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February 6, 2026Arquivos de Neuro-Psiquiatria0 citationsOpen Access

Brazilian version of the Fear of Falls Scale: translation, cross-cultural adaptation and validation

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CACarla Marineli Saraiva do AmaralUniversidade Federal do CearáAGA. da S. GomesHospital Geral de FortalezaRSRafael Barbosa Mokdeci SurerusUniversidade Federal de Juiz de Fora

Key Points

  • The study aims to translate, adapt, and validate the Fear of Falls Scale for Brazilian Portuguese speakers with Parkinson's disease.
  • Conducted a multicenter, cross-sectional study with patients fluent in Brazilian Portuguese.
  • Performed descriptive analysis to characterize the sample and compare data.
  • Used Cronbach's α and McDonald's ω coefficients to evaluate internal consistency.
  • Significant correlation between MDS-UPDRS part III and motor skills (rho = 0.56; p ≤ 0.001).
  • Higher stages on the Hoehn & Yahr scale linked to greater motor skills decline and fear of falling (p < 0.001).
  • The Brazilian FFS showed high internal consistency with Cronbach's α values ranging from 0.90 to 0.96.

Abstract

Abstract Fear of falling can be present in the daily lives of patients with Parkinson's disease (PD) due to their predisposition to falls. The main objective of this study was to translate the Fear of Falls Scale (FFS) into Brazilian Portuguese, adapt it cross-culturally, and validate it. A multicenter, cross-sectional study was conducted with PD patients fluent in Brazilian Portuguese, recruited from five research centers in Brazil. Descriptive analysis characterized the sample and compared the data. Cronbach's α and McDonald's ω coefficients were used to assess the internal consistency of the scale. No significant differences were observed between the translated versions T1 and T2. The B1 and B2 versions did not present significant divergences in the back-translation from the original scale. The Movement Disorder Society – Unified Parkinson Disease Rating Scale (MDS-UPDRS) part III significantly correlated with motor skills (rho = 0.56, 0.43–0.67; p ≤ 0.001) and fear of falling (rho = 0.48, 0.34–0.60; p ≤ 0.001). Higher stages on the modified Hoehn while McDonald's ω values were 0.96, 0.92, and 0.91, respectively. The Brazilian version of the FFS proved to be valid and reliable for assessing fear of falling in people with PD.

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Cite This Study

Amaral et al. (2026) studied this question.

synapsesocial.com/papers/698585bd8f7c464f2300964bhttps://doi.org/10.1055/s-0045-1815738
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