Grotle Margaret, Brox Jens I, Vøllestad Nina K
Section for Health Science, University of Oslo, Oslo, Norway.
Spine (Phila Pa 1976). 2005 Jan 1;30(1):130-40.
A systematic literature review of outcome questionnaires designed for assessing functional status or disability in patients with low back pain.
To provide a comprehensive overview of all functioning/disability questionnaires used in recent years and to explore how the main concept(s) was described or defined in the original paper, the content or the domains of disability, and the measurement properties of the questionnaires.
A number of clinical tools designed for evaluating the functional status of patients with low back pain have been developed. Only a few have been reviewed earlier, and there has been little focus on the content reflected in the questionnaires.
Papers including questionnaires for assessing disability, function, activity limitations, or participation restrictions in adult patients with low back pain were searched in the MEDLINE and CINAHL databases for the period from January 1996 to January 2002. Two independent and blinded researchers read and selected abstracts and questionnaires. The content of the included questionnaires was classified according to World Health Organization's International Classification of Functioning, Disability and Health. The measurement properties were analyzed according to recommended guidelines.
A total of 36 back-specific questionnaires were identified. When distinguishing among a bodily, personal, and social perspective of functioning, 4 main types of content were identified. Most of the outcome questionnaires had a mixed content reflecting various constructs such as pain and symptoms, sleep disturbances, psychological dysfunctions, physical impairments, and social functions. Nine questionnaires assessed solely activities of daily living. For one-third of the questionnaires, the measurement properties were reported in only the original study.
Although most questionnaires had their main focus on activity limitations, a considerable variation with respect to the main concept and content was found. Only a few of the questionnaires can be considered acceptably validated.
对旨在评估腰痛患者功能状态或残疾情况的结局问卷进行系统的文献综述。
全面概述近年来使用的所有功能/残疾问卷，并探讨原始论文中主要概念是如何描述或定义的、残疾的内容或领域以及问卷的测量属性。
已开发出多种用于评估腰痛患者功能状态的临床工具。此前仅有少数工具得到综述，且很少关注问卷中所反映的内容。
在MEDLINE和CINAHL数据库中检索1996年1月至2002年1月期间包含评估成年腰痛患者残疾、功能、活动受限或参与受限问卷的论文。两名独立且不知情的研究人员阅读并筛选摘要和问卷。根据世界卫生组织的《国际功能、残疾和健康分类》对纳入问卷的内容进行分类。根据推荐指南分析测量属性。
共识别出36份针对背部的问卷。从身体、个人和社会功能角度进行区分时，确定了4种主要内容类型。大多数结局问卷内容混合，反映了疼痛和症状、睡眠障碍、心理功能障碍、身体损伤和社会功能等各种结构。9份问卷仅评估日常生活活动。三分之一的问卷仅在原始研究中报告了测量属性。
尽管大多数问卷主要关注活动受限，但在主要概念和内容方面存在相当大的差异。只有少数问卷可被认为经过了可接受的验证。
