Centre for Health, Exercise and Sports Medicine, Department of Physiotherapy, School of Health Sciences, The University of Melbourne, Australia.
Osteoarthritis Cartilage. 2013 Aug;21(8):1042-52. doi: 10.1016/j.joca.2013.05.002. Epub 2013 May 13.
To recommend a consensus-derived set of performance-based tests of physical function for use in people diagnosed with hip or knee osteoarthritis (OA) or following joint replacement.
An international, multidisciplinary expert advisory group was established to guide the study. Potential tests for consideration in the recommended set were identified via a survey of selected experts and through a systematic review of the measurement properties for performance-based tests. A multi-phase, consensus-based approach was used to prioritize and select performance-based tests by applying decision analysis methodology (1000Minds software) via online decision surveys. The recommended tests were chosen based on available measurement-property evidence, feasibility of the tests, scoring methods and expert consensus.
Consensus incorporated the opinions of 138 experienced clinicians and researchers from 16 countries. The five tests recommended by the advisory group and endorsed by Osteoarthritis Research Society International (OARSI) were the 30-s chair-stand test, 40 m fast-paced walk test, a stair-climb test, timed up-and-go test and 6-min walk test. The first three were recommended as the minimal core set of performance-based tests for hip or knee OA.
The OARSI recommended set of performance-based tests of physical function represents the tests of typical activities relevant to individuals diagnosed with hip or knee OA and following joint replacements. These tests are complementary to patient-reported measures and are recommended as prospective outcome measures in future OA research and to assist decision-making in clinical practice. Further research should be directed to expanding the measurement-property evidence of the recommended tests.
推荐一套基于表现的体能测试共识，供诊断为髋或膝关节骨关节炎（OA）或接受关节置换的患者使用。
成立了一个国际多学科专家咨询小组来指导这项研究。通过对选定专家进行调查以及对基于表现的测试的测量特性进行系统回顾，确定了潜在的考虑纳入共识推荐集的测试。采用多阶段、基于共识的方法，通过在线决策调查应用决策分析方法（1000Minds 软件）对基于表现的测试进行优先排序和选择。根据现有的测量特性证据、测试的可行性、评分方法和专家共识来选择推荐的测试。
共识纳入了来自 16 个国家的 138 名经验丰富的临床医生和研究人员的意见。咨询小组推荐并经骨关节炎研究学会国际（OARSI）认可的五项测试是 30 秒坐立测试、40 米快走测试、爬楼梯测试、计时起立和行走测试以及 6 分钟步行测试。前三个被推荐为髋或膝关节 OA 的最小核心体能测试集。
OARSI 推荐的基于表现的体能测试集代表了与诊断为髋或膝关节 OA 以及接受关节置换的患者相关的典型活动的测试。这些测试与患者报告的测量方法相辅相成，建议作为未来 OA 研究的前瞻性结果测量方法，并有助于临床实践中的决策制定。应进一步研究扩大推荐测试的测量特性证据。
