PTOTOtherJMIR rehabilitation and assistive technologies2026

Linguistic Validation and Cross-Cultural Adaptation of the Shoulder Telehealth Assessment Tool for Filipino Patients with Musculoskeletal Shoulder Condition: Cross-Sectional Study.

Jeffrey Arboleda, Sharon Ignacio, Jose Alvin Mojica and 1 others

PMID 41557936

WHAT IT FOUND

The Filipino shoulder telehealth questionnaire was understood well for pain and range of motion, but strength items were hard to use.

Pictures improved performance, yet the tool should still be confirmed by a clinician and not replace in-person assessment.

Key findings

01Expert reviewers gave agreement scores of 0.97 and 0.80 for the translated items.

02Pictorial guides helped more participants perform special tests correctly, increasing correct performance from 34 to 39 participants.

03Without pictorial guides, more than half of the pilot participants could not perform all strength items.

STILL TO COME

How it was doneWhat they foundWhat it means for PTsWhat it means for OTs

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What it does not show

The study tested translation, expert agreement, and user understanding; it did not compare Filipino STAT results with in-person shoulder examination or imaging. The pilot analysed 46 participants and the pretest had 12, so the findings may not apply to other Filipino populations or settings. Participants needed stable internet and a device with video call capacity, so patients with poorer access were not represented. Each item was tried twice, with and without pictures, which may have made the consultation longer and harder than routine use. Strength items were poorly understood, and some participants made compensatory movements but still reported that they could complete the task. The research team and clinical experts were physiatrists, so the validation was done mainly by one profession.

Declared interests

The supplied text does not state a funding source or authors' conflict-of-interest declaration. Translators, recording observers, and a Filipino teacher were paid Philippine ₱1000 each; phase 2 participants were paid Philippine ₱200; clinical experts were not paid.

The easy way to misread this

Do not conclude that the Filipino STAT can replace an in-person shoulder examination or diagnose shoulder pathology. The study tested translation and understandability, not accuracy against clinical examination, and the authors state it should only aid clinicians.

Summarised by AI from the full paper, without a clinician reviewing it. Check it against the source before it changes what you do. Read it on PubMed →