Yeung Polina L C, Chiu Thomas T W, Leung Arran S L
Department of Physiotherapy, Prince of Wales Hospital, Shatin, Hong Kong.
Head Neck. 2004 Dec;26(12):1031-7. doi: 10.1002/hed.20102.
No available measure exists for postirradiation neck disability. Adoption of the Chinese Northwick Park Neck Pain Questionnaire (NPQ) for patients with postirradiation neck disability was examined in this study.
Eight physiotherapists and five patients were invited to test the validity of the content. Forty-three patients with neck disability were recruited to evaluate test-retest reliability and internal consistency. The level of neck discomfort, range of neck motion and maximal isometric neck muscle strength, and SF-36 health score were measured for construct validity testing.
The questionnaire had good content validity, a high degree of test-retest reliability, internal consistency (intraclass correlation coefficient [ICC], 0.94; Cronbach's alpha, 0.88), and good construct validity. NPQ correlated significantly with most of the subscores of SF-36 (r(s), -0.43 to - 0.71) and numeric rating scale (r(s) = 0.69).
The modified Chinese NPQ was found to be reliable and valid for the evaluation of postirradiation neck disability.
目前尚无针对放疗后颈部功能障碍的可用测量方法。本研究对中国版诺思威克公园颈部疼痛问卷（NPQ）用于放疗后颈部功能障碍患者的情况进行了检验。
邀请了8名物理治疗师和5名患者测试内容效度。招募了43名颈部功能障碍患者以评估重测信度和内部一致性。测量颈部不适程度、颈部活动范围和颈部肌肉最大等长肌力，以及SF-36健康评分以进行结构效度测试。
该问卷具有良好的内容效度、高度的重测信度、内部一致性（组内相关系数[ICC]，0.94；克朗巴哈系数，0.88）和良好的结构效度。NPQ与SF-36的大多数子评分（r(s)，-0.43至-0.71）和数字评分量表（r(s)=0.69）显著相关。
发现改良后的中国版NPQ对于评估放疗后颈部功能障碍是可靠且有效的。
