Translation and cross-cultural adaptation of the Brazilian version of the Boston Residue and Clearance Scale (BR-BRACS).
Giulia Beatriz Pozena Scaranelo, Suely Mayumi Motonaga Onofri, Leandro de Araújo Pernambuco and 1 others
PMID 40767673WHAT IT FOUND
The Boston Residue and Clearance Scale is now available in Brazilian Portuguese with validated images for FEES.
Judges agreed almost perfectly on the selected images, though static views of the postcricoid region remained difficult to classify.
Key findings
01The scale was successfully translated and adapted for Brazilian Portuguese, with discrepancies resolved through consensus.
02Images selected to represent pharyngeal residue locations showed almost perfect agreement among expert judges.
03Static images for certain regions, particularly the postcricoid, presented classification challenges for judges.
STILL TO COME
How it was doneWhat they foundWhat it means for SLPs
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What it does not show
The study only validated the content of the images and the translation; it did not test the scale's reliability or validity in a clinical sample. The image selection was based on a single author's review of 50 exams, which may introduce bias. Static images cannot fully capture the dynamic nature of swallowing, leading to inherent classification difficulties for certain anatomical regions.
Declared interests
The study was funded by CAPES, a Brazilian public research funding agency. The authors declared no conflicts of interest.
The easy way to misread this
Do not assume this paper proves the BR-BRACS is clinically reliable or valid for predicting outcomes. It only confirms that the translation is accurate and the selected images are representative according to expert judges; further studies are needed to establish its diagnostic accuracy.