Cross-Cultural Adaptation and Validation of Hindi Version of Freezing of Gait-Questionnaire

Freezing of gait is a debilitating symptom in individuals with Parkinson's disease that has a negative influence on the quality of life. In order to evaluate this debilitating symptom, patient-reported evaluation tools are required. Freezing of Gait-Questionnaire (FOG-Q) is the only valid and reliable subjective assessment tool for assessing freezing of gait severity. So, a Hindi version is required for usage in the Hindi-speaking population. The aim of this study was to cross-culturally adapt and validate the Hindi version of the Freezing of Gait-Questionnaire (HFOG-Q).
The translation was done according to Beaton guidelines. 32 Hindi speaking individuals with Parkinson’s disease were assessed using the HFOG-Q, Movement Disorder Society-Unified Parkinson’s Disease Rating Scale (MDS-UPDRS) I, II, and III, Fall efficacy scale (FES) & Hoehn and Yahr Staging.
32 patients (mean age 67.09 ± 6.93; 50% women) with PD were assessed with mean length of disease duration of 8.21 ± 4.6 years. The median of the H&Y stage was 3. HFOG-Q score was moderate to well associate with H&Y stage, MDS UPDRS item 2.13 (Freezing), item 3.10 (Gait), item 3.11 (Freezing of Gait), FES Score, MDS UPDRS I, MDS UPDRS II (ρ = 0.52-0.66). There is a highly strong relationship between HFOG-Q and MDS UPDRS part III (ρ = 0.71). A significant fair correlation between the HFOG-Q with PD duration and item 2.12 of MDS UPDRS (ρ = 0.33-0.45) was found.
HFOG-Q is a valid tool for assessing FOG in Hindi-speaking populations individuals with Parkinson’s disease.

步行冻结是帕金森病患者的一种致残症状，对生活质量产生负面影响。为了评估这一致残症状，需要患者报告的评价工具。步行冻结问卷（FOG-Q）是评估步行冻结严重程度的唯一有效且可靠的主观评估工具。因此，需要为使用印度语人群开发其版本。本研究旨在跨文化改编并验证步行冻结问卷（HFOG-Q）的印度语版本。翻译工作遵循了Beaton指南。对32名帕金森病患者进行了HFOG-Q、运动障碍协会统一帕金森病评分量表（MDS-UPDRS）I、II和III、跌倒效能量表（FES）及Hoehn和Yahr分期法的评估。32名帕金森病患者（平均年龄67.09±6.93岁，女性占50%，平均疾病持续时间为8.21±4.6年。H&Y分期中位数为3。HFOG-Q评分与H&Y分期、MDS UPDRS项目2.13（冻结）、项目3.10（步态）、项目3.11（步行冻结）、FES评分、MDS UPDRS I、MDS UPDRS II（ρ=0.52-0.66）具有中等到良好的相关性。HFOG-Q与MDS UPDRS第三部分之间存在高度强相关（ρ=0.71）。HFOG-Q与帕金森病病程及MDS UPDRS项目2.12之间发现显著且中等的相关性（ρ=0.33-0.45）。HFOG-Q是评估印度语人群帕金森病患者步行冻结的有效工具。