St-Pierre Corinne, Desmeules François, Dionne Clermont E, Frémont Pierre, MacDermid Joy C, Roy Jean-Sébastien
a Center for Interdisciplinary Research in Rehabilitation and Social Integration , Quebec City , Quebec , Canada .
b Orthopaedic Clinical Research Unit , Maisonneuve-Rosemont Hospital Research Center, University of Montreal Affiliated Research Center , Montreal , Quebec , Canada .
Disabil Rehabil. 2016;38(2):103-22. doi: 10.3109/09638288.2015.1027004. Epub 2015 Mar 24.
To conduct a systematic review of the psychometric properties (reliability, validity and responsiveness) of self-report questionnaires used to assess symptoms and functional limitations of individuals with rotator cuff (RC) disorders.
A systematic search in three databases (Cinahl, Medline and Embase) was conducted. Data extraction and critical methodological appraisal were performed independently by three raters using structured tools, and agreement was achieved by consensus. A descriptive synthesis was performed.
One-hundred and twenty articles reporting on 11 questionnaires were included. All questionnaires were highly reliable and responsive to change, and showed construct validity; seven questionnaires also shown known-group validity. The minimal detectable change ranged from 6.4% to 20.8% of total score; only two questionnaires (American Shoulder and Elbow Surgeon questionnaire [ASES] and Upper Limb Functional Index [ULFI]) had a measurement error below 10% of global score. Minimal clinically important differences were established for eight questionnaires, and ranged from 8% to 20% of total score.
Overall, included questionnaires showed acceptable psychometric properties for individuals with RC disorders. The ASES and ULFI have the smallest absolute error of measurement, while the Western Ontario RC Index is one of the most responsive questionnaires for individuals suffering from RC disorders.
All included questionnaires are reliable, valid and responsive for the evaluation of individuals with RC disorders. As all included questionnaires showed good psychometric properties for the targeted population, the choice should be made according to the purpose of the evaluation and to the construct being evaluated by the questionnaire. The WORC, a RC-specific questionnaire, appeared to be more responsive. It should therefore be used to evaluate change in time. If the evaluation is time-limited, shorter questionnaires or short versions should be considered (such as Quick DASH or SST).
对用于评估肩袖（RC）疾病患者症状和功能受限情况的自填式问卷的心理测量特性（信度、效度和反应度）进行系统评价。
在三个数据库（护理学与健康领域数据库、医学期刊数据库和荷兰医学文摘数据库）中进行系统检索。由三名评估者使用结构化工具独立进行数据提取和关键方法学评价，并通过共识达成一致。进行描述性综合分析。
纳入了120篇报告11份问卷的文章。所有问卷都具有高度信度且对变化有反应，并显示出结构效度；7份问卷还显示出已知组效度。最小可检测变化范围为总分的6.4%至20.8%；只有两份问卷（美国肩肘外科医师问卷[ASES]和上肢功能指数[ULFI]）的测量误差低于总分的10%。为8份问卷确定了最小临床重要差异，范围为总分的8%至20%。
总体而言，纳入的问卷对RC疾病患者显示出可接受的心理测量特性。ASES和ULFI的测量绝对误差最小，而西安大略肩袖指数是对RC疾病患者反应最灵敏的问卷之一。
所有纳入的问卷在评估RC疾病患者时都是可靠、有效且有反应的。由于所有纳入的问卷对目标人群都显示出良好的心理测量特性，应根据评估目的和问卷所评估的结构来进行选择。WORC是一份针对RC的问卷，似乎反应更灵敏。因此应用于评估随时间的变化。如果评估时间有限，应考虑使用较短的问卷或简短版本（如快速DASH或SST）。
