).
DISCUSSION
T
he present study aimed to
translate the VISA-P questionnaire
into Brazilian Portuguese, as well as
to test its measurement properties. Our
results showed that the VISA-P Brazil
has good measurement properties, high
reliability, and appropriate construct va-
lidity, and can be used in Brazil to evalu-
ate and monitor changes over time in
patients with patellar tendinopathy. The
instrument showed equivalence to the
English version and was more responsive
than the Lysholm scale in both the Eng-
lish and Brazilian Portuguese versions.
The internal consistency analysis using
Cronbach alpha showed the VISA-P Bra-
zil to be within the recommended range of
values (.70-.95),21 meaning that the items
of the questionnaire are homogeneous
while nonredundant. In the analysis of
]
 
Result
0.76
0.69-0.78
0.91 (0.85, 0.95)*
0.60
5.2 points
12.2 points
4% with minimum, 4% with maximum score
0.97 (0.68, 1.25)*
0.44 (0.14, 0.73)*
the influence of the exclusion of each of
the questions (alpha if item deleted), we
observed that the absence of questions 1
and 7 caused a slight increase in the value
of Cronbach alpha (.78 and .77, respec-
tively), suggesting that these questions
could be reformulated to improve com-
prehension of the questionnaire. Howev-
er, this increase was insignificant, because
the value was within the recommended
interval. Interestingly, the original version
of the VISA-P was not assessed in terms
of internal consistency, but validations of
this questionnaire in other languages had
high Cronbach alpha values.7,14,25 This ac-
ceptable internal consistency across dif-
ferent cultures may be an indication that
the original VISA-P is well formulated
and also has good internal consistency.
The German version (Cronbach α = .88)14
and the Swedish version (Cronbach α =
.83)7 had higher internal consistency
than the Brazilian version; however, they
are all well within the range considered
acceptable. Overall, there seems to be a
confirmation among the different ver-
sions that the VISA-P is well designed to
address a single construct.
2/20/2013 3:15:37 PM
 Test-retest of the VISA-P Brazil ques-
tionnaire within 24 to 48 hours yielded
an ICC of 0.91 (95% CI: 0.85, 0.95),
which indicates the high reliability of the
instrument.21 The original version23 of
the VISA-P did not include this analysis;
however, high reliability was found for
the versions from Sweden (ICC = 0.97),7
Germany (ICC = 0.87),14 the Netherlands
(ICC = 0.74),25 and Spain (ICC = 0.99;
95% CI: 0.992, 0.996).9 The level of
agreement for the VISA-P Brazil may be
considered excellent, with a SEM value
of 5.2 points, which represents a small
portion of the 0- to 100-point scale.17
Accordingly, the MDC90 was 12.2 points,
which means that a change of at least 12.2
points is needed, on a scale of 100 points,
to be confident that this change is not due
to random measurement error.
In the assessment of the correlation
between the VISA-P Brazil and the Bra-
zilian version of the Lysholm question-
naire, Pearson r was 0.60, which was
expected, because these 2 questionnaires
do not have the same construct. Accord-
ing to Terwee et al,21 the recommended
level of agreement between question-
naires should be greater than 0.70 when
they are of the same construct, but lower
levels of agreement are allowed for ques-
tionnaires with similar but different con-
structs. Therefore, considering that the
Lysholm questionnaire was developed
as a region-specific questionnaire to as-
sess symptoms and function for differ-
ent knee conditions, and the VISA-P was
developed as a condition-specific ques-
tionnaire to assess symptoms related to
patellar tendinopathy, the moderate level
of correlation between these 2 instru-
ments is expected. Construct validity for
the German version of the VISA-P was
assessed using the Blazina classification
system for patellar tendinopathy, whereas
the Spanish version was assessed using 3
different tools: the Medical Outcomes
Study 36-Item Short-Form Health Sur-
vey, the Kujala Scoring Questionnaire,
and the Cincinnati Knee Rating System.
In general, the results of the present
study, combined with those of previ-
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43-03 Wageck.indd 167
ous studies, lead to the conclusion that
the VISA-P has a well-defined objective,
given its acceptable construct validity. 9,14
It also gives us a good indication that the
characteristics of participants in Brazil
and other countries where the VISA-P
has been tested are reasonably similar,
as the VISA-P performed well in differ-
ent countries/cultures.7,9,14,25 Addition-
ally, it is clear that this is a questionnaire
with different characteristics from others
that assess changes related to other knee
conditions.
In the assessment of the presence of
ceiling and floor effects, we found that
the number of participants who scored
the maximum and minimum values on
the questionnaire was well below the 15%
threshold. This suggests that the VISA-P
Brazil is an appropriate tool for individu-
als with the full spectrum of severity of
patellar tendinopathy. The responsive-
ness analysis further corroborated the
absence of ceiling and floor effects. The
VISA-P Brazil had an effect size of 0.97
(95% CI: 0.68, 1.25), similar to the Span-
ish version of the VISA-P (standardized
effect size = 1.15), the only previous study
that tested this property.9 These results
show that the Brazilian and Spanish ver-
sions of the VISA-P are responsive to
clinical changes and could potentially be
used to monitor changes in symptoms
over time and for specific interventions,21
providing clinicians and researchers
with a quick and affordable tool for that
purpose.
During the translation process of the
VISA-P questionnaire, we included the
alternative answer “not applicable” for
the seventh question. This alternative
was included because, at first, we con-
sidered the possibility of using the ques-
tionnaire to assess patellar tendinopathy
in individuals not engaged in regular
physical activity. The present study used
a sample of people who regularly prac-
ticed physical activity; therefore, the op-
tion “not applicable” was only marked 3
times for the entire sample. Although the
option “not applicable” was useful during
the measurement property testing of the
instrument, as it helped us to confirm
that this questionnaire should be used
only in a population with patellar tendi-
nopathy, this option was not consistent
with the original version. Therefore, it
was not included in the instrument to be
used in clinical practice.
CONCLUSION
B
ased on the results obtained in
the assessments of the measurement
properties of the VISA-P Brazil, we
can conclude that the questionnaire is re-
liable and reproducible, and that it can be
used in clinical practice and in research to
evaluate the severity of pain and disability
in people with patellar tendinopathy. t
KEY POINTS
FINDINGS: This study demonstrated that
the VISA-P has high reliability, ap-
propriate construct validity, and high
responsiveness. Furthermore, the trans-
lation process and measurement prop-
erties demonstrated equivalence with
the English version, suggesting that its
measurement properties are very good
across different languages and cultures.
IMPLICATIONS: The VISA-P Brazil can be
used by clinicians and researchers who
need to assess severity of pain and dis-
ability in Brazilian Portuguese speakers
with patellar tendinopathy. The results
from these assessments can be compared
to the results of the assessments per-
formed in other languages in which the
VISA-P is available (English, German,
Dutch, Italian, Swedish, and Spanish).
CAUTION: The VISA-P Brazil is a ques-
tionnaire designed to assess physically
active people; therefore, the results of its
application to other populations should
be interpreted with caution.
ACKNOWLEDGEMENTS: The authors would like
to acknowledge Lailah Fernandes de Noronha,
Rafael Marinho, Lucíola Menezes Costa,
Guilherme Silva Nunes, Aridone Borgonovo,
Fabrício Biscaro, Ricardo Burigo, and Carlos
Alberto Pierri for their participation in the
translation and recruitment of participants.
2/20/2013 3:15:38 PM
 [ research report
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 APPENDIX

VISA-P BRAZIL
1. Por quantos minutos você consegue ficar sentado sem dor?

0 minuto 100 minutos

0 1 2 3 4 5 6 7 8 9 10
Pontos ____

2. Você sente dor ao descer escadas num ritmo de marcha normal?

dor forte ou severa sem dor

0 1 2 3 4 5 6 7 8 9 10
Pontos ____

3. Você sente dor no joelho quando o estende totalmente de forma ativa e com apoio de peso?

dor forte ou severa sem dor

0 1 2 3 4 5 6 7 8 9 10
Pontos ____

4. Você sente dor quando faz o exercício afundo* com apoio de peso total?

dor forte ou severa sem dor

0 1 2 3 4 5 6 7 8 9 10
Pontos ____

exercício afundo

5. Você tem problemas ao agachar?

incapaz sem problemas

0 1 2 3 4 5 6 7 8 9 10
Pontos ____

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 [ research report ]
APPENDIX

6. Você sente dor durante ou imediatamente após saltitar 10 vezes em uma perna só?

dor forte ou sem dor

severa/incapaz
0 1 2 3 4 5 6 7 8 9 10
Pontos ____

7. Atualmente, você está praticando algum esporte ou outro tipo de atividade física?

0 Não

4 treinamento e/ou competição com restrições

7 treinamento sem restrição mas não competindo no mesmo nível anterior ao início dos sintomas

10 competindo no mesmo nível ou nível mais alto do que quando os sintomas começaram

Pontos ____

8. P
 or favor, complete somente uma das questões, A, B ou C, conforme a explicação abaixo.
• Se você não sente dor ao praticar esportes, por favor, responda somente a questão 8A.
• Se você sente dor ao praticar algum esporte, mas esta dor não o impede de praticar a atividade esportiva, por favor, responda somente
a questão 8B.
• Se você sente dor que o impede de praticar atividades esportivas, responda somente a questão 8C.

8A. Se você não sente dor ao praticar esporte, por quanto tempo você consegue treinar/praticar?

Não consigo
treinar/praticar 0-5 minutos 6-10 minutos 11-15 minutos mais de 15 minutos

0 7 14 21 30
Pontos ____

OU
8B. S
 e você sente dor ao praticar esporte, mas a dor não o impede de completar/praticar a atividade esportiva, por quanto tempo você consegue
treinar/praticar?

Não consigo treinar/

praticar 0-5 minutos 6-10 minutos 11-15 minutos mais de 15 minutos

0 4 10 14 20
Pontos ____

170  |  march 2013  |  volume 43  |  number 3  |  journal of orthopaedic & sports physical therapy

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 APPENDIX

OU
8C. Se você sente dor que o impede de completar o seu treinamento/prática esportiva, por quanto tempo você consegue treinar/praticar?

Não consigo treinar/

praticar 0-5 minutos 6-10 minutos 11-15 minutos mais de 15 minutos

0 2 5 7 10
Pontos ____

PONTUAÇÃO FINAL VISA-P Brasil

Nome_______________________________________________________________

Idade_ ________________________________

Telefone_ ______________________________

Histórico de lesão em membros inferiores______________________________________________________________________________

_____________________________________________________________________________________________________________

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